Times Of Crisis Research Articles

Adolescent well-being in time of crisis: The role of social and residential contexts

Abstract Background It is unknown whether social or residential context during the COVID-19 lockdowns may impact mental well-being. We identified classes of each of social and residential context during the lockdown and examined their associations with mental well-being among French adolescents one-year after the first lockdown. Methods We used data collected in a cross-sectional study design in 2021 from 387 adolescents ages 12 to 15 years enrolled in the school-based pilot study for EXIST. Participants reported social and residential characteristics during the lockdown retrospectively, and current mental well-being in self-report questionnaires. We used latent class analysis to identify classes of social and residential contexts, and linear regression models to study their association with mental well-being. Results Four social context classes were identified: class 1 ‘Low opportunities for social contacts at home’, class 2 ‘Moderate opportunities for social contact at home”, class 3 ‘High opportunities for social contact at home’, and class 4 ‘Very high opportunities for social contact at home’. Compared to class 4, lower levels of mental well-being were observed among adolescents in class 1 (b= -4.08, 95% CI [-8.06; -0.10]) one year after the lockdown. We identified four residential context classes, with differences across classes in proximity to nature, type of residence (e.g., apartment, house), and level of neighborhood deprivation. No association was found between residential context during the lockdown and adolescent mental well-being one year later. Conclusions An unsupportive social environment during the lockdown may have long-term effects on mental well-being among adolescents. Given the observed disparities in social support, future intervention should aim to strengthen social support for adolescents living in unsupportive environments (e.g., remote homework assistance, support for isolated parents, provision of virtual chat rooms for adolescents). Key messages • Mental well-being was challenged among youth with lower levels of social connectedness and support during lockdown, residential context was not associated with adolescent well-being after one year. • During crisis, a critical need among adolescents does not pertain to the physical attributes of their living environment, but rather to social support from friends or family within and outside home.

The mediating role of HRM outcomes in the relationship between employee development and company performance results: A study with a sustainable HRM perspective on Central European MNCs

AbstractThe main goal of the article is to determine the mediating role of human resources management (HRM) outcomes in the relationships between employee development (ED) and company performance results and to establish whether there are any identifiable regularities in this scope in the pre‐pandemic and pandemic period of COVID‐19, the latter being understood as a crisis period, in the headquarters (HQs) and foreign subsidiaries of multinational companies (MNCs). Additionally, the article aims to undertake an interpretation of the obtained research data from the perspective of sustainable HRM. The empirical research encompassed 200 MNCs with headquarters in Central Europe. The research encompassed 200 MNCs headquartered in Central Europe. For statistical analysis, the Partial Least Squares Structural Equation Modeling was used. The results indicate that HRM outcomes serve as a positive intermediary and this mediation is stronger in crisis times. The findings enrich both theory and practice, providing a solid framework for incorporating sustainable HRM into organizational strategic management, including ED, especially in MNCs, to boost performance and resilience. An innovative aspect is the application of employee key performance indicators as the efficiency index to study variable effects.

Zakat, Non-state Welfare Provision and Redistribution in Times of Crisis: Evidence from the Covid-19 Pandemic

AbstractAround the world, the Covid-19 pandemic drew attention to state social protection and its limitations. Less attention has been paid to what is likely the world’s largest system of predominantly non-state welfare provision: zakat, an annual Islamic obligatory payment of a percentage of productive wealth to the poor and other eligible recipients. We explore how states and citizens engage with zakat during crises through a case study of the Covid-19 pandemic in Pakistan, Egypt, and Morocco, drawing on novel and nationally representative survey data of 5484 respondents across the three countries. While we may expect that citizens may be less motivated to pay zakat in times of personal economic hardship, we find that a large majority of the general population and of zakat contributors perceives zakat as particularly important in the Covid context. We show that while zakat may play an important role in non-state social welfare provision supplementing state social protection and redistribution in times of crisis, state attempts to harness it are often ineffective. However, while we find that higher income individuals are more likely to pay zakat, even only among those that are eligible, there are potentially negative equity impacts given the flat rate at which it is levied and the fact that people tend to give through personal networks.

