Search Results (52)

Background/Objectives: Within Paediatric Palliative Care (PPC), motherhood in the context of severe cognitive impairment is shaped by unique emotional, relational, and identity-related challenges. Traditional understandings of maternal identity are strained when verbal communication and typical developmental milestones are absent. Although caregiving in PPC has been widely studied, the subjective and symbolic dimensions of motherhood in this setting have received far less attention. This study sought to explore how mothers construct, interpret, and make sense of their maternal identity while caring for a child with severe cognitive impairment in a PPC context, and to underscore the clinical relevance of these identity-related processes. Methods: A qualitative study was conducted involving nine mothers of children receiving paediatric palliative care services at a regional centre in Italy. Participants engaged in three online focus groups, totalling 270 min. Reflexive thematic analysis was employed to interpret the transcribed data, using ATLAS.ti software, version 25.0.1 ATLAS.ti Scientific Software Development GmbH, Berlin, Germany, for support. Member reflections were incorporated to validate the findings. Results: Three interconnected themes emerged from the reflexive thematic analysis. First, mothers described the development of a fusion-like, enmeshed mother–child relationship, characterised by embodied attunement, specialised interpretive expertise, and lifelong care dependency. Second, mothers detailed the construction of their maternal role, shaped by emotional labour, identity negotiation, sacrifice, loneliness, and peer support, alongside the construction of the child’s role, in which children were perceived as unique, symbolically meaningful beings whose social presence and limited reciprocity shaped maternal identity. Third, mothers articulated a search for meaning that sustained them throughout the caregiving journey, reframing their experience within a broader existential and relational perspective. Conclusions: Maternal caregiving in PPC encompasses distinct emotional, relational, and symbolic dimensions that extend beyond conventional understandings of motherhood. Grasping these identity-related dynamics has direct clinical relevance: it enables more attuned communication, strengthens the therapeutic alliance, and supports personalised, meaning-oriented care. These insights highlight the need for tailored interventions and further qualitative research to inform health care professionals and interdisciplinary practice. Full article

Russia’s 2022 invasion precipitated one of Europe’s largest episodes of forced academic mobility, compelling universities to shift from emergency access to durable inclusion. This article investigates how Ukrainian students are integrated into Romanian higher education through a qualitative case study at Ovidius University of Constanta, undertaken within the Erasmus+ EIUS project. We analysed a participatory focus-group workshop (“Building Bridges,” May 2024) involving 72 participants (15 Ukrainian students, 31 Romanian students, 26 academic staff). Transcripts were coded via reflexive thematic analysis and interpreted through a SWOT lens to connect lived experience with institutional strategy. Findings indicate that integration generates tangible pedagogical and social value—diversity enriches coursework, empathy strengthens peer collaboration, and exposure to multilingual classrooms catalyses instructional innovation. Yet systemic fragilities persist: language anxiety (“translation silence”), fragmented support pathways, and limited access to counselling shift emotional labour onto faculty and peers. Opportunities cluster around Erasmus+ infrastructures, bilingual materials, and co-created projects that transform access into participation; threats include latent prejudice, social isolation, compassion fatigue, and policy discontinuity as crisis attention wanes. We advance the concept of institutionalised solidarity—a multi-level inclusion model that couples emotional infrastructures (mentoring, trauma-informed pedagogy, counselling) with organizational infrastructures (integration offices, linguistic scaffolding, adaptive assessment). The study contributes an empirically grounded framework for moving from humanitarian reaction to sustainable academic inclusion and offers actionable guidance for European universities seeking resilience under protracted disruption. Full article

