Search Results (502)

This paper investigates how Toronto’s Portuguese-Azorean community has shaped the city’s multicultural and psychological landscape, focusing particularly on intergenerational experiences of trauma among immigrant youth. Framed within North America’s broader migration dynamics, the study explores the creation and transformation of the ethnic enclave “Little Portugal” as both a space of cultural resilience and chronic urban stress. It introduces the concept of chronic urban trauma to describe the persistent psychosocial impact of displacement, assimilation pressures, and gentrification on young Portuguese-Azorean Canadians. While first-generation immigrants constructed cohesive ethnic infrastructures grounded in work, faith, and language, younger generations face cultural dissonance, linguistic loss, and identity fragmentation that manifest as emotional distress and social alienation. These experiences illustrate how structural urban change can perpetuate transgenerational trauma within immigrant families. By integrating perspectives from urban geography, trauma studies, and migration theory, this theoretical work underscores the need for trauma-informed educational and social policies that promote inclusion, belonging, and mental well-being among immigrant youth. Ultimately, the study positions “Little Portugal” as a microcosm of how multicultural cities negotiate the intersections of ethnicity, urban transformation, and psychological resilience. Full article

Background: Food insecurity among college students is a multidimensional challenge shaped by individual, interpersonal, institutional, community, and policy factors. Although many campuses require or provide meal plans, students may experience food insecurity when barriers related to agency (choice and autonomy), utilization (nutrition security), and availability persist. This study explored how undergraduate students at a private, urban U.S. university experience and navigate the multiple dimensions of food insecurity. Methods: We conducted in-depth, semi-structured interviews via Zoom between December 2024 and January 2025 with n = 22 undergraduate students recruited based on food security status, determined by a Fall 2024 longitudinal survey using the USDA Six-Item Short Form. Transcripts were double-coded by trained research assistants in ATLAS.ti using an inductive codebook. Thematic analyses followed a phronetic, iterative approach, organizing findings within a socio-ecological determinants framework and comparing themes by food security status. Results: We identified nine themes across four domains (individual, interpersonal, institutional and community, and political). At the individual level, constrained personal resources for groceries and cooking, time scarcity leading to skipped meals, and health impacts that detracted from academics emerged as key themes. Interpersonally, reliable family financial support was protective and informal support from peers/coaches filled gaps sporadically for some. At the institutional and community level, dining hall hours misaligned with student schedules, perceived limited variety and nutrition quality reduced food agency and utilization, and transportation impeded use of the sole grocery partner accepting university meal plan benefits. Notably, meal plans including unlimited meal swipes provided stable access but did not guarantee food security when food agency and utilization barriers persisted. Many students relied on campus events for free food; formal assistance (e.g., food pantry) was largely underused. At the policy level, Supplemental Nutrition Assistance Program (SNAP) awareness and enrollment was limited among our sample. Conclusions: Meal plan access alone is insufficient to ensure food security. Campus strategies should extend beyond access to prioritize flexibility, variety, and alignment with students’ schedules and preferences, while strengthening communication and eligibility support for external benefits. Future work should design and evaluate interventions that integrate all dimensions of food security and address institutional policies affecting students’ basic needs. Full article

There is a lack of focus on psychological support for fathers in Neonatal Intensive Care Units (NICUs), both in research and practice, with fathers receiving far less support from NICU providers as compared with mothers. This article aims to discuss the current literature and limitations related to providing psychological support to fathers in the NICU and proposes short- and long-term efforts for improving psychological care for NICU fathers. We conducted a narrative literature review to summarize interventions for supporting fathers in the NICU, including emotional support, educational support, social support, family-integrated care, and multi-component interventions. While initial work is promising, there are major limitations. Very few studies have examined interventions specific to providing support to fathers in the NICU, and little work has investigated differences in the support needs and responses to interventions for NICU fathers as compared with mothers. Fathers have historically been overlooked in the NICU. Given the growing recognition of paternal mental health challenges and their impact on infant development, there is a pressing need for efforts aimed at supporting fathers in the NICU. Efforts must consider system structure, policy, multidisciplinary training, and implementation protocols to improve the quality of care provided to NICU fathers. Full article