Death Anxiety and Its Related Factors in Emergency Medical Technicians in Qom, Iran, in the Post-COVID-19 Era

Background and Objectives: Emergency Medical Technicians (EMTs) are the first healthcare providers in the time of crisis. They are exposed to many physical and psychological risks, including death anxiety. The present study aims to investigate the death anxiety level and its related factors in EMTs in Qom, Iran, in the post-COVID-19 era. Methods: This cross-sectional study was conducted on 185 EMTs from the hospitals affiliated to Qom University of Medical Sciences in 2023. Sampling was done by simple random method. The data collection tool was Templer’s Death Anxiety Scale. Data analysis was done in SPSS software, version 23 using descriptive statistics, independent t-tests, ANOVA, and regression analyses. Results: The mean total score of death anxiety was 6.4±3.05. Based on the results of the multivariate regression analysis, the variables of age, marital status, and work experience could explain 43% of the variance in death anxiety of EMTs (β=0.433, P=0.001). Conclusion: Death anxiety of EMTs in Qom in the post-COVID-19 era is at a moderate level. The factors of age, marital status, and work experience are the predictors of death anxiety in EMTs. It is recommended that older, married, and more experienced EMTs should receive more psychological evaluations and consultations.

Humanitarian Architecture in Service of Children: Designing an Orphanage for Vulnerable Children in Yaoundé

This research explores the impact of humanitarian architecture in designing an orphanage for vulnerable children in Yaoundé, Cameroon. In a context where millions of children are affected by social, economic, and political crises, particularly in Sub- Saharan Africa, humanitarian architecture emerges as a viable response to ensure their protection and well-being. The literature review highlights the key principles of humanitarian architecture, such as user-centered design, the use of local and sustainable materials, and the creation of resilient spaces in times of crisis. Through case studies, including projects in Burkina Faso and Mali, this research examines how architectural approaches can be integrated into educational and care facilities to improve the living environment of vulnerable children. The work concludes with design proposals for an orphanage in Yaoundé, focusing on adaptation to the local climate, material sustainability, and community participation, aiming to strengthen the resilience and autonomy of children.

Ethical issues after the earthquake in Turkey: A qualitative study on nurses' perspectives.

After natural disasters, the urgent need for survival and rescue operations for those trapped in the rubble results in a heightened demand for healthcare services. Nurses are pivotal in addressing the consequences of such calamities. Nurses operating in critical conditions encounter numerous challenges, including safety issues and ethical quandaries. The ethical considerations primarily revolve around the limitations, duties, and modified norms of care administered by nurses during disasters, presenting both significant and complex challenges. The study was designed to elucidate the nature and essence of nurses' care experiences and to offer an in-depth depiction of the ethical dilemmas while attending to individuals injured in the earthquake. A descriptive phenomenological design was used in this research. A total of 16 nurses who worked for at least 7 days in field hospitals in any of the earthquake regions after the 2023 earthquake in Turkey participated in the research. The research was conducted between March 13 and March 20, 2023. Data were collected by face-to-face interview method with a semistructured form. The steps of Colaizzi's phenomenological method were used to analyze the qualitative data. The study involved a group of 16 Turkish nurses, aged between 20 and 36 years. Through data analysis, four primary themes, 14 subthemes, and 25 codes were identified. The principal themes derived from the interviews included "humanitarian duties," "non-adherence to ethical principles," "respect for the injured," and "medical errors." In this intricate process, it becomes paramount to enhance support for nurses in the domains of management, education, and psychosocial assistance, thereby nurturing their individual and professional acumen, commitment, and ethical sensitivity. Refining the guidelines and professional standards that encapsulate the principles to be adhered to by nurses in disaster scenarios, coupled with providing comprehensive training in both medical and ethical competencies, represents a significant avenue for advancement. Focused training on crisis management will enable nurses to render ethically informed decisions and bolster their professional proficiency. Natural disasters, including earthquakes, pose significant ethical challenges for healthcare professionals, especially nurses who play a pivotal role in delivering care during these emergencies. Issues such as resource allocation and triage, the duty of care and ensuring continuity of care, informed consent and communication, cultural sensitivity, and providing psychosocial support are critical ethical considerations for nursing policies in earthquake situations. Addressing these ethical issues in nursing policies related to earthquakes is crucial for maintaining the integrity of healthcare delivery, preserving public trust, and ensuring the well-being of both the injured and healthcare providers during times of crisis.

