Safe Place Research Articles

Food Management for Orphans and Poor Children in Institutional Care

Institutional care is a shelter or a safe place that accommodates children who have lost their mother, father, or both, neglect as a result of poverty and the inability of extended families to access basic needs for children. This study was conducted using a qualitative design through the distribution of questionaires to 49 institutions in all district in the state of Terengganu, Malaysia. This study used a qualitative research design consisting of structured interviews guided by a checklist on 49 institutional care. The purposive sampling method was used in this study. The date obtained were analyzed using the frequency and percentages of the built-in-checklist. The findings show the frequency distribution of institutional streams of institutional care. There were 28 (57.1%) Tahfiz streams, 14 (28.6%) Academic and Tahfiz streams, and 7 (14.3%) Academic streams among the 28 (57.1%) institutions. The highest frequency of daily meals provided by institutional cares is 3-4 times a day which is 33 meals (67.3%). A total of 25 (51.0%) institutional cares received food donations every month. The most important source of water is tap water which is 45 pieces (91.8%). The results of the study found that 29 (59.2%) institutional cares have never experienced food poisoning. Institutional cares need to make more careful plans when managing the welfare of children living in institutional care. Institutions need to be careful when receiving any food aid from outside parties so that the problem of food poisoning does not occur. All parties also play an important role in ensuring the welfare of orphans and poor children living in institutional cares.

No safe place: Black women, state violence and Black cultural production

No safe place: Black women, state violence and Black cultural production

Navigating Geoeducational Dilemmas: Singapore as a Migration Hub for Students from China

In a post-pandemic world of escalating tensions between China and the West, increasing numbers of students from China are eschewing Western destinations for places in Asia, including Singapore. For these migrants, this Chinese-majority city-state has emerged as an important geoeducational hub between China and the West. A portmanteau of geopolitics and education, the term geoeducational refers to the reciprocal effects of both. Employing an anthropological approach, this article theorizes the geoeducational as a crucial subdomain of the geosocial—a concept proposed by geographers to analyze how social subjects and spaces are influenced by and impact geopolitics and geoeconomics. Using ethnographic interviews and observations, I argue that Singapore's emergent junctional position helps Chinese student migrants navigate their geoeducational dilemmas. These dilemmas are conditioned by rising US-China superpower competition amid economic stagnation in China and growing xenophobia in the West. Under these conditions, many students see Singapore as a safe liminal place from which they can pursue security, flexibility, freedom, cultural belonging, and family togetherness—by "springboarding" to the West, returning to China, or remaining in Singapore. This article contributes to the mobilities turn in education studies and enhances understanding of multiple migration—migration characterized by multiple changes in destination—by analyzing the interplay between domestic and transnational movements. The geoeducational lens it develops is useful for illuminating international student mobilities cross-culturally and comparatively as well as investigating their systematic interrelationships, including implications for demographic change, brain drain and gain, university financing and rankings, and hypercompetition in a time of eroding meritocracy.

Let this be a safe place: a qualitative study into midwifery care for forcibly displaced women in the Netherlands

BackgroundForcibly displaced women in the Netherlands face increased chances of perinatal mortality and other adverse pregnancy and childbirth outcomes compared to the resident country population, which has been linked to suboptimal care. This study was conducted to gain insights from the experiences of Dutch midwives to inform and enhance the provision of tailored and equitable care for forcibly displaced women.MethodsWe conducted a qualitative study using semistructured interviews with community midwives who provide care for forcibly displaced women (asylum seekers and recognized refugees) in the Netherlands. Through thematic analysis, we identified the barriers midwives encounter in providing care and explored their strategies for navigating these barriers, aiming to inform recommendations that advance equitable care provision.ResultsInterviews with eleven midwives revealed barriers across three thematic levels: (1) the interactional level, where barriers related to language and interpreters, cultural differences, and building trust impeded positive interactions between midwives and forcibly displaced women; (2) the organizational level, where barriers concerning relocations of asylum seekers, delays in accessing care, and interdisciplinary collaboration impeded optimal care; and (3) the contextual level, where barriers related to women’s housing conditions, the resettlement process and the mental health of forcibly displaced women impeded midwives’ to respond to clients’ needs. These levels of barriers culminated in a core theme of imbalance between midwives’ expanded responsibilities and the limited resources and strategies available to them in care for forcibly displaced women. This imbalance forced midwives into multiple roles, increased both the practical and emotional burden on them, and undermined their ability to provide optimal, equitable care.ConclusionsTo enhance the provision of equitable pregnancy and childbirth care for forcibly displaced women in the Netherlands, it is crucial to target the imbalance between the responsibilities that midwives bear and the resources available to them. This requires dismantling barriers at the interactional, organizational and contextual level of care through targeted policy interventions. Structural determinants that perpetuate the imbalance in midwives’ work and restrict their scope of influence, such as restrictive migration policies that contribute to socioeconomic marginalization and poor housing conditions, need to be addressed. Ultimately, midwives themselves require more support and education to recognize and combat injustices in pregnancy and childbirth care for forcibly displaced women.