Inclusive education is at the forefront of transnational policy agendas. Yet, normative, deficit-oriented disability discourses and institutional gaps continue to shape how inclusion is enacted in schools, often displacing extensive and unacknowledged labour onto families, especially mothers. Drawing on feminist theories of invisible work, this article critically examines the everyday labour performed by mothers of disabled children as they navigate inclusive education systems in Alberta, Canada. Situated within a broader collective case study, this analysis asks: What forms of invisible work do mothers undertake in pursuit of inclusion within education systems labelled as inclusive? Semi-structured interviews were conducted with nine mothers of disabled children. Reflexive thematic analysis illuminated four intersecting dimensions of invisible work: (1) working within the system, (2) working to fit the system, (3) crafting system workarounds, and (4) working above and beyond the system. These forms of work reveal how inclusive education systems rely on mothers to bridge the gap between policy rhetoric and lived experiences. Findings illuminate how mothers’ invisible work simultaneously sustains, negotiates, and resists systemic ableism, highlighting the need to recognize and redistribute this work and reimagine inclusion as a shared structural responsibility rather than an individual, maternal pursuit. Full article

Background/Objectives: While nurses showed a willingness to work during the pandemic and wartime, little is understood about how they managed the conflict between their roles as caregivers and personal or family obligations. They are deemed “essential workers,” risking their safety to fulfill their duties. Objectives: This study aims to explore the lived experience of nurses during COVID-19 and wartime, delving deeper into their emotional and moral experiences, providing insights for nurses and nursing management about how nurses negotiate dilemmas. Methods: A focused interpretive, hermeneutic, phenomenological approach was employed. From December 2022 to January 2023, ten hospital-based nurses from two hospitals were purposively sampled for in-depth, semi-structured interviews, which were transcribed and analyzed. The study was approved by the University Ethics Committee (31102022). Results: The essence of “ Moral Conflicts of Dual Identity and Dual Allegiance” revealed profound moral and emotional struggles among nurses. Four key themes emerged: (1) Moral Stressors and Identity Negotiation, (2) Competing Responsibilities and Ethical Double-binds, (3) Virtual and Practical Wisdom in Crises, (4) Responses of Stress and Erosion of Support Conclusions: Understanding nurses’ ethical dilemmas is essential for healthcare leadership. Leaders must make it a priority for workplace safety for their nurses. In wartime, it is not obvious that the workplace is unsafe; leaders must foster open dialog and support systems in response to these crises. This study highlights the significance of peer support, emphasizing the need for policies that address the complex moral challenges nurses face daily. Full article

The professional development of English as a Foreign Language (EFL) education has been converted from rigid hierarchical models to more flexible and context-sensitive frameworks. This study introduces ego-centred network card analysis as a new methodology to investigate how Indonesian university EFL teachers create and negotiate their professional identities. The data were collected from 11 experienced EFL teachers. The network cards were analysed to find the nodes and sectors of professional identity and development. Drawing on constructivist and sociocultural perspectives, the study findings indicated that the formation is influenced by relational, emotional and institutional influences, and that family support, mentoring, and career goals alleviate pressures such as workload, publication demands, and financial instability. The findings highlight identity as both a product and a driving force for professional development, extending sociocultural theories by visualizing hidden dimensions of teachers’ networks. Methodologically, this study demonstrates the value of visual-relational tools in capturing complexity beyond interviews or surveys. The results suggest that, in practice, teacher education and policy must integrate structured mentorship, peer reflection, and recognition of emotional work in order to maintain professional growth. Full article