Beyond the school: principals’ insights on expanded roles in times of crisis. The case of COVID-19 in Turkey

ABSTRACT This study examined the perspectives of school principals on the workload of the additional administrative responsibilities they were assigned during COVID-19 in Turkey. The purpose of this study was to gain insight into the nature of these additional responsibilities and to assess their impact on the principals who took them on. The research group consisted of 62 school administrators (principals and vice principals), from public elementary schools. The research data were collected through semi-structured interviews. The collected data were analyzed using content analysis. The results showed that principals were assigned tasks without regard to their specific roles, with no differentiation based on their positions. The study also revealed a variety of emotional experiences among the participants, ranging from fear and anxiety to feelings of satisfaction and commitment. Overall, this study provided valuable insights into the complex dynamics of principals’ experiences during COVID-19 and highlighted the need for transparent communication, equitable task allocation, and adequate support mechanisms to maintain their well-being and commitment.

Assessment of the use of Open Educational Resources at five European Library and Information Science higher education institutions during and post-COVID-19 pandemic.

This article presents an analysis of the impact of Open Educational Resources (OER) during the COVID-19 pandemic, as well as their potential use in the post-pandemic, in Library and Information Science (LIS) higher education institutions. The research explored how OER were used and created, what were the main barriers and drivers in practice and some main lessons learned that can help to improve the quality and increase the use of OER beyond times of crisis. The research was based on fieldwork carried out in the LIS departments of the universities of Barcelona (Spain), Hildesheim (Germany), Osijek and Zagreb (Croatia) and the University of Library Studies and Information Technologies in Sofia (Bulgaria). The methodology approach was qualitative and was based on interviews with faculty and focus groups with students. Results show that faculty members were still hesitant to adopt OER since they generally did not consider them. Moreover, those who did use them did so on their own initiative and as additional resources. We discuss the different speeds of OER implementation that have been observed depending on the faculty's prior level of knowledge, and on whether their institutions and countries are prepared to support the use of OER. The promotion of post-pandemic OER involves greater capacity building, as well as collaboration and institutional support. Students' attitudes about the usefulness of OER focus on their availability. The large number of teachers and students who participated in the study, as well as the international scope of the study, constitute a strength in the treatment of a topic such as the use of OER where the user perspectives and LIS context have been little addressed in the literature.

Social entrepreneurship and value creation in the cultural sector. An empirical analysis using the multidimensional controlling model

Purpose Social entrepreneurship plays a crucial role in the contemporary economic and social ecosystem, defining a value proposition that incorporates a plurality of dimensions to be considered. This research work analyzes the externalities of social enterprises driven by arts and culture for the territories they operate in. Design/methodology/approach A mixed-method approach of a single case study is performed to consider multiple dimensions in the development of controlling models in the managerial field. The framework adopted is then implemented through a longitudinal analysis over the last three years. Findings The empirical evidence shows the evolution of the economic and financial performance, the social effectiveness and the institutional legitimacy of the case, explaining the role played in the reference community, even during crisis time. The predictive power of performance changes emerges as a direct link to socially responsible indexes that amplify the attractiveness of value proposition processes. Research limitations/implications The results obtained are aligned with Betzlet et al. (2021) key predictor of the success of social entrepreneurship. A wide sample with multiple social enterprises operating in the cultural and creative field needs to be considered in the future, to further advance the literature through a comparative analysis. Originality/value This paper reveals that, in the cultural and creative sector, social entrepreneurship value creation is intrinsically linked to the individual and collective identity dimension able to promote cohesion and community well-being.

Crisis times and school education: is teacher agency changing?

