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The purpose of this paper is to outline qualitative research into what influences, maintains and reduces prolific self-harm within women’s prisons across England.

Semi-structured interviews were conducted with participants who were identified as engaging in prolific self-harm. Thematic analysis was applied to two data sets, and analyses were combined to generate final themes.

Six overarching themes were identified which served to explain what influences the repetitive nature of prolific self-harm and also what helps to reduce it. The themes were reasons for self-harm, trauma, being in prison, support, other support and interventions: management and rehabilitative.

Owing to the sensitive nature of the research a stringent exclusion criteria was applied which limited the data sample from the original pool. Variance in detail was observed from the interviewer transcripts. The data sample was not large enough to examine the influence of protected characteristics.

Responsivity in the support offered by staff is critical to a reduction in repetitive harm. A re-focus on staff training, plus support mechanisms for staff supporting people in women’s prisons who self-harm prolifically has been recommended.

This paper has focussed specifically on prolific self-harm within women’s prisons. This has not been an area that has been investigated separately to the general self-harm literature in prisons. This paper provides insight into factors which influence, maintain and reduce prolific-self harm in women residing in prison.

This study aims to provide a better understanding of Native American women veterans’ experiences with Veteran Administration and Indian Health Services. Eighteen interviews were conducted with special attention to the quality and quantity of health and mental health care services veterans accessed, the barriers and local contextual factors in accessing and utilizing services, and potential solutions to service gaps for women veterans from two Montana reservations, the Northern Cheyenne Reservation and the Confederated Salish and Kootenai Tribes of the Flathead Reservation.

We examine the barriers and needs of Native American veterans in both reservations using qualitative methods. The research analyzed 18 interviews with women veterans from the Northern Cheyenne and Flathead reservations.

Native American women veterans identified a number of barriers to accessing care, some of which include lack of information regarding eligibility and the types of services available. Women often found the application process to be confusing and difficult. Other barriers included distance, cost of travel, and conflicts with their work schedule.

This exploratory case study served to clarify the challenges and obstacles Native American women veterans experience with accessing health and mental health services. This research revealed several patterns and themes in the experience of Native American women veterans in both reservation communities when attempting to access and seek care at Veterans Administration (VA) facilities and Indian Health Services (IHS). This research calls for policy changes and research to clarify how resources can be more efficiently and effectively distributed to rural veterans.

Little research has addressed the needs of Native American veterans. American Indians and Alaska Natives serve at a higher rate in the U.S. military than any other population. This research provides important information about Native American veterans who are often underrepresented in survey research, yet a rapidly growing segment of the United States military and veteran population.

The purpose of this study is to examine how student agency influences career decision-making for doctoral students in biological sciences. The authors address the following questions: How do biological science graduate students navigate career indecision? And how does agency relate to their experiences with career indecision?

The authors analyzed interview data collected from 84 PhD biology graduate students. Researchers used a grounded theory approach. After open codes were developed and data were coded, code reports were generated, which were used to determine themes.

More than half of the sample had not committed to a career path, and undecided students were bifurcated into two categories: Uncommitted and Uncertain. Uncommitted graduate students demonstrated agency in their approach and were focused on exploration and development. Uncertain students demonstrated less agency, were more fearful and perceived less control and clarity about their options and strategies to pursue career goals.

Findings suggest some forms of indecision can be productive and offer institutional leaders guidance for increasing the efficacy of career development and exploration programming.

Research on doctoral student career decision-making is often quantitative and rarely explores the role of agency. This qualitative study focuses on the relationship between student agency and career indecision, which is an understudied aspect of career development.

In May 2020, Kenya declared Gender-Based Violence (GBV) a health emergency amid the COVID-19 pandemic. Domestic and intimate partner violence typically rises during crises, regardless of economic status (Spangaro et al., 2021). Before COVID-19, around 45% of women and girls in Kenya had experienced violence (Musembi et al., 2022). Although Kenya’s constitution has addressed GBV since 2010 and gender equity initiatives have been promoted, the pandemic exacerbated GBV, particularly in rural areas, due to lockdowns and movement restrictions. This study examines the lessons learned from Kenya’s COVID-19 response and proposes policies and processes that integrate ethical leadership to effectively combat GBV and advance gender equity.

This exploratory phenomenology study involved conducting semi-structured interviews with pregnant women, mothers, policymakers and government representatives.

The qualitative narratives reveal several critical issues and areas for improvement in addressing gender-based violence (GBV) and related challenges during the COVID-19 pandemic in Kenya. Both policymakers and pregnant women highlighted a lack of effective leadership, public policy and application of gender equity principles, with deeply ingrained patriarchal norms hindering progress.

This study aims to improve responses to GBV during crises and promote gender equity through ethical leadership. By examining the impacts of COVID-19 on GBV and assessing the influence of intersectoral factors like employment, healthcare and financial aid, it seeks to provide actionable insights for effective interventions. The findings can inform strategies to prevent and address GBV in crises while ensuring inclusivity and justice. This aligns with international initiatives like the UN’s Sustainable Development Goals and the “Leave No One Behind” agenda, fostering more resilient and equitable communities.

