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Purpose: This study aims to examine the following across a six-month period in post-graduate research (PGR) students: mental health and well-being; the effect of academic pressures on depression, anxiety and well-being; and the extent to which psychological resilience buffered against academic pressures. Design/methodology/approach: This was a longitudinal questionnaire study with predictor variables of six types of academic pressure, outcome variables of depression, anxiety and well-being, and a moderator of resilience. Findings: Well-being significantly worsened across the six-month timeframe, but levels of depression and anxiety remained relatively stable. Negative perceptions of academic challenges at baseline significantly predicted anxiety, but not depression or well-being, six months later. Negative appraisals of relationships with supervisors, other university staff and work peers were not predictors of anxiety. Social support resilience which was present at baseline buffered the relationship between perceived academic challenges and anxiety. Practical implications: Higher education institutions have a duty of care towards PGR students, many of whom struggle with the escalating interactions between mental health problems and academic pressures. Actively nurturing psychological resilience related to social support is key at the level of individual students and the PGR community but more broadly at an institutional level. Originality/value: To the best of the authors' knowledge, this is the first study to examine the effects of negative perceptions of multiple facets of academic life on depression, anxiety and well-being longitudinally. Additionally, it is the first study to investigate, and demonstrate, the extent to which psychological resilience can lessen the relationship between academic challenges and anxiety over time.

Objectives: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a long‐term debilitating illness characterised by profound and persistent fatigue (JAMA: The Journal of the American Medical Association, 313, 2015, 1101). The current study aims to explore the experiences of women with ME/CFS living with their partners during the COVID‐19 pandemic in the United Kingdom. Design: The study adopted a qualitative design comprising semi‐structured interviews with participants. Interviews were analysed using thematic analysis (TA). Methods: Participants were women with ME/CFS (n = 21) recruited through ME/CFS support groups in the United Kingdom. All participants were in romantic relationships and lived with their partners. Results: Data were organised into three themes: (1) lockdown disrupting routine, (2) reducing difference and (3) fear of getting COVID‐19. People with ME/CFS found that lockdown disrupted their well‐established routines. Although routines were disrupted by partners and increased working‐from‐home practices, participants found having partners at home helpful. People with ME/CFS believed that the changes induced by the pandemic reduced the differences between themselves and the outside world which, prior to lockdown, had felt prominent. They were fearful of getting COVID‐19 as they believed this would make their ME/CFS worse. This meant that for people with ME/CFS, the lifting of the lockdown restrictions was an anxiety‐provoking time, hence impacting symptoms. People with ME/CFS continued to adhere to government guidelines after national restrictions were eased. Conclusions: This study outlines the experiences of women with ME/CFS during COVID‐19, alongside the long‐term impact this has had due to the changes that the pandemic imposed. These findings may have implications for those with long COVID. [ABSTRACT FROM AUTHOR]