ABSTRACT This article explores how educators dealt with an unprecedented educational crisis using remote teaching and delve into the characteristics of teacher agency in crisis situations. Employing a multiple case study design, the study explores diverse school experiences in the Metropolitan Region of Santiago, Chile. Data were gathered from three schools, comprising 24 interviews (18 teachers and six administrators) and analysed using grounded theory. Findings suggest that teachers demonstrate the ability to reconstruct the affected dimensions when faced with a lack of pedagogical resources for emergency remote teaching (fracture in the iterative dimension) and uncertainty about the future (fracture in the projective dimension). Moreover, the agentic transition can explain the practical-evaluative dimension in crises. Across three stages, agentic transition outlines a journey for teachers, from grappling with an unprecedented crisis with limited resources to normalising their practices with technical expertise in the context of new remote teaching scenarios. The present article introduces key concepts and models and delves into implications and future projections.

What is planetary justice?

ABSTRACT To reconsider the meaning of justice in a planetary frame is both a necessity in our time of multiple entangled crises and an endeavour that seeks convergence and synthesis where there might instead be irreconcilable differences. We invited scholars from diverse disciplinary backgrounds to share their perspectives on the scope, scale, and purpose of planetary justice and received a variety of responses – all highly worthwhile in their own right. What we can conclude from this new milestone in the literature on planetary justice is that people emphasize different justice concerns and operate with different ontologies. Are the Earth system and the pluriverse opposing frameworks or somehow reconcilable? What concerns should be prioritized is also contested. Can there be a decolonial, multispecies, Earth systemic, justice that begins with the self and where matter is included in our sphere of justice? However, one agreement seems to be that planetary justice is inevitably ecosocial justice.

Long-term effects of changes in coparenting quality during the COVID-19 pandemic.

This study examines changes in coparenting quality during the initial stage of the COVID-19 pandemic on long-term parent, child, and family well-being. Although there is clear evidence that the COVID-19 pandemic negatively impacted families, less is known about family resilience factors that could mitigate this impact. Understanding whether positive coparenting quality is a protective factor during crises is important for promoting parent, child, and family well-being. The study collected data from 150 parents who participated in a transition-to-parenthood intervention trial 10 years prior. Hierarchical linear modeling was used to examine the association between changes in coparenting quality from before the pandemic (Time 1) to the early stage of the pandemic (Time 2) with parent, child, and family adjustment 19 months later (Time 3). Moderation effects were also explored. Over half of parents reported a decline in coparenting relationship quality between Time 1 and Time 2 while about one third reported an improvement. A more positive change in coparenting was associated with better parent and family adjustment at Time 3. Moderation analyses showed that positive changes in coparenting were associated with fewer internalizing symptoms for female children and, for families with younger children, increased positive and decreased negative parenting behaviors. These findings support the idea that positive coparenting can serve as a resilience factor during times of crisis. Practitioners working with families in crisis should consider incorporating coparenting interventions and strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Painful Consolations: Re-Imagining Soul Care in a Time of Climate Crisis

Painful Consolations: Re-Imagining Soul Care in a Time of Climate Crisis

Far-right contentious politics in times of crisis: between adaptation and transformation

ABSTRACT The far right is often seen to thrive in times of crisis. The unfolding of the Great Recession, the migration crisis, and the COVID-19 pandemic provide an unprecedented opportunity to delve into far-right collective actors’ relationship with ‘crisis’. With our study, we are interested to explore whether far-right mobilisation in the protest arena is indeed linked to short-term periods of crisis or part of a broader, longer-term process of societal transformation from the ground up. We deploy a new dataset on far-right protest events – part of the Far-Right Protest Observatory (FARPO) – covering 10 European countries and the period 2008–2021 (N = 4,440) to elicit and characterise nativist mobilisation at the non-institutional level. Although far-right collective actors have reacted to periods of crisis, the rate, size, and interactions surrounding their protest mobilisation have been steadily on the rise, their repertoire of action has been overwhelmingly conventional, and their claim-making dominated by trademark issues like immigration and multiculturalism. Instead of simply adapting to crisis, we contend that the far right is prompting a broader process of transformation and increasing its penetration of civil society.