The rapid transformation of the 21st-century labour market requires students to be highly psychologically adaptable, especially in dual education systems where academic and work-based learning occur simultaneously. This study examines resilience as a psychological and pedagogical protective factor among students in dual vocational education and dual higher education programmes. Using a quantitative research design with validated scales measuring resilience, motivation, satisfaction, and stress, the research investigates how individual and contextual factors influence students’ adaptability. The results showed that vocational education and training students exhibited greater resilience, greater learning satisfaction, and lower levels of stress than those in higher education. Regression analysis confirmed that resilience positively contributes to academic success, while supportive mentoring and a structured learning environment enhance emotional stability and motivation. The analysis highlights that autonomy and pressure to perform are associated with higher levels of stress in higher education, underscoring the critical role of mentorship and peer support in improving adaptability. These findings emphasise that resilience is not only an individual capacity, but also a pedagogical and organisational construct; its systematic development should be integrated into the dual education framework to support student well-being, learning effectiveness, and long-term professional adaptation. Full article

Improved maternal experiences and outcomes have been widely linked to the presence of birth companions. However, cultural norms, institutional constraints, and privacy concerns frequently restrict women’s choice of birth companions in many Middle Eastern countries, including Jordan. This study investigated Jordanian women’s beliefs and barriers about the presence of companions in the labour room. A qualitative descriptive study design was conducted using Braun and Clarke’s framework for thematic analysis. Thirteen women (ages 21 to 38 years) with prior pregnancy and childbirth experience were chosen from a free health awareness event in Irbid, Northern Jordan in July 2025, to participate in semi-structured interviews. The responses were recorded on audio tapes and subsequently stored in their original format. Data were coded, transcribed, and then thematically analyzed to identify beliefs and perceived barriers. The most significant beliefs were: (i) emotional and psychological support, wherein companionship was thought to alleviate fear and provide reassurance; (ii) strengthening family ties, as women saw shared childbirth experiences as improving family bonds; and (iii) cultural and religious interpretations, wherein female relatives were frequently seen as more acceptable than husbands. Women reported two barriers to allowing companions in the labour room: (i) privacy and modesty issues, where they feared embarrassment, exposure, and judgment, and (ii) institutional and policy restrictions, such as restrictive hospital regulations. Although Jordanian women recognized the emotional and interpersonal benefits of having company during childbirth, they encountered numerous substantial institutional, cultural, and privacy-related barriers. Improving women’s birth experiences and promoting respectful maternity care may be achieved by addressing these issues through culturally sensitive education, privacy-enhancing infrastructure, and regulatory reform. Full article

This article interrogates “enforced silence” in higher education as an active, racialised technology of governance that manages speech, polices dissent, and narrows the horizons of legitimate knowledge. Bringing scholarship on institutional racism, decoloniality, and academic freedom into dialogue with analyses of scholasticide, the systematic destruction of education and intellectual life in Palestine, the paper argues that neutrality and professionalism function as administrative veneers that protect institutional reputation while disciplining racialised scholars and erasing Palestinian epistemologies. Palestine operates here as both an acute site of violence and a diagnostic mirror that illuminates a transnational repertoire of epistemic governance: censorship, securitisation, campus injunctions, and weaponised definitions that chill debate and criminalise solidarity. The article extends the concept of scholasticide beyond material destruction to include ideological and institutional assaults on dissent and critical thought, demonstrating how marketised, securitised universities reproduce racial regimes while disavowing complicity. Against this architecture, the paper advances a praxis-oriented framework drawing on critical pedagogy and the Palestinian ethic of Sumud to envision universities as sites of freedom rather than corporate neutrality. It sets out concrete strategies for scholars and institutions, including protections for dissent, refusal of censorious definitions, divestment from complicit partnerships, cross-border classrooms, and recognition of emotional–political labour, to convert witness into transformative action. The article concludes by insisting that academic responsibility is irreducibly collective: education must commit to liberation, not serve domination. Full article

