Secondary Analysis Of Qualitative Data Research Articles

The vagina problem: a step too far in parent–child sex communication with young children

ABSTRACT Parents describe a want for better sex education for their young children compared to their own myth and silence-led experiences while growing up. However, introducing the vagina has proved a challenging step too far for many parents. This study arose from a secondary qualitative data analysis of 20 focus groups with parents in Ireland about how they engaged in body and sexuality communication and socialisation practices with young children, aged 4 to 9 years old. Though parents often utilised euphemisms, the language applied to male bodies tended to be generic, while euphemisms for female bodies tended to be family-specific. The language used in talking about the female body evaded reference to the vagina and talking about its functions. Protecting the child from knowledge about the sexual body was aligned with maintaining innocence and delaying the child’s transition to adulthood. Parents demonstrated a commitment to stop using myths but still placed boundaries around their young children’s sex education, albeit boundaries that were being redefined. Perpetuating intergenerational taboos, placing boundaries on knowledge of the sexual body, impacts a child’s ability to fully integrate their body into their sense of self.

Stigma towards a nursing specialty: A qualitative analysis of the perceptions of the addiction nursing workforce.

Addiction nurses are highly skilled providers of holistic care and ensuring workforce sustainability is key to providing quality care to a traditionally marginalised group of healthcare consumers. The aim of this study was to explore perceived stigma towards the addiction nursing speciality, addiction nursing (also known as alcohol and other drug nursing) and its impact on workforce sustainability, retention and recruitment. Secondary analysis of qualitative interview data with nurses (n = 50) and survey data (n = 337) was conducted as part of a workforce mapping exercise in 2019. COREQ reporting guidelines were used. After structural coding was applied, three themes emerged: stigma experienced by clients of alcohol and other drug treatment services, stigma experienced by addiction nurses and a lack of awareness of the specialty of addiction nursing itself. Participants overwhelmingly felt that these forms of stigma made addiction nursing less attractive to new entrants, particularly new nurses and posed a threat to the sustainability of the specialty. The findings from this study indicate that urgent attention is required to address stigma towards individuals who use alcohol and other drugs, and the nurses providing care for them. Furthermore, creating awareness of the addiction nursing specialty is paramount to ensure workforce sustainability and to improve care for individuals who use alcohol and other drugs. Beyond addiction nurses, our results indicate that stigma towards other specialties (such as mental health nursing) is a substantive barrier to workforce sustainability.

Comparison of Transportation Use Among Older and Younger Persons Experiencing Homelessness

Regardless of age, transportation determines access to necessary services and supports, including food, healthcare, shelter, and social connection for persons experiencing homelessness (PEH). This study compared experiences and perceptions of transportation among PEH aged <49 years old to PEH aged 50+ years. We conducted a secondary qualitative data analysis of semi-structured interviews with 18 PEH staying in emergency shelters in Salt Lake County, Utah. Using thematic analysis, we identified three points of comparison between older and younger PEH: 1) Modes of transportation used; 2) Reasons for using public transit; and 3) Perceptions of public transit. While there are some similarities across transportation modes used (e.g., public transit, dedicated homeless-services shuttle, walking), older PEH also reported using taxi services when it could be afforded or shared with others. In addition, older PEH more often discussed using public transit to get to healthcare appointments, while younger PEH reported needing transit to get to places of employment. Though both participant groups described the prohibitive costs of transit, OPEH recommended that to use transit most successfully there need to be places to sit and rest when walking, as well as more publicly available bathrooms and crosswalks for safety. This age-based comparison offers insight into ways to increase transportation equity and support PEH of all ages who similarly have unmet mobility needs.