Introduction: Mobilizing during COVID-19: social movements in times of crisis

ABSTRACT Early 2020 saw the beginning of a pandemic that triggered an unprecedented global health crisis and economic turmoil. The COVID-19 pandemic also crucially affected the dynamics of political mobilization in social movements. This introduction seeks to reflect on such effects. In particular, we ask: How did the pandemic change or hinder existing struggles? To what extent did new activist networks, issues, and forms of action emerge? Drawing on the special issue’s contributions, we highlight how the pandemic gave way to new incentives and forms of mobilization, in particular the anti-lockdown protests with covid-specific claims, and actor constellations that often brought together people with diverse ideological orientations. These mobilizations were crucially facilitated by social media, bringing together previously disconnected people and harnessing heightened emotions of fear, anger, distrust, uncertainty, and anxiety. At the same time, existing movements continued their work on longer standing issues and often effectively adapted their organizational infrastructures, repertoires of action, or goals to a new set of priorities and circumstances. As in other crises, the pandemic spurred mutual aid and solidarity activism for those most affected by the pandemic.

University social responsibility in times of crisis (COVID-19): lessons from public universities of an underdeveloped country

University social responsibility in times of crisis (COVID-19): lessons from public universities of an underdeveloped country

Leadership in the Church of England at a Time of Crisis: Toward a Deconstruction of Normativity

All too frequently, privileged white male power is unable to extricate its sense of normalcy from the leadership it exercises. This essay embarks upon a deconstruction of the modes of power and authority at work in the current leadership of the Church of England. This includes upholding a presumptive quasi-regal polity blended with the inevitable executive managerialism—what is termed an “ecclesiocracy” run by “ecclesiocrats,” supporting episcopacy. In beginning to deconstruct the power of the polity, we can see how alterity relates to what is held to be normative. This, in turn, poses searching questions for those who claim to hold presiding-mediating roles in English Anglican polity, which extends the life of some disputes and maintains averse hierarchical approaches to diversity.

COVID-19's Effect on Practice Quality Improvement and Transformation Activities: Practice Survey Results.

The Transforming Clinical Practices Initiative (TCPI) was a 4-year, large-scale, collaborative, peer-based learning initiative for physician practices of all specialties with broad goals to improve the quality of patient care, spend health care dollars more wisely, and assist practices in being ready to succeed under value-based payment (VBP). We investigated whether the COVID-19 pandemic had erased or diminished practice transformation progress made during the TCPI program period, through a follow-up survey of participating practices fielded in October 2021. In October 2021 to April 2022, we surveyed a probability sample of 2207 primary care and specialty practices that participated in the TCPI, receiving 610 responses. We asked about practice characteristics, financial and ownership stability, clinical performance, and quality improvement efforts, both now and prior to COVID-19. The COVID-19 content was part of a larger survey. Responses were weighted to account for sample selection, unknown eligibility status, and nonresponse. We generated weighted univariate descriptive statistics representative of practices with clinicians enrolled in TCPI. These estimated percentages have a 95% confidence interval of about ±5%. Multivariate analysis of unweighted data examined associations between practice characteristics and other variables of interest. For all but one of 13 practice transformation activities engaged in prior to the COVID-19 public health emergency, a majority of practices (at least 52%) reported that the progress on these activities were either not hurt or were helped by their COVID-19 experience. Compared to January 2020, only about 7% of practices reported that their quality of care or clinical performance was worse due to COVID-19, and 32% reported that their quality of care was better. More rural than urban practices reported that half or more of their transformation activities were hurt by COVID-19 (29% and 14%, respectively). Physician-owned practices were more likely to report quality is better today than prior to COVID-19 relative to practices with other ownership types such as hospitals or health systems (43% vs 24%). Most practices have been able to recover from the deep stress of the COVID-19 pandemic and continue their efforts to improve patient care and performance to succeed under VBP. These results suggest a high perceived return on investment in value-readiness support along with emergency financial support in times of crisis, as well as room to continue preparation for any future pandemic and the national movement toward increased VBP, especially in rural settings.