Professional skills training and academic success are key challenges for contemporary educational systems, particularly within higher education. The labour market increasingly demands well-prepared graduates with specific competencies that are still insufficiently embedded in university curricula. In this context, acquiring new professional skills becomes a decisive factor for students’ employability and competitiveness. At the same time, academic success remains a crucial indicator of educational quality, and its improvement is an urgent priority for universities. In response to these demands, our study evaluates cognitive-emotional competencies—emotional intelligence, creativity, and subjective well-being—in a sample of 300 university students from the Community of Madrid (Spain), analysing their influence on academic success with the aim of enhancing it. A non-experimental, cross-sectional research design was employed, using standardised self-report measures (TMMS-24, CREA, SHS, OHI, SLS, and OLS), innovative data mining algorithms (Random Forest and decision trees), and binary logistic regression techniques. The results highlight the importance of creativity, life satisfaction, and emotional attention in predicting academic success, with creativity showing the strongest discriminative power among the variables studied. These findings reinforce the need to integrate emotional and creative development into university curricula, promoting competency-based educational models that enhance training quality and students’ academic outcomes. Full article

Social inclusion, particularly in the cultural domain, is a fundamental pillar for ensuring the full participation of all individuals in community life, fostering equity, well-being, and the recognition of diversity. This article has two objectives. Firstly, it aims to conduct a systematic review to diagnose the factors that exclude vulnerable groups from cultural access. Secondly, the aim is to understand how a group of young people with disabilities perceive the role of culture as a tool for social and labour inclusion. In October 2023, a systematic review was conducted in the Web of Science and Scopus electronic databases. A total of 37 articles were included in the review and classified into the following five areas of interest. The categories were as follows: (1) the relationship between cultural participation and physical and emotional well-being; (2) universal accessibility as a right to guarantee equitable access to culture; (3) the ability of people with disabilities to participate in culture; (4) the role of cultural policies as facilitators or barriers to inclusion; and (5) participation in contexts of cultural diversity as a means of social integration. These categories guided discussions with two focus groups comprising 15 young people. The positive impact of cultural participation, especially in its social dimension, was highlighted. The data point to the value of technology as a facilitator of access to culture, particularly for young people. Policies should focus on diverse cultural expressions and promote cognitive accessibility. Full article

The year 2025 marks the fifth anniversary of the COVID-19 pandemic, a crisis that profoundly disrupted secondary schools in England and intensified existing inequalities, including those experienced by LGBTQ+ students. Through an analysis of teacher interviews and the lens of intimate citizenship, this article explores how pandemic-driven changes, such as remote learning, school closures, and ‘social bubbles’, exposed the precariousness of LGBTQ+ inclusion and embodiment within educational institutions. The research highlights how cisheteronormativity was sustained through symbolic institutional compliance and cisheteronormative fragility, as LGBTQ+ inclusion was deprioritised through the erasure of safe spaces and restrictions on self-expression. While previous research has primarily focused on students’ well-being, this article centres the perspectives of teachers to consider what can be learned from their experiences to better support students in future crises. The pandemic revealed critical gaps in inclusion efforts, underscoring the urgent need for proactive strategies that extend beyond individual teacher initiatives or informal, hidden curriculum practices. The findings emphasise that LGBTQ+ visibility and inclusion must be structurally embedded within curricula, school policies, and teacher training and that the emotional and relational labour of inclusion must be institutionally recognised rather than left to individual educators. Full article