Understanding Why People Experiencing a Mental Health Crisis Leave the Emergency Department Before Care: AQualitative Interpretive Study.

A number of people experiencing a mental health crisis who present to a hospital emergency department (ED) do not wait (DNW) for assessment or care and leave. This phenomenon is poorly understood and offers an opportunity to enhance quality of care. We sought to understand the characteristics and reasons of those who DNW for assessment or care, and what happens after leaving the ED. We used a semi-structured telephone interview method with open-ended and single choice responses. Participants were recruited from Eastern Health hospitals who had been referred from the ED for specialist mental health care. Respondents (N = 42) tended to be female adults in their 30s, accompanied by another person, and seeking short-term relief and long-term care for a mental health crisis. It became increasingly obvious over time to participants that the cost of waiting was outweighed by the benefit of leaving. A range of factors were identified that took them to this tipping point. Over half reported their condition as having improved and did not seek further care after leaving the ED. Respondents thought a comfortable 'safe place' and communication that conveyed respect and reduced uncertainty while waiting would reduce early leaving. There were challenges in engaging a DNW population. Nonetheless this study offers valuable insights into this phenomenon in an ED setting. Many of the expressed views for reducing DNW appear to be reasonable and achievable.

ANALYSIS OF THE SECURITY SITUATION AND THE STATE OF THE UNDERGROUND ENVIRONMENT IN UKRAINE

Statement of the problem. The use of underground space for the protection of civilians, as well as an opportunity to ensure the safe location of small industrial facilities, is an urgent task today, given the martial law in the country. Objective. To investigate the use of the underground environment of Ukraine for the safety of the population, taking into account the consequences in terms of the number of civilian casualties during rocket attacks (according to open data of the United Nations) and to draw attention to the lack of safe places for civilians by analysing the individual risk in Ukraine. A risk map was developed based on the calculated data, indicating risk zones. Conclusions. Theoretically, based on the analysis of the historical development of underground construction in the world and in Ukraine, the article shows the wide attention to underground construction both for security and industrial purposes. The types of modern weapons and the consequences of their use are identified, and data on civilian casualties are analysed depending on the territorial affiliation, taking into account individual risk. Based on the analysis of open UN data (the number of deaths and injuries during the hostilities in Ukraine) and the calculations of the degree of danger risk, a map of danger risk zones by regions of Ukraine was developed, with the distribution of the risk level intensity into zones of extremely high risk, relatively medium, medium and relatively low risk.

Female Patients and Staff at Hanwell Asylum (1830s–1860s): Negotiating Limitations and Opportunities in a Male-dominated Medical Sphere

Abstract Hanwell Lunatic Asylum is widely recognised as having been emblematic of Victorian British asylums, for which it represented a therapeutic model. It was nevertheless a relatively atypical institution in its way of treating male and female patients, and this was in no small part due to the personality of John Conolly, its medical superintendent from 1839 to 1852. His political convictions, deeply rooted in utopian socialism, made him less inclined to conform to middle- and upper-class social norms of the time, which tended to limit women in their social and intellectual aspirations. More typical was the undeniable tendency in the institution to strictly separate the male and female spheres, the medical profession having long been a field traditionally reserved to men. The situation was nevertheless quite different within what might be called the “social sphere” of the asylum. Here female staff played a key role, under the authority of the matron. This paper will seek to demonstrate that, despite genuine restrictions and limitations imposed on female patients and nurses – many of which were in fact imposed on both genders, and were denounced by female staff and chaplains – the asylum could nevertheless appear as a safe place for women to gain access to education, leisure and social interactions, and could even offer them some kinds of professional opportunities.