07 Partnering with patients with living and lived experience of eating disorders to improve inpatient care on an acute paediatric medicine unit

Abstract Background Since the COVID-19 pandemic, hospitals nationally are seeing a growing number of adolescent patients with eating disorders requiring acute medical stabilization, which is often a time of crisis in the trajectory of this ego-syntonic disorder. The complexity of these admissions often lead to safety events for patients and moral distress for clinicians. Medical admissions can also be an opportunity to engage youth and families. Patient partners are a pillar in healthcare quality improvement, but historically we have not engaged adolescent patient partners in improving acute eating disorder treatment. We gathered the experience of patients and families with living and lived experience of eating disorder treatment to improve their quality of care in an acute paediatric medicine unit. Objectives We aimed to describe the experience of patients and families with living and lived experience of eating disorder treatment, specifically acute medical stabilization, through a quality improvement patient engagement project. Design/Methods We used a mixed-methods design of semi-structured interviews and a focus group with adolescents with eating disorders and their caregivers in an acute medical unit at a tertiary paediatric hospital in British Columbia. We employed opportunity sampling by distributing recruitment flyers through patient experience councils, outpatient clinics, other non-acute units, and to all patients admitted with a medically unstable eating disorder at our hospital during the study period. The interviews consisted of open-ended questions, yes/no questions, and Likert scales related to four categories: admission process, inpatient experience, team communication, and discharge process. Two reviewers analyzed the qualitative data using thematic analysis, and the quantitative data was analyzed descriptively. Quality improvement projects are exempt from Research Ethics Board approval. However, we utilized the "A Project Ethics Community Consensus Initiative" (ARECCI) Ethics Guideline and Screening Tool and presented our proposal at the hospital's quality improvement and research oversight committees. Results We completed 8 interviews with patients with current living experience admitted to our acute medical unit. We also completed 1 interview with a patient with past lived experience and 1 focus group with patients and caregivers. Primary themes identified included uncertainty about their overall treatment journey and stress due to the sudden new expectations on the inpatient unit, such as activity restriction, meal plans by the hospital, and bathroom access after meal times. Patients identified the importance of relational care, inclusion in treatment planning, acknowledgement of the demanding nature of eating disorders, and individualized care. Due to variability in training, resource allocation, and gaps in communication, these patient-identified priorities are not always met. While 100% of participants stated they understood the reasons and goals for admission, participants averaged 3.7 on a 1 (lowest) to 5 (highest) Likert scale when asked to rate their satisfaction with the information they received. Five out of eight adolescents felt that there was consistency in communication within the team. Conclusion We demonstrate the complex needs of patients with eating disorders who require acute medical stabilization. Targeted knowledge mobilization initiatives through admission orientation documents and family-centered rounds could better meet those needs. We are currently developing an admission pamphlet and journal for patients admitted with a new eating disorder to our medical unit. Patient partners exhibited a high willingness to participate in our study and readily acknowledged the importance their contributions could hold for other patients.

The Norwegian Counties Public Health Survey (NCPHS): a design study.

Effective public health initiatives should be founded on a comprehensive and robust understanding of health-related factors including societal and community contexts. The Norwegian Counties Public Health Survey (NCPHS) aims for insights into the adult population on topics relevant for planning public health practices at county and municipality levels. The NCPHS includes a core questionnaire on public health-related topics and demographics, including indicators of socio-economy, with additional optional questions and scales varying across data collections. Samples are drawn from the Norwegian National Population Register and 'washed' against the Common Contact Register to retrieve digital contact information and exclude those who cannot be contacted electronically. NCPHS was piloted in 2015 and 2018 (four counties). After some revision of instruments and sampling procedures, surveys have been carried out in most Norwegian counties since 2019. The total number of participants has now passed 400,000. Expedient data analysis has enabled the Norwegian Institute of Public Health to present comprehensive reports within 6 weeks of completed data collections. In these, outcome variables are analysed against district (within counties), gender, age, educational attainment and self-reported sufficiency of household income. Tables are also made available at the municipality level. The NCPHS represents a valuable addition to existing data sources, providing critical information for planning purposes for local and regional public health authorities, for assessing trends over time, comparisons across counties and regions and for evaluation of policies and interventions. The value of such a system during times of crisis was demonstrated during the COVID-19 pandemic.