Nostalgia-based marketing campaigns and sport participation

PurposeFramed by nostalgia marketing, this research draws upon lessons from ParticipACTION, a Canadian non-profit health promotion organization, to examine one of their most well-known campaigns, Body Break with ParticipACTION, in order to assess the potential role for nostalgia-based marketing campaigns in sport participation across generational cohorts.Design/methodology/approachExploratory sequential mixed methods involving two studies were completed on behalf of ParticipACTION, with the authors developing the research instruments and the collection of the data undertaken by research agencies. Study 1 was the secondary analysis of qualitative data from five focus groups with different demographic compositions that followed a common question guide. Study 2 was a secondary data analysis of a pan-Canadian online survey with a sample (n = 1,475) representative of the overall adult population that assessed awareness of, and attitudes toward, ParticipACTION, Body Break, physical activity and sport participation. Path analysis tested a proposed model that was based on previous research on attitudes, brand and loyalty. Further, multi-group path analyses were conducted to compare younger generations with older ones.FindingsThe results provide direction and understanding of the importance of nostalgia in marketing sport participation programs across generational cohorts. For instance, in the four parent-adult focus groups, unaided references as well as frequent and detailed comments regarding Body Break were observed. Similarly, Millennials reported that Body Break was memorable, Canadian and nostalgic, with a mix of positive and negative comments. The importance of nostalgia was supported sequentially via results from the national survey. For example, while 54.1% of the 40–54 age-group associated ParticipACTION positively with Body Break, so did 49.8% of the 25–39-year age group, most of whom were not born when the promotion ran. Further, brand resonance was found to explain 4% more variance in moderate-to-vigorous physical activity (MVPA), the proxy for sport participation, for younger people compared to older people.Practical implicationsResults provide direction to brands, properties and agencies around the use of nostalgia in sport marketing campaigns and sponsorship efforts. For brands seeking to sponsor sport properties to alter their image with potential consumers in a new market, associating with a sport property that many view as nostalgic could improve the impact of the campaign. On the sport property side, event managers and marketers should both identify existing assets that members or fans are nostalgic about, as well as consider building nostalgia into current and new properties they develop.Originality/valueThis research is valuable to the sport marketing and sponsorship literature through several contributions. First, the use of nostalgia marketing, and nostalgia in general, is novel in the sport marketing and sponsorship literature, with future research in nostalgia and sponsorship recommended. Second, the potential to adopt or adapt Body Break to other sport participation and physical activity properties is empirically supported. Finally, the finding that very effective promotions can have a long-lasting effect, both on those who experienced the campaigns as well as younger populations who only heard about it, is notable.

Abstract 3408: ‘Survivor mentality’: The meaning of survivorship among Black cancer survivors

Abstract Purpose: To explore how Black adults who have been diagnosed with cancer perceive and interpret the term ‘cancer survivor’. Procedures: This study is a secondary analysis of qualitative data from a project identifying physical activity determinants among Black U.S. residents living past a cancer diagnosis. Semi-structured telephone interviews began with an inquiry into perceptions of the term ‘cancer survivor.’ Eligible participants were age 18 or older, self-identified as Black, and were living beyond a cancer diagnosis. Interviews were audio recorded and transcribed verbatim. Applying directed content analysis, 5 researchers independently applied a codebook generated from the interview guide to a subset of transcripts. The codebook was refined through iterative discussions to address coding discrepancies and achieve replicability. Remaining transcripts were then coded and a report of grouped narrative summaries was generated. Themes and subthemes were organized to present the meaning and significance of ‘cancer survivorship’ among the sample. The partnering community advisory board aided in and reviewed the interpretation of study findings. Results: Participants were 19 survivors of nine different types of cancer. Most participants were women (89.5%), 68.4% held a bachelor’s degree or greater, and the mean age was 56 (SD=12). Emergent themes describing perceptions of ‘cancer survivorship’ included 1) cancer ‘survivor’ terminology preferences, 2) outset of cancer ‘survivorship,’ 3) ‘survivor mentality’ and mental fortitude, and 4) advocacy for those affected by cancer. Many participants identified as ‘cancer survivors’ and preferred this to ‘in remission,’ but some preferred different terms or identities (e.g., warrior or thriver). Many believed survivorship began once an individual completed cancer treatment, but some felt survivorship began at cancer diagnosis. Survivor mentality was raised as a mindset providing some individuals the mental fortitude to complete cancer treatment, especially among those embracing a survivor identity during treatment. Some participants raised advocacy, providing support to others diagnosed with cancer, and sharing cancer information and their experience as part of what it means to be a survivor. Conclusions: Acceptance of the term “cancer survivor” and what it means to be a “survivor” vary among Black individuals living past a cancer diagnosis. The identities held by those diagnosed with cancer may have implications for their cancer experiences and outcomes. Many Black cancer survivors may perceive working to improve the lives of others with cancer as part of what it means to be a survivor. Partnering with Black cancer survivors in cancer prevention and control efforts may be mutually appealing and beneficial to improve the lives of individuals living past a cancer diagnosis. Citation Format: Nathaniel Woodard, Jingle Xu, Deirdre F. Lea, John L. Milner, Paulette Duggins, Karia Coleman, Ashley L. Bryant, Carmina G. Valle, Stephanie B. Wheeler, Jessica Carda-Auten, Tammy A. Triglianos, Rachel Hirschey. ‘Survivor mentality’: The meaning of survivorship among Black cancer survivors [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 3408.

