Staff Working Research Articles

‘Just a Simple Sausage Sandwich’: The Significance of Sensory Care Practices and Hidden Carers in the Hospice

The hospice setting has been explored extensively through the perspectives of patients and clinical staff. This article draws on findings from a UK-based ethnographic study of clinical and non-clinical hospice work to illustrate forms of care that attend to the multisensory end-of-life experience. The data highlight the practices within the hospice setting that are overlooked as forms of care and involve inaction, such as being silent with or gently touching a patient. Moreover, the article brings attention to the hidden work of non-clinical staff, such as cooks and housekeepers. In doing so, the article stretches existing understandings of care within such settings to those working on the periphery of caring work in non-clinical roles. It demonstrates the alternative forms of care and modes of caring expression where words are not enough. The analysis demonstrates how relational flows of care between patients, clinical and non-clinical staff shape embodied, sensory and emotional experiences within hospice settings.

Neo-Liberalism’s Shadows: Modern slavery in South African Higher Education

Neoliberal ideology globally prioritises competition and productivity over staff well-being in higher education, leading to exploitative practices and heightened stress among academic faculty, culminating in what can be termed modern academic slavery. This study investigates the contemporary impact of neoliberalism on South African universities, focussing on governance, funding and academic freedom, and how these factors contribute to deteriorating conditions for academic staff and toxic work environments. This research examines academic experiences in a South African urban higher education institution (HEI) utilizing a single-case study approach. It examines their context within institutional and societal trends. Using a single-case ideographic approach in a South African HEI, the study utilises detailed documentation, incident analysis and literature review to understand academic enslavement within the chosen HEI, contextualising the academic’s experiences within these broader institutional and societal trends. The findings reveal four key themes: moral disengagement, corporate malfeasance, exploitative labour practices, and labour coercion, illustrating the widespread exploitation of academic staff. The study advocates for urgent interventions to ensure respectful treatment, foster ethical work environments, and address disparities between administrators and faculty. It calls for autonomy, ethical leadership and a culture of inquiry in HEIs to combat modern academic slavery while acknowledging the need for further action and exploration.Contribution: This study underscores the current impact of neoliberalism on higher education in South Africa, exposing challenges for academic staff and advocating systemic reforms. It emphasises the necessity for future investigations into institutional accountability and strategies to enhance staff well-being in HEIs.

Building the private practice workforce in the Northern Territory: Barriers and facilitators for implementation of the allied health assistant role.

To identify barriers and facilitators contributing to the successful implementation of the allied health assistant role in private disability practice to better meet population needs. A qualitative case study. This study was completed with staff working in private disability practices in a regional context in the Northern Territory. Eight participants were interviewed, including three allied health assistants, three allied health professionals, and two managers with allied health backgrounds. More barriers were reported than facilitators, with four key themes identified. Financial risk was a barrier when employing allied health assistants. This risk was mediated by providing part-time employment or having allied health assistants in dual roles. Reduced confidence from allied health professionals and assistants to complete delegation work was the second barrier. A facilitator was increasing allied health assistants' task variation, which participants reported increased retention. Finally, a positive working relationship between allied health professionals and assistants facilitates delegation. This research offers private disability providers insight into the realities of employing an allied health assistant. It also suggests that formal training programs for both allied health assistants and professionals require increased focus on delegation in the private disability sector. On a government level, a review of the NDIS price guide for allied health assistant rates is needed if private providers are to better meet the requirements for NDIS participants in regional areas.

Turkish Validity and Reliability Study of the Digital Vaccine Literacy Scale

Objectives: This study aimed to assess the validity and reliability of the Turkish version of the Digital Vaccine Literacy (DVL) scale. Methods: This methodological study was conducted with 236 staff working at a foundation university hospital between September 2023 and April 2024. Data were collected using the Personal Information Form and DVL scale. The linguistic validity, content validity, exploratory factor analysis, and confirmatory factor analysis of the scale were conducted. Reliability was evaluated through item-total correlations, Cronbach's alpha coefficient, and test-retest reliability. Data were analyzed in SPSS 27.0 and AMOS 22.0 package programs. Results: The study revealed 3 dimensions comprising 7 items, with factor loadings ranging from 0.612 to 0.851, explaining 78.63% of the total variance. The fit measures were acceptable (χ2/df = 3.271; RMSEA = 0.072; CFI = 0.912; NFI = 0.875; GFI = 0.874; TLI = 0.889; IFI = 0.876; p < 0.001) in confirmatory factor analysis. The overall Cronbach's alpha value of the scale was 0.730, while the sub-dimensions were 0.791, 0.891 and 0.781, respectively. The test-retest reliability correlation was positive, very strong and statistically significant (r=0.962, p

Voluntary sector specialist service provision and commissioning for victim-survivors of sexual violence: results from two national surveys in England

BackgroundIn England, voluntary sector specialist (VSS) services are central to supporting victim-survivors of sexual violence (SV). However, empirical evidence is lacking about the scope, range and effectiveness of VSS provision...

