Weaving Diversity, Equity, Inclusion, and Belonging for Organizational Sustainability.

Within the intricate tapestry of healthcare, the threads of diversity, equity, inclusion, and belonging (DEIB) are paramount. These elements enrich the fabric and strengthen its resilience, ensuring it stands the test of time. This article describes the origins of the American Organization for Nursing Leadership (AONL) DEIB Toolkit, its DEIB Guiding Principles, its significance in nursing leadership, and the broader implications for the evolution of nursing practice. AONL aims to transform healthcare throughout various levels of nursing practice, ensuring diverse, equitable, inclusive, and belonging-centric care environments.

Severe Postictal Hypoxemia-Associated Seizure in a 12-Year-Old Child.

ABSTRACT: A 9 year-old girl with developmental delay and seizure disorder presented for evaluation of witnessed breathing pauses during sleep that were not associated with snoring or gasping. Polysomnography showed a generalized seizure with post ictal central apnea associated with severe desaturation and a post central apnea brief seizure. This case report discusses the pathophysiology of post-ictal desaturations and breathing abnormalities during seizures and their possible association with sudden unexpected death in epilepsy. The case also demonstrates the utility of polysomnography for the diagnosis of breathing abnormalities associated with seizures.

Program Success of Mental Health Clients in Day Reporting Centers.

Day-reporting centers (DRCs) provide programming for probationers with a history of non-compliant behavior related to substance abuse, who are overrepresented among justice-involved men and women. While evaluations of DRCs demonstrate some effectiveness, results are mixed and less is known about predictors of program success. This evaluation compared indicators of program success between adult offenders with a substance use disorder (n = 144) and those with co-morbid mental illness (n = 113) at three DRCs. Analyses examined differences between and within groups on program completion, personal characteristics and subjective measures of well-being. Results indicated that program completers were more likely to be participants with substance use disorders only and to have a drug-related referring charge. No significant differences between groups on most measures of well-being were observed. Future investigations should consider tracking program dropouts to better understand program attrition and explore readiness to change in treatment programming.