Background Lack of communication in a family's preferred language is inequitable and results in inferior care. Pediatric residents provide care to many families with non-English or French language preferences (NEFLP). There is no data available about how Canadian pediatric residents use interpreters, making it difficult to develop targeted interventions to improve patient experience. Objectives Our purpose was to assess translation services in pediatric training centers and evaluate resident perception of their clinical skills when working with NEFLP patients and families. This survey represents the first collection of data from Canadian pediatric residents about interpreter services. Methods Eligible participants included all pediatric residents enrolled in an accredited Canadian pediatric training program. An anonymous survey was developed in REDCap© and distributed via email to all pediatric residents across Canada. Descriptive statistics were performed in STATA v15.1. Results 122 residents responded. Interpreter services were widely available but underused in a variety of clinical situations. Most (85%) residents felt they provided better care to patients who shared their primary language (English or French), compared with families who preferred other languages—even when an interpreter was present. This finding was consistent across four self-assessed clinical skills. Conclusions Residents are more confident in their clinical and communication skills when working with families who share their primary language. Our findings suggest that residents lack the training and confidence to provide equal care to families with varying language preferences. Pediatric training programs should develop curriculum content that targets safe and effective interpreter use while reviewing non-spoken aspects of cultural awareness and safety. Key Messages: What is already known on this topic. Healthcare interactions between providers and non-English speaking patients can result in decreased understanding of medical information, fewer opportunities to build a relationship with their provider, and risk of medical error. The use of professional interpreter services, whether in person or by telephone or video, can help to alleviate some of these risks. Patients and their families feel that their care is improved when practitioners speak to them in their preferred language. What this study adds. This study is the first to examine interpreter services available in Canadian pediatric training centers and assess residents' perception of their use. Interestingly, residents identify that the use of an interpreter only somewhat improves their abilities to perform clinical duties and build rapport with families who speak other languages. This finding illuminates that residency training programs must do more to educate trainees about safe and equitable care, and provides opportunity for future study of what families may feel is missing from their care. How this study might affect research, practice, or policy. Our results indicate the need for pediatric centers to implement easily accessible forms of translation services that can be used in the moment by care providers in all areas of the hospital. Training programs should investigate practitioner- and system-specific factors that prevent residents from performing at their best when working with patients who prefer a non-English language. [ABSTRACT FROM AUTHOR]

Objective: To identify clinical practice characteristics associated with the frequency of prenatal critical congenital heart disease (CCHD) detection (i.e., the number of liveborn infants with postnatally confirmed CCHD identified on prenatal sonography) over 20 years in a rural setting comprised of 11 primarily low‐volume obstetric hospitals and the single tertiary academic hospital to which they refer. Methods: This was a retrospective cohort study of all patients in the referral region with an initial prenatal and/or postnatal diagnosis of CCHD from 01/01/2002 to 12/31/2021. The frequency of prenatal CCHD detection at the time of an obstetric ultrasound was reported, as was the change in detection over time. Critical congenital heart disease detection was assessed as a function of cardiac lesion type, practice setting, and practice characteristics. Results: There were 271 cases with a confirmed postnatal CCHD diagnosis, of which 49% were identified prenatally. The majority of community practices each averaged <10 CCHD cases in total over the study period. Prenatal detection at the tertiary academic hospital's obstetric ultrasound unit was 64%, compared to 22% at the combined referring community practices (p < 0.001), though CCHD detection improved over time in both settings. Professional accreditation by the American Institute of Ultrasound in Medicine, image interpretation by radiology or Maternal Fetal Medicine, and use of video clips of ventricular outflow tracts were associated with improved prenatal CCHD detection. Conclusions: Our data demonstrate the infrequency of CCHD cases at small‐volume, rural hospitals and the substantial variation in prenatal CCHD detection across practice settings. Our methods allowed for the identification of practice characteristics associated with prenatal CCHD detection. Key points: Image interpretation by radiology or maternal fetal medicine (MFM) physicians and the use of video clips of ventricular outflow tracts were associated with improved prenatal critical congenital heart disease (CCHD) detection.Identification of local and/or regional practice characteristics impacting CCHD detection creates opportunities for quality improvement endeavors. [ABSTRACT FROM AUTHOR]

The sustained marginalisation of creative arts in higher education in Australia risks the delivery of superficial learning experiences that are disconnected from the relationality of place, people, and histories. The metrics used to assess a university’s capacity to produce “job-ready graduates” does not adequately capture the success of students in the creative arts, leading to under resourcing in these disciplines and, ironically, limiting the capacity of these disciplines to train students adequately for their industry. In this paper, we examine the place of community-engaged creative practice and cultural policy learning in universities to ask how tertiary educators can support students to develop industry skills while also embodying a critically engaged pedagogy in order to work and create in the industry in ways that prioritise relationality, context and an ethic of care. Community-engaged arts practice can be understood as that which privileges collaborative processes, values people over institutions, is contextually grounded, and understands creative excellence as intricately entangled in social and relational outcomes. We argue that community-engaged arts practice is a form of critical pedagogy and, potentially, vice versa. We share two case studies of creative arts learning experiences in our university as examples of the powerful crossover between community-engaged arts practice and critical pedagogies in our endeavour to train effective, and impactful creative arts workers in sustainable and ethical practice via a critically engaged creative practice pedagogy. [ABSTRACT FROM AUTHOR]