Introduction: Pregnancy is a period of many challenges and changes that women face. These challenges include being pregnant during the COVID-19 pandemic, as well as preparing for childbirth. Personal resources, such as hardiness, may help to adapt to these difficult life events. Objective: The aim of this study was to determine the relationship between fear of COVID-19, stress, fear of childbirth, hardiness, and life satisfaction in pregnant women and identify two predictors, fear of childbirth and life satisfaction, in pregnant women during the pandemic. Method: This study involved 247 pregnant women aged 18 to 39. Five tools were used: the Labour Anxiety Questionnaire (KLP II), the Health-Related Hardiness Scale (HRHS), the Pandemic-Related Pregnancy Stress Scale (PREPS), the Satisfaction with Life Scale (SWLS), and the Fear of COVID-19 Questionnaire (FOC-6). Results: Significant positive correlations were observed between fear of COVID-19 and perinatal infection stress (r = 0.74, p < 0.001), preparedness stress (r = 0.51, p < 0.001), and fear of childbirth (r = 0.32, p < 0.001). Perinatal infection stress was positively associated with preparedness stress (r = 0.53, p < 0.001) and fear of childbirth (r = 0.33, p < 0.001). Preparedness stress was positively correlated with fear of childbirth (r = 0.47, p < 0.001). Fear of childbirth was negatively correlated with hardiness (r = −0.22, p < 0.001) and life satisfaction (r = −0.29, p < 0.001). The predictors of fear of childbirth are preparedness stress associated with the organization of childbirth (β = 0.38, t = 5.60, p < 0.001) and hardiness (β = −0.16, t = −2.84, p = 0.00, p < 0.01), while the predictor of satisfaction with life is fear of childbirth (β = −0.31, t = −4.28, p = 0.00, p < 0.001). Conclusions: Epidemics of infectious diseases may have a negative emotional impact on pregnant women, causing fear and stress and contributing to an increased level of fear of childbirth, which can lead to complications for the health of the mother and child. Therefore, it is particularly important to support women preparing for childbirth during subsequent pandemics or other crisis situations. Personal resources, such as hardiness, are important for experiencing fear of childbirth, which is why pregnant women who experience increased fear and stress should have their resources strengthened. Full article

This article explores how working conditions and professional well-being intersect in day-care settings, shaping early childhood educators’ professional identities, especially at the start of their careers. Based on a qualitative and interpretative study involving a focus group with seven educators and thirty interviews across Portugal, the findings reveal a profession marked by overload, time pressure, institutional silence, and the invisibility of emotional labour. Yet, educators also demonstrate resistance, mutual support networks, and pedagogical reinvention. Wellbeing is conceptualised as an ecological and political issue, influenced by institutional structures, the absence of public policies, and cultural narratives that continue to devalue the profession. Special focus is given to novice educators, whose entry into the field is characterised by vulnerability, lack of guidance, and identity tensions, pointing to the urgent need for better initial training and institutional support. This article presents a critical analysis of professionalism in early childhood education and care, with implications for teacher education, including mentoring, supervision, and public policy development. It frames the work of early childhood educators in day-care as both an ethical commitment and a form of resistance. Ultimately, it amplifies educators’ voices as knowledge producers and agents of change, contributing to the pedagogy of dignity and the recognition of a profession often rendered invisible. Full article

The integration of lived experience educators (LEEs) in social work and healthcare educational programmes has evolved to recognise its potential to enhance learning, empathy and professional development among students. This scoping review explores the level of LEEs’ engagement in academic models and the different perspectives of LEEs, academic staff and students on lived experience education, analysing both the merits and challenges of this pedagogical approach. A systematic search was conducted across multiple academic databases and identified 37 articles on lived experience education. Arnstein’s Ladder of Citizen Participation was used as an evaluation tool to assess the levels of engagement described in the studies. The common themes across studies were analysed and synthesised for each perspective of the stakeholders. The findings of this review evidence that while lived-experience-led education enhances students’ performance, the depth of participation of LEEs varies widely. The ladder-level analysis found that many educational programmes are designed at the higher rungs of “co-production”, where LEEs collaborate equally with academics. However, some practices are at the lower rungs of “tokenism”, where LEEs are consulted but have limited decision-making power. This may be due to challenges such as a lack of structured support systems, emotional labour for LEEs and inconsistencies in practice. Therefore, greater efforts are needed to move beyond tokenistic involvement towards meaningful co-production in education for people-centred services. By embedding lived experience contributions, education becomes a synergistic practice, continuously shaping and enriching the professional development of both students and the communities they serve. Full article