Response to workplace aggression in forensic and secure mental health services: Investigating staff confidence, associated factors, and training needs.

To evaluate forensic and secure mental health services (FSMHS) staff's confidence in managing workplace aggression, identify associated factors, and explore their workplace aggression prevention training needs. Through an online survey, staff rated their experience of workplace aggression, perceived effectiveness of current training, and confidence in responding to workplace aggression, and described training needs. Stepwise multiple regression was used to identify associated factors with statistical significance. Thematic analysis was used to generate themes describing their training needs. The staff perceived current training as low-to-medium in effectiveness, mirroring their confidence in managing workplace aggression. Nurses experienced more workplace aggression compared to other professions. Staff working at High Security perceived current training as less effective compared to those working at Medium Security or Low Security. Qualitative findings underscored the necessity for improved training content, methods, and supportive strategies. Recommendations for enhancing training include: tailoring training to FSMHS settings; equally focussing on both non-physical and physical intervention techniques; providing more scenario-based hands-on practice opportunities; delivering training in a reasonable trainer-trainee ratio; prioritising nurses and High Security staff and integrating other professions into the training framework; and implementing strategies that support staff, consumers, and environment to ensure training effectiveness and applicability.

Evaluation of the effectiveness of a segmented alternating shift pattern based on wearable vital signs monitoring devices during COVID-19: a cross-sectional study

AimTo explore the feasibility and effectiveness of an alternating shift pattern in two-hour segments in the state of emergency management of public health events.MethodsA cross-sectional research design was conducted in our study. The nursing staff working in the admission ward of suspected or confirmed patients with COVID-19 in December 2022 were selected as subjects by the whole-group sampling method. We adopted a shift pattern of alternating shifts every two-hour in the isolation wards. The vital signs parameters were captured by uniformly wearing the multi-signs sensing devices, and the questionnaires collected the symptoms.ResultsSixty-seven female participants, with a mean age of 33.09 ± 5.96 years, were included in this study. Measurements of body temperature (T), blood oxygen saturation (SpO2), respiratory rate (RR), and heart rate (HR) while wearing personal protective equipment (PPE) all remained within normal limits. None of the nurses reported sweating, dizziness, blurred vision, palpitations, or dyspnea. Statistical analysis showed significant differences between the critical care group and the non-critical care group in terms of age (P = 0.041), working duration (P = 0.036), and the total number of entries into isolation areas for nursing care (rounds) (P = 0.007). However, there were no statistically significant differences in vital signs based on age, work duration, or body mass index (BMI). The data indicated a notable increase in body temperature compared to other vital sign parameters with increasing work time while wearing PPE. Body temperature approached the upper limit when working close to 2 h long.ConclusionsThe alternating shift pattern in two-hour segments can effectively maintain the physical well-being of nurses wearing PPE without increasing the burden on nursing staff or the wastage of protective materials. This approach is recommended for addressing similar public health events in the future.

Evolving Social Media Strategies in Local Journalism: Experiences from Argentine Patagonia

Studies on journalistic work and production on social media typically focus on large media outlets in developed countries. In this article, we shift the lens to a peripheral area of a peripheral country: Argentine Patagonia. Our objective was to analyse journalistic production on Instagram, Facebook, and Twitter in the eight most-followed local and regional news media outlets. We analysed the narratives, the extent to which they apply transmedia journalism, and how they have evolved compared to studies from 2021. We also conducted structured interviews with social media managers to gain insight into their professional practices. We conclude that, 15 years since the creation of the first profiles, promoting website content remains the primary goal of North Patagonian media networks. Since 2021, there have been more frequent updates but less native production, especially on Facebook and Twitter. Despite the shortage of staff and precarious working conditions, some news media outlets have been able to innovate on Instagram, introducing a variety of multimedia formats, a more conversational tone, diverse update rhythms, adapted content, and even specific content that is organised into sections. Information production for the platforms has been integrated into journalistic routines even when public interaction with the audience remains very limited.