Exploring Adolescents Perceptions of School Safety and Experiences of Violence in Uzbekistan

School safety is a critical concern for educators, policymakers, and parents alike. Ensuring that students are safe from violence, bullying, harassment, and substance use is essential for creating a conducive learning environment. The aim of this study is to explore the perceptions of students about school safety and their experience of violence – physical, emotional and online harassment. The study employed a quantitative approach, using a multi-stage stratified sampling with random selection of schools based probability proportional to enrolment from the sampling framework. A total of 299 schools from all 14 regions of Uzbekistan with N = 22,854 students in the 6th, 9th and 11th grades, participated in the study. Results showed that despite the fact that the majority of students perceived school as a safe place, there was a constant proportion of students (varying from 1 to almost 2 out of every 10 students) who believed that schools are not safe due to students’ risky, violent and discriminatory behaviours. Boys, 6th graders and working students were more prone to believe that. Similar results were found about their experience of violence during the last month. It is of crucial importance to implement evidence-based programs that address issues related to bullying prevention, conflict resolution, mental health support, and substance abuse prevention to help foster a culture of safety within schools.

Provocative spatial exclusion and missed opportunities: Complaints of discrimination filed against gender separatist spaces in Sweden

Today, we see many different forms of separatists and what may be a safe place for some may be provocative for others. In this article, we focus on separatist spaces, by analysing complaints submitted to the Equality Ombudsman, a governmental agency that supervises compliance with the Discrimination Act in Sweden. Through these complaints, we explore expressions of resistance to separatist spaces and how exclusion from such spaces is understood and made sense of. Hence, the aim is to, through analysis of complaints about perceived discrimination, explore which spaces and contexts are perceived as discriminatory and who is argued to be discriminated against. This analysis shows a clear pattern in how the complaints are filed against three different categories of places and contexts for women (gyms/swimming baths, The Statement Festival and contexts/networks for women). It is noteworthy that only one complaint is directed against a men-only space. The discussion focuses on how the definition of what constitutes discrimination spans between spatial exclusion to missed opportunities, how the complaints differ in terms of being expressions of personal experiences or a matter of principle, and finally, how the complainants argue that separatist spaces are constructing gender in specific ways. In conclusion, the complaints frame the gender separatist strategy as inherently exclusionary to men, threatening to their masculinity, unjustly portraying them as dangerous, and with complainants often casting boys and men as victims. Some of these complaints align with anti-feminist agendas, and some intersect with racist discourses about which groups of men that are to be perceived as dangerous.

School-based support for children bereaved due to parental intimate partner homicide

ABSTRACT Internationally, there is growing recognition of the scale and consequences of intimate partner homicides (IPH). A significant, though often neglected consequence is how many children are impacted by these tragic events. In such challenging circumstances, children need stability, continuity and trusted people they can rely on for support. This paper aims to understand how best to provide school-based support for children following parental IPH by investigating the experiences of affected children, their caregivers and professionals with experience of working with these children. Semi-structured interviews were undertaken with 35 participants in Australia, the UK and Ireland (11 with lived experience, 12 caregivers and 12 professionals). We developed two key themes through the data analysis process: (1) School as a supportive place and (2) Limited access to a trusted, supportive adult at school. We found that schools can potentially be supportive, safe, stable, and consistent places for affected children, and teachers and counsellors can help provide trusted, supportive relationships for them; however, there needs to be effective resourcing within an overall policy structure. Schools are in a strategic position to identify the effects of trauma in the children’s lives and can also provide a valuable link between children and relevant specialist services. There are limitations, however, regarding both the accessibility and availability of suitable skilled and experienced practitioners who can support the children, their caregivers, and school staff. Ongoing care teams need to be established to provide the comprehensive, individualised services these children need.