Three languages of service in the Hunter Valley show the emotional impact of new labour systems on valuing and self-valuing in work. The newspaper advertisements present a self-image of the servant as a negotiator for wages and conditions, and servants read these advertisements and formed attitudes from them. Their language suggests they were significant players in the modernising of work. Wealthy employers sought the cheapest labour possible, and the new lower middle-class townsman added notions of respectability that servants adopted themselves. In conflict with this, the letters of a squatter family represent the servant as an object of humour, as sly, untrustworthy, and dangerously sexualised. This abject status derived from notions of servants as less than human, as stock, from slavery. In response, servants replied that they knew their work and emphasised a labour market perspective. Full article

Energy poverty has evolved into a topic of global concern affecting both developing and developed countries. Energy poverty deprives the potential of numerous women to participate in family, communal, and economic activities. While energy poverty is a commonly studied subject, the existing literature often overlooks its gender dimension, specifically the effects on women. This systematic review aims to fill the current research lacuna by shedding light on the multifaceted consequences faced by women due to energy poverty. To this end, numerous articles from Scopus and Web of Science are fully analysed. The findings demonstrate the impacts on multiple aspects of women’s lives, such as health, emotional well-being, income, increased workload, and the perpetuation of inequality. Though the challenges seem a bit different in the Global South and North from a boarder perspective, coherent policies that enhance women’s empowerment with economic opportunities could minimize the potential risk of energy poverty. The review underlines the urgency of integrating a gender perspective, emphasising the necessity of interdisciplinary methods that connect energy and gender studies differently in both the Global North and South. The finding also highlights the role of socio-economic conditions, cultural norms, and the division of labour in increasing women’s vulnerability. This review highlights the crucial significance of gender-inclusive approaches in understanding and tackling energy poverty. Full article

Background: Research has demonstrated that the loss of one or more natural teeth can be an emotionally traumatic experience that mirrors processes associated with bereavement. There remains scant literature examining the role of emotions in dental encounters. One such exception is the literature on the idea of the ‘treatment alliance’ in dental encounters. The aim of this paper is to explore the role of the ‘treatment alliance’ in dentist–patient encounters. Methods: Data were collected from clinical observations, semi-structured interviews and focus groups exploring the experience of tooth loss and how the treatment alliance shaped the patient journey. Data analysis was conducted using the grounded theory method influenced by phenomenology. Coding was conducted using NVIVO and the unit of analysis was the treatment alliance. Results: Twenty participants took part in the interviews (eleven male; nine female; 22–86 years; mean age = 58.9 years). Observations were carried out with a further fourteen participants (seven male; seven female; 50–101 years; mean age = 62.2 years). The paper draws on four cases taken from the observational data to illustrate important dynamics underpinning how the treatment alliance varied. These case studies are then used as the basis for a critical discussion of the importance of the treatment alliance in dentistry. Conclusions: The treatment alliance acted as an important moderator in the clinical encounter, helping to influence successful outcomes. An important foundational component of the treatment alliance was the degree of emotional work the dental team conducted when ‘getting to know’ unfamiliar patients. Whilst emotions were an important factor in dental encounters, their acknowledgement and management were not essential to all successful outcomes. Much more research is therefore needed into the role of emotional labour in dental encounters. Full article

Background/Objectives: Childbirth is a profoundly personal experience that often does not align with expectations. The World Health Organization has established guidelines for best practises; in this sense, it is crucial to understand the childbirth experiences of Portuguese women in comparison with these guidelines. Methods: A quantitative, descriptive, correlational, and cross-sectional study was conducted to achieve this. In total, 615 women completed a sociodemographic questionnaire and the Labour and Childbirth Experience questionnaire, which comprised 39 statements based on the WHO’s recommendations. Additionally, the study utilized the Life Satisfaction Scale and gathered insights into participants’ overall perception of care during this phase. Results: The results were categorized as follows: (1) practises influencing the labour experience; (2) practises influencing the experience of vaginal birth; (3) practises affecting the experience of caesarean birth; and (4) emotional experience during labour and birth. Conclusions: Notably, the study found that practises discouraged by the WHO are still prevalent, potentially enabling obstetric violence. However, a robust and statistically significant correlation was observed between the childbirth experience and the overall perception of care. Full article