Adapting telehealth to address health equity: Perspectives of primary care providers across the United States.

Telehealth has the potential to increase access to care for medically underserved patients. This qualitative study aimed to identify telecare practices used during the COVID-19 pandemic to meet the needs of patients experiencing homelessness, patients with disabilities, and patients with language preference other than English (LOE). We conducted a secondary qualitative data analysis of 47 clinician interviews at Federally Qualified Health Centers (FQHCs) around the country. Using thematic analysis, transcripts were coded by line-by-line by five qualitative researchers. A multidisciplinary team of telehealth experts, researchers and primary care clinicians reviewed memos and excerpts to generate major themes. We identified six main areas demonstrating how community providers developed strategies or practices to improve access to care for vulnerable patients: reaching patients experiencing homelessness, serving deaf and hard of hearing patients, improving access for patients with disabilities, serving patients with LOE, improving access for mental and behavioral health services, and educating patients about telehealth. During the pandemic, FQHCs developed innovative solutions to provide access to care for the unhoused, including using telehealth in shelters, vans, and distributing devices like mobile phones and tablets. Telehealth reduced transportation burdens for patients with disabilities and reduced no-show rates for mental health services by adapting group therapy via telehealth features (like break-out rooms) and increasing provider capacity. Our study identified strategies adopted by FQHCs to serve underserved populations during the COVID-19 pandemic. Our findings highlight the need for enduring strategies to improve health equity through telehealth..

“Recovery is about change, so you have to change everything”: Exploring the evolution of recovery capital among women in substance use disorder treatment

Recovery capital is a framework in addiction research aiming to understand substance use disorder recovery holistically by considering individuals' access to resources across the four domains of human, physical, social, and community capital. Each domain is opposed by negative capital. The underrepresentation of women's experiences in substance use research and the limited understanding of substance use treatment's effect on recovery capital limits our understanding of how treatment programs can support women in developing and maintaining recovery capital. This secondary qualitative analysis of data collected from the RENEW study explores the experiences of n = 19 women enrolled in substance use disorder treatment in Connecticut at baseline. Interviews occurred at two time points three months apart between February 2020 and April 2021 and discussed participants' experiences with treatment and the resources they have access to early in recovery. Thematic analysis identified four main themes related to recovery capital development. First, the direct effects of treatment, defined as clinical pathways to recovery capital, promoted resource growth primarily in the domains of human and physical capital. Second, non-clinical pathways, including indirect effects of treatment, facilitated maintenance of treatment-related improvements in human, social, and community capital. Third, interactions between domains promoted recovery capital resource growth across domains. Finally, goals and expectations for treatment motivated resource development across study time points. This study's findings have important implications for operationalization of the recovery capital framework and highlight the importance of more robust integration of non-clinical interventions to improve the experiences of women in treatment for substance use disorders.

The challenges of open data sharing for qualitative researchers.

'Open Science' advocates for open access to scientific research, as well as sharing data, analysis plans and code in order to enable replication of results. However, these requirements typically fail to account for methodological differences between quantitative and qualitative research, and serious ethical problems are raised by the suggestion that full qualitative datasets can or should be published alongside qualitative research papers. Aside from important ethical concerns, the idea of sharing qualitative data in order to enable replication is conceptually at odds with the underpinnings on most qualitative methodologies, which highlight the importance of the unique interpretative function of the researcher. The question of whether secondary analysis of qualitative data is acceptable is key, and in this commentary we argue that there are good conceptual, ethical and economic reasons to consider how funders, researchers and publishers can make better use of existing data.