Re-imaging a country beyond its conflict: evaluation of an Israeli public diplomacy intervention for youth in Germany

AbstractOutcome evaluations of public diplomacy programs remain scarce. Addressing this gap, this study evaluated Israel Project Day, a seminar-based Israeli intervention designed to improve Israel's image among German youth. The intervention provides a unique real-world application of the “Life in Israel” model that spotlights Israel’s cultural diversity and achievements beyond the Israeli-Palestinian conflict. Utilizing a quasi-experimental pre-post design and mixed-linear models, the study shows that participation significantly improved overall attitudes toward Israel, interest in Israeli society, and perceptions of Israel as a democratic, multicultural, and safe place. Although the program avoided direct conflict-related messages, it facilitated more favorable views on Israel's policies in the Israeli-Palestinian conflict, demonstrating potential spillover effects to the conflictual-political realm. Additionally, effects on German-Israeli cooperation and responsibility were modest, highlighting a challenge for the Israeli-German unique relationship. Finally, the effects on interest in Israeli society and politics and support for German-Israel cooperation were stronger for participants with low media exposure. By moving away from conflict-centric presentations and focusing on contributions and advancements, nations like Israel can potentially cultivate a more positive national image. Practical implications are discussed for crafting impactful outreach, upscaling, and sustaining flexible efforts attuned to sociopolitical developments and challenges.

Nem sempre a casa é um lugar seguro: um olhar bioecológico para a violência em tempos de pandemia

Objetivou-se discutir o panorama da Covid-19 e impactos sobre a violência cometida dentro de casa, à luz da Teoria Bioecológica (TBE), e propor ações estratégicas para garantia de direitos e proteção. Constata-se que, em virtude da necessidade de permanência no lar, situações de risco podem ser maximizadas nos lares, agravadas pela ausência ou minimização da atuação de ambientes protetivos como escolas, instituições de assistência social e centros de saúde. Observa-se o aumento do estresse nas famílias decorrentes do medo do contágio e da morte, acrescidos pela sobrecarga de afazeres domésticos, preocupação com a subsistência, e outros fatores que diferem a depender das condições socioeconômicas. As características da pessoa, os processos proximais e o tempo são identificados a partir desse referencial. Conclui-se que a mobilização social é necessária para que ações estratégicas de combate e enfrentamento sejam incorporadas por todos e propostas medidas concretas para esse fim.

Strengthening the Profile of Pancasila Students through the Differentiated Mulia Method

Characteristics of community and the school environment are starting point for determining vision, mission, and goals. Facing these problems and the results of the diagnostic assessment that has been carried out on all school residents, this program considers differentiation that is adjusted to talents, interests, and abilities as well as the personalities of all school residents. This study aims to achieve school’s vision and mission so that can strengthen the Pancasila Student Profile. The method applied is Mulia Differentiated Method as an abbreviation of Mulia, Superior, Literate, Inspirational, and Adaptive. Differentiation because this program is adjusted to diagnostic assessment carried out at the beginning of the school year which is carried out on all school residents, so that this program is adjusted to talents, interests, abilities, and personalities. The results state that the Mulia strategy that we implemented brought benefits to the school, students, guardians, parents, the committee and the community around the school. The benefits for the school community are the creation of a religious and family atmosphere, the beauty of the school environment becomes a comfortable and safe place.

A Comparative Cross-sectional Study to Assess Knowledge Regarding Human Rights of Mentally Ill between Patient with Severe Mental Illness and People Without Mental Illness

Abstract Background: Human rights violation of mental illness (MI) in society by people without MI (PWMI) has been a common occurrence. The present study aims to compare the knowledge regarding the human rights of the mentally ill between asymptomatic patients with severe MI (SMI) and PWMI. Materials and Methods: A cross-sectional comparative design was adopted to study the knowledge regarding the human rights of MI among selected asymptomatic patients with SMI and people with PWMI (n = 122). Purposive sampling technique was used to collect the data through face-to-face interview using a structured questionnaire. Descriptive and inferential statistics were used to analyze the data. Results: In the present study, findings revealed that mentally ill patients are still struggling for their rights to be accepted as a part of society. MI patients are being discriminated against by the community because of their MI without getting equal treatment even after their recovery is accepted by both SMI and PWMI. SMI patients did not find the community a safe place contrary to PWMI. PWMI was aware of the rights and policies against harassment of mentally ill other than SMI patients. Conclusion: The study finds that the mentally ill patients are discriminated on various aspects and are not fully aware of their rights which conclude that community needs to be educated regarding the human rights of mentally ill to protect and promote the rights of PWMI.