Analisis Implementasi SOP Pasasi PT Jasa Angkasa Semesta dalam Pelayanan Penumpang di Bandar Udara Internasional Juanda Surabaya

Ground Handling is an activity of a flight company related to handling or services to passengers such as baggage, tickets and equipment for aircraft movement on the ground and the aircraft it self while at the airport both departure and arrival. The cassation unit is part of Ground Handling which has duties and responsibilities in handling passengers from the check-in process to boarding passengers, as well as handling the process of transit passengers. This study is to find out how the role of PT Angkasa Semesta services in serving passengers at Juanda International Airport Surabaya. This research is a descriptive qualitative research. The data used are primary and secondary data. Primary data include direct observation of the research object and interviews with pasasi officers. While secondary data is taking data when conducting observations and interviews such as how cassation staff work in the field and SOPs of the cassation unit related to services to passengers. The results of this study can be concluded that the role of PT Jasa Angasa semesta in passenger services at Juanda International Airport Surabaya is in accordance with the existing Procedur Operational Standards. Ground Handling officers carry out services from the check-in counter to the departure gate, supervise passenger movements on the landside and coordinate with AVSEC, AMC and RAMP. Obstacles experienced by PT Jasa Angkasa Semesta is constrained by foreign languages and then lacks the number of personnel.

The role of assistant psychologists working in crisis resolution and home treatment teams

A service evaluation was conducted to explore staff perception of the role of assistant psychologists (APs) working in a Crisis Resolution and Home Treatment Team (CRHTT). Four APs were employed on a pilot scheme and embedded in four CRHTTs across Hywel Dda University Health Board (HDUHB). Using a mixed-methods survey, data were collected from staff working with these CRHTTs (N = 26). Quantitative results reported that the participants perceived the contribution of the AP as ‘very valuable’ to both the team and its patients. Qualitative results identified two overarching themes (Additional Value and Additional Expectations) and five themes (with subthemes): (1) A Stepping Stone; (2) A Different Perspective; (3) More is Needed; (4) Clarifying the Remit; and (5) The Impact on Discharge. Integrative analysis indicated that there is a need to improve staff understanding of the role and its remit. Further evaluation and research is needed to ensure greater understanding and clarification of the role.

“Striving Toward Equity for All”: Social Work Faculty and Staff Define Social Justice

ABSTRACT Purpose The guiding documents of the social work profession establish social justice as central to the discipline and practice of social work, yet there is little consensus on the meaning of the term. Therefore, the goal of this study was to examine how faculty and staff in one school of social work defined social justice. Methods Data for this study were drawn from a school climate survey distributed within one school of social work with an explicitly stated commitment to social justice. Ninety-three staves and faculty responded to the open-ended question: How do you define social justice? Findings Three themes were identified in how participants defined social justice as a form of evidence-based meaning making: (1) equality, (2) equity, and (3) advocacy and action. Discussion We conclude this article by discussing implications for how social workers can incorporate a critical approach to defining social justice that extends beyond equality and equity. Specifically, we recommend that the profession work toward a common, evidenced-based understanding of social justice to effectively educate current and future social workers to dismantle systems of oppression at all levels of social work.

The Relationships between Job Performance, Job Burnout, and Psychological Counselling: A Perspective on Sustainable Development Goals (SDGs)

Job burnout (as an independent variable) and job performance (as a dependent variable) are often correlated, and one of the main arguments is that psychological counseling can mitigate job burnout, which in turn influences job performance. This article aims to introduce a new perspective on the subject by establishing a new paradigm in the field. It also explores the role of psychological counseling as a precautionary measure. Furthermore, it aligns with the United Nations Sustainable Development Goals (SDGs) 3 and 8, which seek to enhance public health, collective well-being, and decent work or at least equitable workplace conditions. Adopting a quantitative analysis method, this study used panel data from 2020 to 2023 and group regression to analyze these data. The instruments comprise job performance (KPI) and mental health records. This study revealed that job burnout as experienced by academics is regulated by their job performance (β = −0.013, p < 0.001. This study revealed that academics’ job performance remained unchanged despite the number of psychological counseling and interventions conducted, so consequently, psychological counseling and interventions do not affect performance directly. This research contributes to the literature by utilizing a novel measurement approach. It is concluded that competency is the key to having a decent work environment and staff experiencing collective well-being.