The TV series Architecture School depicts entanglements between design (education), urban development, and the complexities of everyday life through its presentation of students in a program of “public-interest” design–build education (wherein students plan and construct homes for low-income families in post-Hurricane Katrina New Orleans). The series offers a nuanced presentation of the situated difficulties of critical design thinking in the context of creating contemporary homes: starting from the initial stages of sketching and model making, through construction, and finally to managing the occupation of the homes by persons who are typically underserved by contemporary architecture. We provide an analysis of the series through outlining how the show presents its participants (student designer-builders, non-profit housing administrators, potential homeowners). We focus on discussing instances of talk on the TV series to illustrate some of the specific concerns and contexts of these participants. Our aim is to explore Architecture School as a relevant case study in designing and building that reflects a dilemma underpinning much contemporary, urban, and public-interest design: how can socially and economically marginalized individuals acquire innovative, well-designed homes when structural conditions of government policies, financial protocols, and administrative complexity offer sustained constraint? We detail how the series depicts the students, administrators, and potential occupants to consider how stereotypes of architects, bureaucrats, and the working poor are reinforced or challenged. Accordingly, we argue that Architecture School is a cultural text that remains timely and important today for its presentation and critique of both the inside world of design’s aims to design and build for others and also the outside-world challenges that limit design’s capacities to create inclusive and equitable material conditions. Full article

Unsafe behavior continues to be one of the leading causes of injuries and fatalities in the construction sector, despite the implementation of extensive safety programs and training. This enduring challenge suggests that deeper psychological and family-related factors influencing workers’ behavior remain underexplored. Grounded in Spillover Theory and the Conservation of Resources (COR) Theory, this study investigates how family–work balance influences unsafe behavior among new-generation construction workers in Turkey, while examining the mediating role of hardiness and the moderating effect of mastery climate. Using a cross-sectional survey design with data collected from 692 construction workers across major Turkish cities, the study employs the Hayes PROCESS macro to test direct, indirect, and conditional effects. The findings reveal that family–work balance and hardiness both negatively predict unsafe behavior, while family–work balance positively relates to hardiness. Moreover, hardiness partially mediates the link between family–work balance and unsafe behavior, accounting for approximately two-thirds of the total effect. Additionally, a mastery climate strengthens these negative associations, demonstrating that supportive and learning-oriented environments amplify the safety-enhancing effects of both family–work balance and hardiness. These results extend the theoretical understanding of how personal and contextual resources interact to influence safety outcomes, offering actionable insights for construction firms to promote family-supportive policies, resilience-building initiatives, and mastery-oriented climates that jointly foster safer work practices. Full article

Compulsory education is a foundation for equitable development, yet many children in urban slums remain excluded. In Dhaka, Bangladesh, this exclusion challenges the assumption that cities naturally provide better educational opportunities. This study aimed to identify the social and economic factors influencing access to compulsory education among slum households. A mixed-methods design was applied using multistage sampling. Quantitative data were collected through surveys of 410 households across four large slums in Dhaka, and qualitative insights were drawn from 15 household interviews. Statistical tests, including Chi-square and one-way ANOVA, were used to examine associations between school dropout and socioeconomic variables. The results indicate that both social and economic conditions affect school dropout rates. Social influences include early marriage, child labor, drug use, low parental education, and household responsibilities that reduce time for schooling. Economic barriers include low family income, schooling costs, and dependence on child earnings. These constraints reduce the real opportunities children have to remain in school, which helps explain why exclusion continues despite compulsory education policies. Coordinated policy action is needed, including simplified school admission procedures, expanded mobile documentation services, and conditional stipends to offset incidental schooling costs. Adult literacy initiatives, stronger enforcement of child marriage and child labor laws, and practical training for school staff to work with slum communities are also important. These measures would support more consistent access to compulsory education for children living in Dhaka’s slums. Full article