Framing Architectural Identity of Aceh After Two Contemporary Events

<p><em>Socio-political conditions in a region have a substantial impact on architectural identity. Two contemporary events in Aceh: the 2004 tsunami and the Free Aceh Movement and the Republic of Indonesia conflict</em><em>, impacted socio-political circumstances and architectural identities. This study revisits the architecture after those two contemporary events in Aceh by examining the socio-political processes and dynamics underlying its architectural representations. The research incorporates literature, theoretical data, </em><em>and Aceh's architectural and urban history. This research also ties socio-political data to architectural phenomena after the two contemporary events. </em><em>This research frames two main periods of architectural history after two contemporary events, namely Post-Tsunami 2004 and Post-Conflict. In the post-tsunami 2004 period, there are three architectural phenomena: </em><em>the shifting perspective of safe and vulnerable places, the new 'Tsunami' typology, and the revival of the old typology. While in the post-conflict period, there are also three architectural phenomena: the search for Islamic architecture, the return of regionalism, and architecture anomalies.</em></p>

‘Liquid’ equilibria. New semantics for public spaces in the Apennines

The proposed contribution investigates the role of public space design for the management and regeneration of the river system in Apennine areas: in an environmental crisis and increasing abandonment scenario, water stands as a central issue of critical discussion, representing a valuable source of livelihood and, at the same time, a potential danger for these territories. Through the selection of some significant experiences, in which architectural and landscape design find in the particular antinomian character of water the opportunity for the construction of new balances in the place, an attempt will be made to identify appropriate regenerative strategies to define the 'liquid' public space as a safe place, through the necessary adaptation to the current environmental and climatic conditions, and as an ecosystem, through the re-signification of the delicate relationship between its anthropic and natural components.

Ethical leadership in health-care organizations - a scoping review.

The purpose of this study is to explore the impact of EL style on key variables in health-care settings. Very few studies investigate the impact and outcomes of EL on health-care organizations. Synthesis of evidence will assist health-care leaders in making informed decisions about the outcomes they can expect from practicing EL. Arksey and O'Malley's five-stage framework is used for conducting the scoping review. The databases include Scopus, Emerald Insight and Web of Science. A total of 22 studies were finally considered for scoping review. The data are presented in terms of years, sampling techniques, sample size, data collection methods, and the directional relationship of the variables with EL. Managers should be trained in EL style as it promotes the sustainability of the environment and organizations. Furthermore, EL should be promoted in health-care organizations as it improves employee resilience and voicing behavior and reduces instances of adverse events and medication errors, thus making the hospital a better and safer place. This is one of the studies investigating the EL implications for health-care managers.

Innovations in residential treatment that promote multi-drug addiction recovery

Abstract Background As the drug addiction crisis deepens in many countries across the globe, governments are rapidly expanding publicly funded treatment facilities. At the same time, the illicit drug market has evolved with many substances now containing multiple addictive drugs that complicate recovery. The evidence base for treatment remains primarily focused on single substances. The purpose of this study was to examine the lived experience of adults who attended in-patient treatment centres for multi-drug addiction in Canada. Methods This qualitative study was conducted in 2022 with 32 adults who voluntarily attended an in-patient treatment centre for drug addiction (44% female, 23-53 years). All had been addicted to multiple substances including opioids, crack and methamphetamines. Most (70%) were homeless before treatment. In 1-hour semi-structured interviews adults described the structures and programming that helped them recover in these facilities. Many tried multiple facilities and thus had a rich history of lived experience to draw from. Narrative inquiry was used to characterize qualitative themes across interviews using a phenomenological lens. Results Seven qualitative themes emerged from the data. Residential treatment centres that were effective at helping adults recover from multi-drug addiction: (1) provided flexible stays up to 100 days; (2) felt like a home not a prison; (3) permitted opioid replacement therapies; (4) provided a variety of recovery tools (e.g., cognitive behavioural therapy, Narcotics Anonymous, cultural supports); (5) helped adults reunite with family, find a safe place to stay, and find work before discharge; (6) provided transitional housing after discharge if needed; and (7) provided free long-term recovery support and check-ins after discharge. Conclusions The findings of this study highlight 7 actions that treatment facilities can adopt and test with their own clients in an effort to better support multi-drug addiction recovery. Key messages • A stronger evidence base is needed to inform in-patient multi-drug addiction treatment. • Findings underline 7 actions treatment facilities can take to promote multi-drug addiction recovery.