Assessment of demographic factors and mental health status: initiating a healthy campus program

Mental health issues have been essential in formulating global health policies for 30 years. The campus community is inseparable from the problem of mental health disorders, which can affect the work either students, lecturers, or staff. This research aimed to describe mental health conditions among the campus community based on demographic factors as an opportunity to initiate a healthy campus program. This study used a quantitative method with a cross-sectional design. The population was an academic community at a private campus in Yogyakarta, Indonesia. There are 347 samples taken by accidental sampling. The mental health instrument used the self-reporting questionnaire. There, 60.81% of respondents experienced psychological disorders, and 73.49% of respondents needed to be referred to a mental health professional regarding addiction, psychotic disorders, and post-traumatic stress disorder (PTSD). There was a significant relationship between demographic factors consisting of gender, age, type of work, employment status, education level, faculty, and emotional disorders with a p-value of <0.005. Moreover, age, gender, education level, type of work, and employment status related to mental disorders due to addiction, psychosis, and PTSD with a p-value<0.005. It is concluded that a large proportion of responders need a referral to a mental health expert. To promote a healthy campus, university officials should follow up with health promotion initiatives such as partnering with the local health office and public health center for additional treatment and improving policy support.

Self-management Behaviours among Nurses and Midwives during Pregnancy and Associated Factors: A Cross-sectional Study

The high rate of perinatal abnormality among pregnant nurses and midwives attributable to their working environment is a serious international occupational health concern. Self-management behaviours can prevent abnormalities, but nurses and midwives have difficulty carrying out these behaviours during pregnancy. This cross-sectional study aimed to examine self-management behaviours and associated factors during pregnancy among nurses and midwives. The partic­ipants were 232 pregnant or postpartum registered nurses and midwives from four Japanese general hospitals. Participant recruitment and questionnaire distribution were undertaken through hospital management. Data were collected from July to November 2022. Instruments included the Personal Demographic and Obstetric Conditions Questionnaire, the Self-Management Behaviours Questionnaire, the Working Conditions during Pregnancy Questionnaire, the Social and Workplace Support Scale, the Sense of Coherence Scale, and Self-Management Difficulties Scale. Data analysis used univariate and multiple classification analysis. Results indicated that participants demonstrated good compliance with contraindications among self-management behaviours but scored lower in knowledge and self-monitoring, abnormalities prevention, and avoiding burden movements. Multiple classification analyses revealed that parity, profession, overtime, acquisition of maternity protection provisions, managers support, family support, and prioritising the foetus were significantly associated with self-management behaviors. Nursing administrators must provide adequate information and adjust the work of pregnant staff. Policymakers need to propose measures to reinforce maternity protection provisions for pregnant nurses and midwives. Pregnant nurses and midwives need to be proactively educated on occupational health and safety. Learning the importance of acquiring maternity protection provisions, receiving support and prioritising the foetus will contribute to effective self-management practices in them. Further research is needed to promote self-management behaviours among pregnant nurses and midwives.

How can we measure psychological safety in mental healthcare staff? Developing questionnaire items using a nominal groups technique.

There have been growing concerns about the well-being of staff in inpatient mental health settings, with studies suggesting that they have higher burnout and greater work-related stress levels than staff in other healthcare sectors. When addressing staff well-being, psychological safety can be a useful concept. However, there is no measure of psychological safety that is suitable for use in inpatient mental health settings. Edmondson (1999) is the most commonly used measure of psychological safety, but it was designed for use in general physical healthcare settings. As inpatient mental health settings are unique environments, transferability of knowledge from physical to mental healthcare settings cannot be assumed. We sought to develop questionnaire items that capture psychological safety among healthcare staff working in acute inpatient mental healthcare settings. We used the nominal group technique, a consensus method involving rounds of discussion, idea generation, and item rating/ranking to identify priorities. Twenty-eight stakeholders participated, including 4 who had lived experience of mental health problems, 11 academics and 18 healthcare professionals (8 participants identified with more than 1 category). The study involved a workshop with three parts: (i) an overview of current research and limitations of the Edmondson (1999) measure as outlined above, (ii) discussion on what items should be retained from the Edmondson (1999) measure, and (iii) discussion on what items should be added to the Edmondson (1999) measure. Twenty-one items were generated and retained to capture psychological safety in inpatient mental health settings. These measure professionals' sense of being valued by their team and organization, feeling supported at work, feeling physically safe and protected from physical harm, and knowing they can raise concerns about risk and safety. This is the first study to generate questionnaire items suitable for measuring staff psychological safety in mental health settings. These have been generated via a consensus method to ensure stakeholders' views are reflected. Further research is needed to evaluate factor structure, internal reliability, and convergent validity.