Employment promotion and employment realization are the core and fundamental problems in the resettlement of land-expropriated farmers transferred to citizens. To solve this problem, it is necessary to clarify the key factors and mechanisms that affect the employment behavior of “farmers to citizens” workers. Taking the labor force from land-expropriated “farmers to citizens” in the construction of Beijing city sub-center as the research object, this paper utilizes Logistic ISM to determine the key factors affecting the employment behavior of the labor force when changing from rural to urban, as well as the internal logical relationship and hierarchical structure among the influencing factors. The results show that only 40% of the migrant workers in the sample have achieved employment, while 69% of the unemployed population have a willingness to work but are limited by age, skills, and family factors. The logistic regression model identifies that the employment behavior of land-expropriated farmers is significantly affected by 10 factors, including gender, age, work experience, hobbies, employment demand, expenditure change, employment difficulty cognition, government training, policy satisfaction and social security. Among them, ISM further reveals that these factors form a three-level hierarchical mechanism of “structure–cognition–behavior”; gender, social security and policy satisfaction are the deep-root factors, and the intermediate factors, such as hobbies and government training, affect employment demand, employment difficulty cognition and other surface factors, and ultimately affect the employment behavior of land-expropriated “farmers to citizens”. Based on this, it is proposed to start from four aspects: differentiated employment guidance, policy transmission optimization, service efficiency improvement, and industrial driving, to systematically promote the realization of more comprehensive and stable employment for the rural-to-residential population, and provide institutional guarantees and practical paths for their sustainable livelihoods. Full article

This study investigates the key factors that influence marriage decision among Chinese youth using machine learning techniques. Using data from the China Family Panel Studies (2018–2020), we extracted 1700 samples and filtered 26 significant variables. Seven machine learning algorithms were evaluated, with CatBoost emerging as the most effective. SHAP (SHapley Additive exPlanations) analysis revealed that work-related variables were the most strongly associated with predictions, accounting for 30% of the predictive power, followed by other factors such as demographic and education. Notably, we found that commute time and working hours exceeding 50 min/hours were negatively associated with marriage likelihood, while job satisfactions showed a non-linear relationship with marriage decision. The findings highlight the determinant of work–life balance in marriage decision and the complexity and nonlinear relationship in social decision-making. The objective of this study is to provide scientific data support for policy makers in an era of declining marriage rates in China. This study not only reveals the key factors affecting marriage decision but also provides critical evidence-based support for policymakers to prioritize resource allocation and formulate targeted policies amid declining marriage rates in China. Full article

Background/Objectives: Physician burnout and mental health issues are widespread, with over 50% experiencing burnout and nearly 25% suffering from depression, trends that have worsened since 2018. High-demand specialties like urology face additional stressors, including increasing workloads and technological changes. Gender disparities further exacerbate these challenges, with female urologists reporting higher burnout and work–life balance struggles. To evaluate perceptions of work–life balance, career satisfaction, and workplace experiences among urologists worldwide, and to provide potential strategies to improve physician well-being, promote gender equity, and support the sustainability of urology. Methods: A web-based, cross-sectional survey was conducted from March to June 2025, involving urologists, residents, and fellows globally. The 30-item questionnaire covered demographics, working conditions, work–life balance, and gender-related workplace issues. Data were analyzed using descriptive statistics stratified by gender, age, role, and region. Results: We received replies from 390 doctors in urology. Work-related stress was reported by 87.4% (340). A total of 17.7% (69) felt their career progression to be fully compatible with their personal life, while 42.3% (165) perceived a significant imbalance. Female urologists experienced higher perceptions of inequality in career and work–life opportunities. Over 50% expressed willingness to reduce workload for family reasons, highlighting systemic barriers. Burnout was most prevalent among younger urologists (<50 years), with persistent gender disparities across regions. Conclusions: Work–life imbalance and burnout remain major concerns for urologists globally, especially among female and early-career physicians. Addressing these issues requires institutional policies promoting flexibility, gender equity, and targeted support. Further research is needed to develop effective interventions to sustain a resilient urological workforce. Full article