Knowing, Being and Becoming a Person-Centred Nurse Leader: Findings from a Transformative Professional Development Programme.

Background/Objectives Leadership is central to the development of effective workplace cultures and as such should be viewed as a practice that is relational, exercised through a process of mutual and reciprocal influence. Person-centred leadership is an approach to leadership that supports a way of being that is authentic, prioritising values lived out in action. However, there is an increasing recognition that leadership development has not been impactful in relation to workplace culture. This paper reports on the ongoing evaluation of an innovative development programme (Queen's Nurse Development Programme), the overall aim of which was to illuminate the participants' experiences of engaging in transformative learning and development and identify the technical and transformative outcomes arising. The programme focused on developing leadership capacity for societal change and maximising the health impact of community nursing leaders. Methods The methodological framework for evaluation was underpinned by a Collaborative Critical Creative Inquiry. Twenty community nurses were selected to undertake the programme during 2020. The collection and analysis of data was consistent with the Collaborative Critical Creative Inquiry and was conducted as a one-day workshop, with participants engaged in a cycle of creative hermeneutic analysis. Results A total of seven themes were identified, including: sense of belonging; personal growth; developing new skills; finding voice; importance of self-care; and creating a safe place. This illuminated how the transformative learning and development processes within this programme were experienced and how these enabled participants to explore how they influence their practice and workplace. It is the journey with self that generates a sense of belonging and enables personal growth and the ability to care for self and others. Conclusions The key learning from this innovative development programme is the importance of focusing on the attributes of practitioners and the key building blocks for knowing, being, and becoming a person-centred practitioner.

Evaluating a peer-support mind-body medicine intervention for healthcare leaders.

Mind-body medicine (MBM) is an evidence-based intervention associated with trauma and stressful events. The MBM intervention alleviates symptoms of work-related stress and builds resilience by utilizing self-care techniques facilitated in small group settings. Healthcare leaders who experienced traumatic stress through the COVID-19 pandemic may benefit from interventions aimed at their needs. We evaluated the effects of a peer support MBM intervention on perceived stress, resilience, well-being, and empathy for nurse leaders and compassionate care leaders. A pre-post intervention was conducted via 7 virtual and 2 on-site groups, recruiting from a large multihospital health system in the United States. Participants engaged in an 8-week program facilitated by a certified faculty group leader from The Center for Mind-Body Medicine and engaged in resilience skills building activities along with facilitated sharing. Validated instruments were used to measure outcomes at pre, post, 1 month, and 6 month follow-up intervals. Surveys included open-ended questions for qualitative feedback related to facilitators, barriers, and group experiences. Seventy-three leaders completed the MBM program, and 22 completed the four research surveys; all qualitative responses were included for feedback. Perceived stress decreased after the intervention (p < .008) and was maintained for 6 months post intervention (p < .005). Resilience increased after the intervention (p < .034) and for 1 month (p < .049) but decreased after 6 months. Qualitative responses showed that time and workload factors were the most significant barrier to participation, while the benefits included protected time with peers, learning well-being skills, and having a safe place to process emotions. Healthcare leaders face unique challenges, including workplace trauma and crises. Interventions that support their stress response, resilience, and overall well-being should take into consideration the nature of their work, the balance of time demands, and the need for peer support to overcome barriers to sustainable interventions.