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There Are No Rewards for Girls Who Are Too Spirited’: Schools as Gaslighting Mechanisms in Girls with Sharp Sticks
Get PDFMay the Forest Be with You: A Phenomenological Study of Disenfranchised Grievers and Their Time in Nature During the COVID-19 Pandemic
Get PDFThe COVID-19 pandemic began in earnest in the United States in March 2020, and a slew of challenges came with the adjustment. Individuals felt the isolation of quarantine while grieving disenfranchised losses, losses that alienate the griever from the community, and social rules of grief such as canceled events, missing friends and family, and missing milestones at work or school. One place that was not closed to the public during the height of the pandemic was the outdoors. Nature is beneficial to mental, physical, and spiritual health. In this phenomenological study, we describe how being in nature helped adult disenfranchised grievers during the COVID-19 pandemic. Using a non-probability convenience snowball sample recruited through social media, 45 participants who identified as disenfranchised grievers due to COVID-19 pandemic and reported an increased amount of time outside during the pandemic shared up to five photos and had space to write a narrative about how their time in nature helped them address/heal from loss. We used Interpretative Phenomenological Analysis to analyze the data. Narrative themes included the context of the pandemic, turning to nature for healing, and emotional, physical, social, and spiritual relief. In conclusion, participants had positive, transformational, affirming, and joyful experiences in nature that helped them make meaning of their disenfranchised grief during the COVID-19 pandemic. This study’s implications include a need for easier access to outdoor spaces, and the ability for practitioners, allopathic and holistic, to prescribe time outdoors to their patients. Implications for future research include disenfranchised grief, the impacts of indoor nature spaces, and comparisons of various natural settings on disenfranchised grievers
Knowledge and clinical dialogues about complementary health approaches among nurse practitioners specialized in geriatrics.
No full textBackground: In the United States, people over the age of 65 years will account for 20% of the population by 2030, and these elders are more likely to have chronic comorbid complex health problems. Sixty-three percent use complementary health approaches (CHAs) but less than half disclose their use to their health care providers. Nurse practitioners (NPs) are the fastest growing population of primary care health providers.Purpose: This study identifies to what degree NPs with specialized training in geriatrics understand CHAs, use them themselves, encourage their patients to access them, and engage in CHA clinical dialogue.Methods: Cross-sectional online survey collecting quantitative and narrative data; US NPs with specialized training in geriatrics (n = 170, mean age 52 years, SD: 9.0, range: 29–73).Results: Although NPs are knowledgeable about some CHA and believe they are beneficial for older adults to use, they want more education to help understand the effects of a variety of CHA, be more aware of possible treatment interactions, and to integrate CHA into the current health care system. Patient factors (impaired cognitive function, acute health problems, and not open to CHA), provider factors (inadequate CHA knowledge, limited referral paths and resources), and system factors (limited accessibility and availability of CHA in in-patient setting, CHA not covered by insurance, and limited clinical time) disrupt NPs from assessing and discussing CHA with their patients.Implications for practice: There is a need to develop and implement NP practice guidelines for CHA clinical management for older adults and provide educational opportunities to incorporate CHA into clinical practice