Prospective Analysis of Economic and Social Development Through Special Economic Zones (SEZs): Pakistan a Case in Point

This paper seeks to link the concept of SEZs with social developments in developing countries like Pakistan. In the larger context of human developments, social and general wellbeing of the people is closely linked with the infrastructural enhancement, overall employment of human resource and economic growth in a country. Creation of SEZs is one of the mechanisms to enhance human hands’ engagement. SEZs create those environments which are growth centric in the most comprehensive manner. In the recent history of human developments, it has worked very well in China which raised living standards of the people in record times. The concept of SEZs is based on business facilitation at one place with minimum cost; yet attaining optimum proficiency. The paper is based on secondary data from the official circles of Pakistan and China as well as the literature review. The study follows a qualitative analysis of secondary data as available in publications and official websites. Since Pakistan was already part of Chinese Belt and Road Initiative (BRI), the idea of establishing CPEC (China Pakistan Economic Corridor) prompted to develop SEZs in synchronicity for boosting the economic growth. The study also allows comparative views of SEZs especially in developing countries to draw relevance to those envisaged in Pakistan. In synch with the developments centered around CPEC; in Pakistan, the SEZs have started coming on grounds in a phased process. The study concludes with outcomes like creating similar conditions as those of Chinese to have compatible and comparable success standards in Pakistan.

Secondary Data Analysis: Using existing data to answer new questions

Secondary data analysis is a cost-effective, accessible, and efficient means of utilizing existing data to answer new research questions. The manuscript provides an overview of the secondary data analysis process, as well as benefits and limitations inherent in the research method. An exemplar of pediatric focused research using a publicly available dataset is presented to facilitate understanding of the process. Novice and experienced researchers benefit from exploring the quantitative and qualitative secondary data analysis options available.

Enhancing Logistics Distribution Efficiency for Indonesian Navy Warships in Operations Area

The Indonesian Navy faces challenges in maintaining the readiness of warships deployed in external operation areas due to inefficiencies in logistics distribution. Understanding current practices and identifying bottlenecks is crucial for devising strategies to enhance logistics efficiency. This study aims to investigate the current logistics distribution practices of the Indonesian Navy, identify primary bottlenecks and inefficiencies, explore opportunities for optimization, and propose strategies for increasing logistics distribution efficiency to support warships in external operation areas. Utilizing Creswell's qualitative research framework, this study analyzes existing secondary data from academic journals, reports, and governmental documents related to naval logistics in Indonesia. The study reveals the current logistics distribution practices and procedures of the Indonesian Navy, identifies primary bottlenecks and inefficiencies within the existing system, explores opportunities for optimization of logistics processes and infrastructure, and proposes a comprehensive strategy for increasing logistics distribution efficiency to support the readiness of Indonesian Navy warships in external operation areas. By leveraging qualitative research methods and secondary data analysis, this study provides valuable insights into enhancing logistics distribution efficiency for Indonesian Navy warships, contributing to improved readiness and operational effectiveness in external operation areas.

Dual-Class Share Structure in the Indonesian Equity Market

A lot of major equity markets abroad have allowed the listing of the Dual-Class Share Structure (DCSS) corporations. DCSS is an agreement in which two types of shares are issued by the very same firm, with one type of share conferring greater power compared to the other. The Indonesian Stock Exchange only allows for limited access for DCSS technology-related corporations to list on its Mainboard. To remain attractive as Southeast Asia's top financial centre, Indonesia needs to alter its securities regulations while making its listing market adaptable to meet the needs of various enterprises. This research aims to analyse and elaborate on permitting DCSS corporations to go public and devise suitable governance safeguards to guarantee the highest possible standards of corporate governance are upheld. This research explores the legal certainty and applicability of DCSS in the Indonesian equity market and abroad, using a qualitative approach and thematic analysis of secondary data. The major finding of this research is the acceptance of DCSS adds to issues with abuse of power by the controlling shareholders, which was outweighed by their cash flow rights. While those in favour of DCSS argue that the existing shareholders' main reason for choosing a DCSS arrangement is to preserve company control. Most major exchanges in the world have taken action to accommodate DCSS going public, like those in the USA, Hong Kong, Singapore, and China. Considering the magnitude of the Asian market, Indonesia can emulate the accomplishments of other exchanges too. A series of recommendations are provided to guarantee the highest standards of corporate governance can be upheld, such as: permitting DCSS for new entrants and innovative businesses, regulating the ownership of enhanced voting shares, and setting out sunset provisions for DCSS arrangement.

