Sacred space: a qualitative interpretive meta-synthesis of women's experiences of supportive birthing environments.

BACKGROUND: In the United States there are roughly three million births a year, ranging from cesarean to natural births. A major aspect of the birthing process is related to the healing environment, and how that helps or harms healing for the mother and child. Using the theoretical framework, Theory of Supportive Care Settings (TSCS), this study aimed to explore what is necessary to have a safe and sacred healing environment for mothers. METHOD: This study utilized an updated Qualitative Interpretive Meta-synthesis (QIMS) design called QIMS-DTT [deductive theory testing] to answer the research question, What are mother's experiences of environmental factors contributing to a supportive birthing environment within healthcare settings? RESULTS: Key terms were run through multiple databases, which resulted in 5,688 articles. After title and abstract screening, 43 were left for full-text, 12 were excluded, leaving 31 to be included in the final QIMS. Five main themes emerged from analysis: 1) Service in the environment, 2) Recognizing oneself within the birthing space, 3) Creating connections with support systems, 4) Being welcomed into the birthing space, and 5) Feeling safe within the birthing environment. CONCLUSIONS: Providing a warm and welcoming birth space is crucial for people who give birth to have positive experiences. Providing spaces where the person can feel safe and supported allows them to find empowerment in the situation where they have limited control.

Transportation Among Returning Citizens: "You Just Want to Stay Down and Get High".

The United States is releasing more individuals from prisons than ever before. However, returning citizens face numerous challenges transitioning back into community life and many communities remain ill-equipped in successfully supporting them. This study focuses on transportation as in integral component to the success of returning citizens. Rapid and rigorous qualitative data analysis (RADaR technique) is applied to interviews (n = 15) with individuals having returned to their community about the impact of transportation on their reentry. Analysis resulted in three primary themes; interviewees reinforced existing knowledge of the issues with transportation disadvantage, transportation is an extension of freedom, and transportation is directly connected to reentry success. These findings suggest a tiered structure of transportation freedom for returning citizens. This model of transportation will aid future researchers and policymakers in considering how to better resource returning citizens to maximize their success.

Bystander Intervention Programming with Faculty: Recommendations for Institutions of Higher Education.

While bystander intervention programs have been implemented to help prevent sexual violence on campus, little is known about the impact of these programs on faculty members. We examined faculty perspectives and motivations regarding participation in a faculty-focused bystander intervention program. We facilitated three faculty focus groups (N = 10) in 2017 at a southwestern university in the U.S. Faculty were recruited through their voluntary participation in a faculty bystander intervention program. We found that faculty gained a variety of new skills from their participation in this program including new vocabulary to facilitate sensitive conversations, increased awareness regarding best practices for intervention, and practical tools to apply when intervening. Study results also revealed strategies for implementing faculty-focused bystander intervention programs that will increase the likelihood that they will affect changes in bystander behavior at all levels of the university and promote cultures of non-violence at institutions of higher education.