Background: Understanding healthcare professionals' (HCPs) experiences of caring for women with false‐positive screening test results in the National Health Service Breast Screening Programme (NHSBSP) is important for reducing the impact of such results. Methods: Interviews were undertaken with 12 HCPs from a single NHSBSP unit, including advanced radiographer practitioners, breast radiographers, breast radiologists, clinical nurse specialists (CNSs), and a radiology healthcare assistant. Data were analysed thematically using Template Analysis. Results: Two themes were produced: (1) Gauging and navigating women's anxiety during screening assessment was an inevitable and necessary task for all participants. CNSs were perceived as particularly adept at this, while breast radiographers reported a lack of adequate formal training. (2) Controlling the delivery of information to women (including amount, type and timing of information). HCPs reported various communication strategies to facilitate women's information processing and retention during a distressing time. Conclusions: Women's anxiety could be reduced through dedicated CNS support, but this should not replace support from other HCPs. Breast radiographers may benefit from more training to emotionally support recalled women. While HCPs emphasised taking a patient‐centred communication approach, the use of other strategies (e.g., standardised scripts) and the constraints of the 'one‐stop shop' model pose challenges to such an approach. Patient and Public Contribution: During the study design, two Patient and Public Involvement members (women with false‐positive‐breast screening test results) were consulted to gain an understanding of patient perspectives and experiences of being recalled specifically in the NHSBSP. Their feedback informed the formulations of the research aim, objectives and the direction of the interview guide. [ABSTRACT FROM AUTHOR]

PURPOSE: With a growing focus on the importance of mens reproductive health, including preconception health, the ways in which young mens knowledge, attitudes, and beliefs (KAB) predict their reproductive paths are understudied. To determine if reproductive KAB predicts fatherhood status, timing and residency (living with child or not). METHODS: Reproductive KAB and fatherhood outcomes were analyzed from the National Longitudinal Study of Adolescent Health, a 20-year, nationally representative study of individuals from adolescence into adulthood. Four measures of reproductive KAB were assessed during adolescence in waves I and II. A generalized linear latent and mixed model predicted future fatherhood status (nonfather, resident/nonresident father, adolescent father) and timing while controlling for other socio-demographic variables. RESULTS: Of the 10,253 men, 3,425 were fathers (686 nonresident/2,739 resident) by wave IV. Higher risky sexual behavior scores significantly increased the odds of becoming nonresident father (odds ratio [OR], 1.30; p < .0001), resident father (OR, 1.07; p = .007), and adolescent father (OR, 1.71; p < .0001); higher pregnancy attitudes scores significantly increased the odds of becoming a nonresident father (OR, 1.20; p < .0001) and resident father (OR, 1.11; p < .0001); higher birth control self-efficacy scores significantly decreased the odds of becoming a nonresident father (OR, .72; p < .0001) and adolescent father (OR, .56; p = .01). CONCLUSIONS: Young mens KAB in adolescence predicts their future fatherhood and residency status. Strategies that address adolescent males reproductive KAB are needed in the prevention of unintended reproductive consequences such as early and nonresident fatherhood.

Co-authors Lee and Peters collaborated across 2019-2021 on a community-engaged project with Carclew's ExpressWay Arts. They ask, when your creative practice is premised on relationship building, belonging and care, how do you step away from projects responsibly, meaningfully and carefully? This article explores how establishing rituals of closure in every workshop, explicitly naming the ending, acknowledging how the creative relationship may change after the projects conclusion, and celebrating the work, are four approaches that can support facilitators to finish projects with care. [ABSTRACT FROM AUTHOR]