Reflective supervision as a vehicle for trauma-informed organizational change in early childhood education settings

ABSTRACT While reflective supervision and trauma-informed care are often implemented separately within early care and education (ECE) settings, there is meaningful intersection between these two approaches that may support ongoing efforts to support young children who have experienced trauma. The current study presents secondary analysis of qualitative data from three focus groups with 11 ECE supervisors who attended a reflective supervision training, paired with reflective consultation. ECE supervisors who engaged in a reflective supervision training noted shifts in experience and practice that intersect with Substance Abuse and Mental Health Services Administration (SAMHSA’s) six principles of trauma-informed care: 1) safety, 2) trustworthiness and transparency, 3) peer support, 4) collaboration and mutuality, 5) empowerment, voice, and choice, and 6) cultural, historical, and gender issues. Reflective supervision may serve as an effective tool for organizations to invest in trauma-informed care, which creates a space for teachers to engage in relational learning. This investment can lead to enhanced support for young children, especially those who have experienced trauma.

Cultural Heritage and the Social Dynamics of Building Strong Institutions in Nigeria

Several scholarly debates have proven the fact that, without solid Social Institutions, a society cannot realize even the basic societal task of growth and sustainable development. In a situation such as this, the tendencies for citizenry to tilt towards heinous crimes and other harmful practices would certainly be high. Therefore, interrogating the social dynamics that enable nations realize their past history, know what to preserve and how to connect such with existential realities of contemporary times becomes a necessary proposition especially in Nigeria. From a feminist perspective, if the dominant ideology in social institutions craves for women to be perceived as second fiddle and subservient to men in a society already experiencing Globalization, cultural diffusion and technology, then there will be suppression of the female gender, such as inheritance rights. The paper argued that, even in contemporary times, the Nigerian nation still lacks solid Social Institutions, and by means of that still struggling to adapt to new cultural conditions with dominant ideology that can help maintain powerful social, economic and political interest for both sexes. Needless to say that, in recent decades, there has been a lot of exchange of ideas and concepts, through a worldwide integration of cultures, social movements; government policies that the Nigerian nation is yet to key into. Using qualitative descriptive analysis of primary and secondary data centered on conflict theory which lays emphasis on the importance of interest over norms and values and how societies are characterized by inequality, the paper assert that, strong Social Institutions as mechanisms of social order should be encouraged to produce social needs such as family, education, healthcare, religion, and politics.

The use of metaphors by service users with diverse long-term conditions: a secondary qualitative data analysis.

Long-term conditions and accompanied co-morbidities now affect about a quarter of the UK population. Enabling patients and caregivers to communicate their experience of illness in their own words is vital to developing a shared understanding of the condition and its impact on patients' and caregivers' lives and in delivering person-centred care. Studies of patient language show how metaphors provide insight into the physical and emotional world of the patient, but such studies are often limited by their focus on a single illness. The authors of this study undertook a secondary qualitative data analysis of 25 interviews, comparing the metaphors used by patients and parents of patients with five longterm conditions. Analysis shows how similar metaphors can be used in empowering and disempowering ways as patients strive to accept illness in their daily lives and how metaphor use depends on the manifestation, diagnosis, and treatment of individual conditions. The study concludes with implications for how metaphorical expressions can be attended to by healthcare professionals as part of shared care planning.

Community-based rehabilitation/community based inclusive development functioning during the COVID-19 pandemic: A secondary analysis of qualitative data.