F/A‐18 Hornet Strike Fighters have accumulated more than 9,000 flight hours and since November have demonstrated reliability and maintainability two to three times better than the F‐4 and A‐7, the aircraft the Hornet replaces, it was announced recently by McDonnell Douglas Corporation.

This paper critiques how the member states adopted the United Nations (UN) Sustainable Development Goals (SDGs) in a concerted effort to improve the lives and meet the basic needs of all global citizens. COVID-19 has been an unexpected precipitous monitoring system that has exposed the current implemented policies and systems, begging the question, “are these goals failing?” Furthermore, may it be equated to failed leadership on a global scale? The UN 17 SDGs is an urgent call for union by all countries – developed and developing – recognizes that ending poverty and other deprivations must go hand-in-hand with strategies that improve health and education, reduce inequality and spur economic growth. This paper is central to addressing the shortcomings of UN leadership and multilateral organizations. The UN coordinates multilateral organizations' actions in reaching the most marginalized communities (United Nations, 2015). Hence, these outcomes have become more distant to those without means and most in need, a likely consequence of program failure and our globalized world. The pandemic has taught us national solutions to global problems fall short and may only exacerbate the outcome. The authors approach this as a failure of global leadership. The UN's pledge to “Leave No One Behind” has undermined its commitment to poverty and inequalities of racism and sectarianism. The UN staff are often unprepared to deal with the issues they have contributed to. They continue to perpetuate the inequalities that stem from racism and discrimination even though the pledge is to leave no one behind. The 17 SDGs are designed to impact citizens' health and livelihood. The goals have direct and indirect effects on women, children and the most marginalized groups residing in urban cities across the globe. This article examines systemic racism and the UN and its impact on the SDGs’ agenda.

This article proposes a human-centered approach to address leadership inadequacies in a global public leadership institution using a literature review and contemporary cases.

This article argues a premise for the UN institutions to adapt their leadership approaches to better understand the global communities with whom they serve.

This article is directed to multi-lateral leaders and governments in hopes to expose inequities and hypocrisies in order to advance more inclusive and culturally responsive approaches to tackle the most challenging social issues the world faces.

This article draws on current events of racism that challenge one of the largest global institutions and can potentially undermine the achievement of meeting the 2030 UN SDGs for any country.

Strengths-based coaching has emerged in past decades as an asset-based approach that can help individuals identify, harness, and leverage their strengths to achieve professional and personal goals. This paper shares the design and outcomes of a year-long strengths-based coaching program to support leadership development within the context of one university’s women’s leadership initiative.

Program outcomes and changes in participants’ perceived confidence in identifying and applying their strengths in different contexts were evaluated through an online survey using a Likert-based REDCap survey tool after participation in the program. Findings strongly suggest that most participants lacked the self-confidence and/or self-awareness to recognize their own strengths in a granular way prior to the program. Themes that emerged in the survey findings point to the following program outcomes: participants gained an increased ability to identify and value one’s own leadership strengths, an increased ability to recognize and value the strengths of others, and a supportive community of women leaders to share experiences and reflect on the application of their strengths as part of their leadership journey.

Further studies are needed to understand and measure how a program such as this can impact one’s leader identity, self-awareness, and self-confidence. Given the critical need for women’s leadership opportunities, this program shows promise as a means to strengthen women’s leadership across career stages and disciplines.

It is used on more daily scheduled flights than any other propeller driven aircraft and is exceeded by only the Boeing 727, 737 and DC‐9. In continuous production since 1966, this aircraft has amassed more than seven million flying hours and its order book has now exceeded 800 units.

Due to the projected increase in the older adult population, occupational therapy providers will have an increasing role in supporting health outcomes for older adults in the coming years. The purpose of this systematic review was to determine the effectiveness of occupational interventions to promote home safety in older adults.

This systematic review followed the Preferred Reporting Items of Systematic reviews (PRISMA) guidelines. Articles were double screened by separate researchers, then exported and managed in EndNote. The Risk of Bias Table determined certainty of evidence for themes.

Three main preliminary themes were identified from the 17 included articles. Themes include multimodal interventions (n= 6), exercise interventions (n= 9) and home modifications (n = 2). None of the articles explicitly defined home safety, but distal outcomes related to safety included: increased strength, balance improvement and functional mobility.

Importantly, an absent consensus for a definition of home safety limits the results of this systematic review while at the same time providing opportunity for future research.

Exercise combined with nutrition provided the strongest intervention evidence for physical functionality. Additionally, home modifications alone may be insufficient to result in improved home safety.

An occupational therapy’s (OT) holistic approach benefits older adults through evidenced-based interventions improving home safety, independence in functional tasks and overall quality of life.

Findings provide clinicians with information on the effectiveness of interventions within the scope of OT that can be implemented within the home to promote home safety.