Employment status of older nursing staff aged 55 years and older in care facilities: A nationwide cross-sectional study in Japan.

An aging nursing workforce requires addressing shortages due to retirement. This nationwide descriptive cross-sectional study in Japan clarified the employment status of older nursing staff aged ≥ 55 years by facility type during January-March 2022. Questionnaires were sent to 8,000 nursing directors, with 1,658 valid responses (response rate: 20.7%). Descriptive statistics and Kruskal-Wallis or χ2 tests analyzed inter-facility differences. A violin plot depicted the proportion of older nursing staff across facilities by age group, and generalized estimating equation (GEE) models examined associated factors at the facility level. Older nursing staff's distribution differed significantly across age groups (p < 0.01), from 0% to 100% within the same facility type. Some facilities had high percentages of staff working beyond retirement age. GEE results showed higher percentages of full-time employees and nurses were negatively associated with the percentage of older nursing staff across most facility types (p < 0.05). For those aged ≥ 65 years, the total population was positively associated with employment in bedded clinics (coef. = 0.07, 95% CI: 0.01 to 0.14, p = 0.03), but negatively associated with the total population (coef. = -0.06, 95% CI: -0.10 to -0.01, p = 0.02) and percentage of the population aged ≥ 65 (coef. = -0.76, 95% CI: -1.43 to -0.08, p = 0.03) in long-term care insurance facilities. Working conditions and environments should be improvement to potentially retain older nursing staff. Job seekers should be matched with managers' needs in facilities with a higher proportion of older nursing staff to ensure a sustainable workforce.

Social Network and Organizational Power Distance: A Mixed Method Research on Academic Staff

In the study, which was carried out to compare the perception of organizational power distance of the academic staff working at the university with the social networks they established with their colleagues at the university, the quantitative and qualitative data collection and analysis processes were carried out simultaneously using the Convergent Parallel Design, one of the mixed methods research designs, and the results of the data analysis were integrated. This research compares the organizational power distance perceptions of the faculty members working at A University, a public university in Turkey, with the social networks they have established with their colleagues at the university. In the quantitative dimension of the research carried out with the mixed method, the research population consists of 1848 academic staff working at A University, one of the public universities in Turkey, in the 2020-2021 academic year. The research sample consists of 319 academic staff. 385 academic staff from 30 academic units, 14 faculties, and 16 colleges/vocational schools, were included in the research. In the qualitative dimension of the research, 27 of 34 academic staff working in the C Department of the B Faculty of the A University were included in the study group. Convergent Parallel Design was used in the research; within this context, the quantitative and qualitative data collection and analysis processes were carried out simultaneously and the data analysis results were integrated. The quantitative data were analyzed with the SPSS 21 program, the participants' views on organizational power distance were analyzed with the MAXQDA 2022 program, and social network analysis data were analyzed with the UCINET 6.0 program. According to the research findings' conclusion, the academic staff's general social network tendencies in the quantitative dimension were high, and the participants had the highest perception of "liking to connect." It was determined that the academic staff's general organizational power distance perceptions were at a moderate level, and the participants had the highest perception of "acquiescence of power." Another conclusion was that the social network tendencies of academic staff did not differ according to the academic title variable. However, the organizational power distance differed significantly in favor of research assistants. It was revealed that there was no statistically significant relationship between the general social network tendencies of the academic staff and their perception of organizational power distance. In the qualitative dimension of the study, it was observed that the participants expressed their opinions on organizational power distance mostly in terms of accepting power and least in terms of consenting to power. Social network analysis revealed that the professional network had a denser structure than the friendship network, but the friendship network had more structured and stronger ties. In social networks, professors and research assistants were found to be at the center of the network. The study observed that the results of quantitative and qualitative data analysis confirmed each other at many points. This study is expected to contribute to the literature, policymakers in higher education management, university senior management, academics, and researchers.