The coronavirus (COVID-19) became a global pandemic in March 2020 and impacted nations worldwide not only because of the disease but also because the containment measures-imposed created ripple effects for the populations in each country. The COVID-19 pandemic disproportionately affected vulnerable groups, such as persons with disabilities. This study aimed to understand the impact of COVID-19 on the function of Community-Based Rehabilitation (CBR)/Community-Based Inclusive Development (CBID) across nations and for their target communities-persons with disabilities. The current article also described some measures CBR/CBID programs took in light of service closure to facilitate access to needed services for persons with disabilities. We conducted a secondary analysis of qualitative data to understand the impact of COVID-19 on the functioning of CBR/CBID programs and their target communities. The original qualitative data were collected through online dialogues among CBR/CBID partners across five regions of the world, facilitated for understanding of their practices on five other topics. COVID-19 significantly impacted the function of CBR/CBID programs across the world. Many services were halted due to public health measures, such as maintaining social distancing or lockdowns. The COVID-19 pandemic also had a negative impact on access to health, education and livelihood support for persons with disabilities. Additionally, many people with disabilities did not have access to COVID-19 related information and services like vaccines. However, we found that technology played a significant role in revitalizing CBR/CBID programs during COVID-19. CBR/CBID service providers across five regions used online platforms to disseminate information about COVID-19. Professionals also used technology to provide rehabilitation and educational services to people with disabilities through online platforms. Our findings suggest that technology can play a vital role in continuing many services (e.g., CBR/CBID) that cannot be offered in person during crises like COVID-19. However, it is important to remember that technology may not be accessible to many individuals with disabilities, specifically those who reside in rural areas and who experience adverse situations like financial constraints. Additionally, many persons with disabilities may not have the necessary knowledge and skills to use technology. CBR personnel must consider that before adopting technology to provide services under CBR programs.

Is this to be another project that fizzles out? Using the i-PARIHS framework to evaluate implementation of a mentoring programme.

The aim of this study was to evaluate implementation of a multifaceted mentoring programme for bedside nurses using the i-PARIHS framework, to identify factors that influenced the implementation. A secondary analysis of qualitative data using the i-PARIHS framework as the theoretical lens. A directed content analysis was performed, driven theoretically by the i-PARIHS framework. The analysis focused separately on (a) characteristics of the innovation and (b) successful and hindering factors in the implementation process. The results showed that successful factors influencing implementation of the mentoring programme included supportive and actively involved formal leaders and supervisors at the unit level. A major hindering factor was lack of resources in the form of personnel, time and money. A lack of facilitators, particularly experienced facilitators, throughout the organization hindered implementation. The i-PARIHS framework offered a structured how-to guide to identify factors that influenced the implementation process. Implementation of the mentoring programme was a challenge for the organization. Investment into implementation should continue, with a more structured facilitation process. A structured and prioritized management system, including supportive leadership at the unit level, should be established by the hospital board. There is a need for experienced facilitators throughout the organization. This is crucial to achieve sustainability in the mentoring programme and ensure that the large investments of staff resources and money do not fizzle out. What problem did the study address? Implementing a mentoring programme for nurses in a large university hospital proved to be a challenge. Therefore, it seemed valuable to retrospectively study the implementation process using a framework like the i-PARIHS. What were the main findings? A lack of facilitators, particularly experienced facilitators, throughout the organization hindered the implementation. The i-PARIHS framework offered a structured how-to guide to identify factors that influenced the implementation process. Where and on whom will the research have an impact? Our findings are important for leaders on all levels in a hospital setting, including the hospital board, heads of departments and nurse managers. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups is used. No patient or public contribution.

"They must have seen it, you know." Body talk, extension talk, and action talk: A qualitative study on how palliative care patients and their significant others express experiencing these nonverbal cues.

