Search Results

Keywords: Photovoice, Transition vers l'âge adulte, Parent atteint d'un trouble mental, Défis, Facteurs de protection

Purpose: Rural emergency department healthcare professionals are well-positioned to serve as a resource to domestic violence victims but may lack the necessary training to effectively screen for and respond to domestic violence victims. A novel, low fidelity simulation-based education provided an opportunity to increase healthcare professionals’ readiness to screen for domestic violence. Methods: We facilitated 14 simulations with 181 participants at eight rural sites between September 2022 and June 2023. A multi-method program evaluation was used to assess the impact of the simulation-based education on participants' readiness to screen for domestic violence and their clinical practice. Participants of the simulation were invited to complete a pre and post-simulation survey regarding their experience and perceptions related to screening for domestic violence. Participants were invited to participate in follow-up semi-structured interviews to discuss how simulation-based education has influenced their practice three to nine months following the simulation. Results: Prior to the simulation-based education participants reported several barriers to screening for domestic violence and a lack of training. Following simulation-based education, a statistically significant increase in readiness to screen for domestic violence was observed, t (102) = 19.43, p <.001, d = 1.91 between the pre- and post-simulation survey scores (n = 103). Through semi-structured interviews (n = 6), two themes were identified: (a) influence on education and (b) the power of simulation-based education. Conclusions: Simulation-based education is an effective education modality to enhance healthcare professionals’ readiness to screen patients for domestic violence and may positively influence their practice through increased awareness and more consistent screening.

Keywords: emergency nurse, personnel infirmier d’urgence, violence familiale, Domestic Violence, rural, rural, simulation, simulation, training, formation

Keywords: Women’s History, Napoleonic empire, maternity, welfare state, storia sociale, storia moderna, età napoleonica

Criminal recidivism among adolescents who have a history of sexual offending (ASO) represents a contentious subject. Recent studies suggest that their rates of sexual recidivism are in decline, which contrasts with the perception of the public, policymakers, and professionals in terms of the risk this population present. This raises questions regarding the response from the juvenile justice system, which tends to rely on the assumption that all ASO are at risk to become adult sexual offenders. The current study consists of a meta-analysis aiming at determining rates of general and sexual recidivism of ASO while using data from international studies between 1940 and 2019 (k = 158). Results show that the risk of general recidivism has been declining in recent years, whereas the risk of sexual recidivism has remained low since the onset of this line of research. These observations suggest that using community protection strategies developed for adults to intervene with ASO is not appropriate. Not only sexual recidivism among ASO represents a rare phenomenon, these strategies are also not adapted to meet the general criminogenic needs of this population of adolescents.

Keywords: adolescence, adolescence, meta-analysis, recherche longitudinale, méta-analyse, longitudinal research, délinquance sexuelle, recidivism, récidive, sexual offending

Introduction: With the COVID-19 pandemic, most continuing medical education activities became virtual (VCME). The authors conducted a scoping review to synthesize the advantages and disadvantages of VCME to establish the impact of this approach on inequities that physicians face along the intersections of gender, race, and location of practice. Methods: Guided by the methodological framework of Arksey and O’Malley, the search included six databases and was limited to studies published between January 1991 to April 2021. Eligible studies included those related to accredited/non-accredited post-certification medical education, conferences, or meetings in a virtual setting focused on physicians. Numeric and inductive thematic analyses were performed. Results: 282 studies were included in the review. Salient advantages identified were convenience, favourable learning formats, collaboration opportunities, effectiveness at improving knowledge and clinical practices, and cost-effectiveness. Prominent disadvantages included technological barriers, poor design, cost, lack of sufficient technological skill, and time. Analysis of the studies showed that VCME was most common in the general/family practice specialty, in suburban settings, and held by countries in the Global North. A minority of studies reported on gender (35%) and race (4%). Discussion: Most studies report advantages of VCME, but disadvantages and barriers exist that are contextual to the location of practice and medical subspecialty. VCME events are largely organized by Global North countries with suboptimized accessibility for Global South attendees. A lack of reported data on gender and race reveals a limited understanding of how VCME affects vulnerable populations, prompting potential future considerations as it evolves.