Background/Objectives: Despite extensive research on the outcomes faced by parents in contexts of political violence, as well as the protective factors that enhance their well-being, the experiences of single parents by choice (SPCs) in such circumstances have largely been neglected. This study sought to address this gap by examining the experiences of SPCs during the current phase of the Israel–Hamas war that began on 7 October 2023. Method: This qualitative study used a context-informed approach. Semi-structured interviews were conducted with 11 Israeli SPCs (5 fathers and 6 mothers), including 2 displaced due to the destruction of their homes. All participants were secular Jews, predominantly middle- to upper-middle-class, aged 40–58, and had at least one child aged 15 months to 17 years. A thematic analysis method was utilized. Results: Two overarching themes emerged from the interviews, shaping participants’ wartime experiences: (1) the intensified challenges associated with parenting alone in the context of armed conflict and (2) the factors that mediated the impact of these challenges. Three key challenges identified by participants included: (1) persistent perceptions of danger and threat to life; (2) heightened financial insecurity; and (3) significant disruptions to daily routines. Three systemic-level protective factors were identified as instrumental in mitigating these challenges: (1) engagement in joint familial activities; (2) the presence of a supportive work environment; and (3) social and political engagement. These factors appeared to foster resilience and enhance participants’ psychological coping capacities amidst ongoing conflict. Conclusions: By highlighting the distinct stressors faced by SPCs in wartime and the factors mediating their impact on well-being, our findings extend the Stress Process Model to conflict settings, enhancing understanding of how single parenting is contextually shaped during major community crises. The findings may encourage clinicians and social workers to adopt a more nuanced approach when working with parents in conflict zones, enabling them to tailor interventions to the specific needs of different family structures. For SPCs, such interventions may include tele-counseling to provide psychosocial support and guidance for parents in supporting their children, without the need for childcare or travel, as well as advocacy for workplace policies that reduce financial and emotional vulnerabilities. Full article

Adverse childhood experiences (ACEs) are negative but preventable experiences within family and social environments. Originally focused on abuse and household dysfunction, ACE indicators now include many social factors, such as social determinants of health and racism. Disabled Children and Youth (DCY) are particularly vulnerable to ACEs, whereby different body/mind characteristics and lived realities influence ACE exposures and their impacts differently. Racism is recognized as an ACE and as a risk factor that increases ACE exposures and worsens outcomes. Ableism, the negative judgments of body/mind differences, and disablism, the systemic discrimination based on such judgments, are often experienced by DCY with the same three linkages to ACEs as racism. The objective of this scoping review was to analyze how the ACE academic literature covers DCY and their experiences of ableism and disablism using keyword frequency and thematic analysis approaches. Only 35 sources (0.11%) analyzed DCY as survivors of ACEs. We found limited to no engagement with ableism, disablism, intersectionality, the Global South, family members and other DCY allies experiencing ACEs, and ACEs caused by the social environment, as well as few linkages to social and policy discourses that aim to make the social environment better. More theoretical and empirical work is needed. Full article

Background/Objective: This review explored the literature on Missed Nursing Care (MNC) in inpatient oncology settings to gain insights on how to enhance the quality of nursing care for hospitalized patients with cancer and survivors. The aim was to identify the common MNC and the factors associated with MNC in inpatient oncology units. Methods: A scoping review approach was used, in which a five-stage methodological framework informed the process. Five databases were searched for relevant studies (EMBASE, Medline, SCOPUS, CINAHL, and PsycINFO) published from January 2013 to June 2025. Other search methods were conducted using Google Scholar, Trove, and ProQuest Dissertations for records focusing on the topic. The review included qualitative and quantitative articles. Thomas and Harden’s three-step method for thematic synthesis was followed to summarize data into themes. Results: Fifteen studies were selected and included in the scoping review. Three themes were generated: the commonly MNC; reasons for MNC; and factors associated with MNC. The common categories of MNC were related to basic patient care, documentation, and communication with patients or family members. The common factors associated with MNC were job satisfaction, patient load, and staffing adequacy. Conclusions: MNC is common in inpatient oncology settings and presents a key challenge to the safety of cancer patients and their health outcomes. Efforts to curtail MNC, such as integration of evidence-based policies, clinical guidelines, and standards in oncology nursing care, are needed. Interventional studies are needed to provide insight into effective remedies to the factors that fuel MNC, such as staffing, work overload, communication, work environment, and nurses’ skills. Studies from pediatric oncology settings, Africa, and other resource-limited settings where the future global burden of cancer will be highest are also needed. Full article