Communication about life-threatening disease and palliative care is essential but often experienced as difficult by those concerned and has mainly been studied in terms of its verbal components. Despite the fundamentality of nonverbal communication, its dimensions in care, especially in the communication by patients and their significant others, has not been as extensively examined. Drawing on a secondary qualitative content analysis of data from 23 interviews-15 with patients in specialized palliative home care in Sweden and 8 with their significant others-this study aims at understanding and characterizing how patients verbally express experiences of conveying nonverbal cues about life-threatening disease and its consequences and how their significant others express perceiving these cues. Patients expressed experiences of nonverbal communication in the form of cues conveying meaning about their disease and its consequences, often beyond their control. Whether and how the patients reinforced these cues verbally, depended on individual needs, care for others, and evaluations of relationships. Significant others acknowledged the presence of nonverbal cues and tried to interpret their meaning. Both patients and significant others emphasized the importance of nonverbal cues and actively related to how cues in the form of bodily appearance, aids, objects and acts, serve communicative functions about disease and its consequences. These dimensions of nonverbal communication are characterized as: body talk, extension talk and action talk. This study contributes to an international knowledge base on the complexities of nonverbal communicative aspects in these dimensions and how it affects patients and significant others. Professionals should be aware that dimensions of care, such as prescribed aids, from the patients' perspective can be perceived as nonverbal cues that might "speak of" disease progression.

Efforts of Nepal's Least Developed Countries (LDC) Graduation and Its Challenges

The primary objectives of this study are to examine the initiatives undertaken by the government of Nepal for LDC graduation, identify challenges faced during process, and discuss the potential impact of graduation. This study is based on qualitative analysis of secondary data obtained from diverse domestic and international sources. Major sources include literature reviews, government policies, reports, and international declarations. Comprehensive desk review on the issue shows that Nepal has undertaken a strategic plan for LDC graduation, prioritizing investments in human capital, infrastructure, and healthcare, while addressing income disparities. Nepal has already achieved two requirements; HAI and EVI, and Nepal fell significantly short of the LDC graduation threshold of a per capita GNI. The plan includes achieving Sustainable Development Goals (SDGs) and progressing from a lower-middle income to an upper-middle-income nation by 2030.Despite progress, Nepal faces challenges in achieving graduation, including political instability, governance issues, and environmental vulnerabilities. The country lags in good governance rankings, which could hinder its development efforts. Nepal's commitment to SDGs is seen as a potential driver for LDC graduation, focusing on sustainability, gender equality, clean energy, job creation, and economic development. Nepal aims to become a high-income country by 2043, emphasizing poverty reduction, trade balance improvement, and overall quality of life enhancement. Leaving the LDC category will bring opportunities but also challenges, including the loss of special market access that was provided to the least developed countries like Nepal. Other challenges may involve growing trade and market capacity and strengthening the global competitiveness of internal production. Internally, intersectional variations of inequalities and poverty among and between regions, castes and ethnic groups in Nepal may generate challenges meeting LDC graduations and its sustainability.

Времена выбирают: образы желаемого прошлого глазами россиян

The article, based on the secondary analysis of all-Russian quantitative and qualitative sociological research data, examines the question of the Russians’ attitude to various time periods in the history of the country. Surveys over the past 20 years have documented an increase in preferences for the present over the past, while the late Soviet period is still relatively attractive. The author interprets the fact that this trend, although to a different extent, can be traced within all age cohorts, as evidence that images of the past, which were similar in their meaning, were formed and promoted in both communicative and cultural memory. The politics of memory, constructing images of the recent past, did not contradict the ideas transmitted by family memory. Data from quantitative and qualitative studies indicate the dominance of a largely negative image of the 1900s and a positive image of the Brezhnev era. Having tested the existing explanations for the continued popularity of the Brezhnev era as a desirable past, the author comes to the conclusion that each of them is valid to the extent that it does not claim exclusivity. Nostalgia (in its broadest interpretation), the state’s memory politics, the hardships of the 1990s, and many other factors played a role in establishing the image of the late USSR as a golden age in the Russian history. At the same time, the study once again confirms that presentism dominates the perception of the past, and the attitude towards the past depends to a decisive extent on the current events and the current situation. According to the author, in today’s Russia, the idealized image of the late Soviet period turns out to be what Pierre Nora called a “site of memory”. And the fact that not all Russians are familiar with a detailed map of this “site of memory” does not defy its symbolic significance.