Translating relational theories into dementia care using research-informed drama

ABSTRACT Culture change initiatives in older adult and dementia care have called for a new care paradigm informed by a relational ontology and relational theories. Yet translating these humanizing principles into practice has proven difficult; traditional approaches to knowledge translation have not had a sustained impact. One of the most significant impediments to transforming the culture of care has been the lack of understanding of what it means to be and act relational in practice. A growing body of research is demonstrating the potential of critical arts-based inquiry/pedagogy (CABI/P) for translating theory in accessible and relevant ways for diverse audiences and for shifting images, understandings and actions in healthcare in more effective ways. As part of a larger longitudinal project, this paper explores the immediate impacts of a research-informed drama called ‘Cracked: new light on dementia,’ and how it might enhance understandings of relational caring for staff working in long-term care (LTC) homes. Data from post-performance focus group/interview discussions with staff working in two different LTC settings point to the effectiveness of Cracked in translating key principles of relational theories into older adult and dementia care and the possibilities of CABI/P in gerontological education more broadly. Although organizational and broader system change is needed to achieve sustained impact of relational caring practices, CABI/P, such as Cracked, has the potential to expose and challenge entrenched assumptions, policies, practices, and to imagine and effect more compassionate, humane, and equitable care.

Beyond individual factors: a critical ethnographic account of urban residential fire risks, experiences, and responses in single-room occupancy (SRO) housing

BackgroundBurn injuries are a significant public health concern, closely linked to housing conditions and socioeconomic status. Residents in socioeconomically deprived neighbourhoods are at increased risk of exposure to hazards due to older and poorer housing conditions and limited access to fire protection measures. Individual behaviours such as substance use, smoking, and hoarding are often highlighted as primary causes of residential fires, overshadowing the broader socioeconomic and structural factors that also play a significant role in housing safety. This paper explores the correlation between inadequate housing conditions and heightened fire risks leading to burn injuries, focusing on the contextual factors shaping everyday urban fire risks, experiences, and responses of residents living in Single-Room Occupancy (SRO) housing in Vancouver’s Downtown East Side (DTES) and staff working in the fire, health, housing (social and private), and non-profit sectors.MethodsAs part of an ongoing ethnographic study, we partnered with the Vancouver Fire Rescue Services (VFRS) to conduct participant observations in private, non-profit, and government-owned SROs, modular homes, and a temporary shelter. This paper synthesizes insights from participant observations from the first author’s self-reflexive journals, including informal conversations with approximately fifty-nine individuals such as SRO tenants, SRO managers/caretakers, health workers, burn survivors, municipal staff, not-for-profit staff, and firefighters.ResultsUrgent housing-related issues contributing to inequitable everyday urban fire risks were identified, such as structural deficiencies in SRO buildings and systems, inadequate waste management and storage, and inequitable approaches to addressing hoarding. Additionally, disparities in access to information and the interaction between interpersonal and structural stigmas were significant factors, underscoring the pressing need for intervention.ConclusionCommunities like DTES, facing precarious housing conditions, disadvantaged neighbourhoods, and complex health and social challenges, necessitate a comprehensive and holistic approach to fire prevention and safety. Recognizing the interplay between housing instability, mental and physical health issues, unregulated toxic drug supply, drug criminalization, and structural inequities allows practitioners from various sectors to develop contextually driven fire prevention strategies. This multifaceted approach transcends individual-level behaviour change and is crucial for addressing the complex issues contributing to fire risks in underserved communities.

Do Y’all Say Gay or Trans?: The Impact of Gender and Sexuality on College Students’ Experiences in the Rural South

ABSTRACT While national trends indicate improvement in campus climates for LGBTQ+ students, these patterns may not exist on campuses in the Southeast region of the United States, particularly given conservative backlash in the region. Drawing from focus group and survey data, we investigated how students in a rural Southern location perceive campus and community space with regard to safety and support, and how the intersections of gender and sexual orientation affect those perceptions. We found LGBTQ+ students had a mostly positive perception of their campus experience, despite reports of harassment, perceptions of unsafe spaces, and some lack of awareness of resources. However, students rate the climate for queer-spectrum students more positively than that for trans-spectrum students. Cis-gender, heterosexual students were largely accepting of their LGBTQ+ peers and were mostly unaware of LGBTQ+ harassment in spaces on campus. Students’ positive assessments exist despite a lack of systematic, institutional-level programming to integrate them into the campus community but are influenced by the work of faculty and staff allies through classes, curriculum, and programs. Our analyses inform recommendations for policies and initiatives and illuminate unique challenges facing queer students on campuses in conservative, rural areas.