Lesbian, gay, bisexual, transgender, and queer (LGBTQ) identified patients report receiving subst... more Lesbian, gay, bisexual, transgender, and queer (LGBTQ) identified patients report receiving substandard care from healthcare providers. They face the fear and disturbing reality of discrimination when accessing health care. Without culturally sensitive treatment, nursing and other health professions do not properly care for this population. Following the recent trend towards awareness and need for inclusion of LGBTQ populations in healthcare, this paper provides a summary of the current literature on the treatment and needs of LGBTQ people and describes focus groups conducted to explore perceptions regarding provider behaviors. It concludes with a list of behaviors that enhance or impede quality care that can serve as a guide for healthcare professionals.
Keywords: LGBTQ health care, minorities, health care disparities, cultural competency, nursing
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc, Jan 11, 2015
... 20096. Borg, M., Maunder, R., Jiang, X., Walsh, E., Fry, H. and Di Napoli, R. 2009. “Internat... more ... 20096. Borg, M., Maunder, R., Jiang, X., Walsh, E., Fry, H. and Di Napoli, R. 2009. “International students and academic acculturation: The role of relationships in the doctoral process”. ... (Redfield,Linton, and Herskovits 193624. Redfield, R., Linton, R. and Herskovits, M. 1936. ...
... a * , Elaine Walsh b , Alan Richardson c & Bernard Morley d Available onl... more ... a * , Elaine Walsh b , Alan Richardson c & Bernard Morley d Available online: 05 May 2011. ... View all references; Levine et al. 198828. Levine, MN, Guyatt, GH, Gent, M., De Pauw, S., Goodyear, MD, Hryniuk, WM, Arnold, A., Findlay, B., Skillings, JR and Bramwell, VH 1988. ...
To date few reports have provided direct comparison of psychosocial vulnerability and resources a... more To date few reports have provided direct comparison of psychosocial vulnerability and resources among youth with victimization and perpetration histories. Within a racially diverse, high-risk adolescent sample (n = 849), this study undertakes MANCOVA tests on a multidimensional set of risk and protective factors contrasting youth with histories of (1) neither violent victimization nor perpetration, (2) victimization only, (3) perpetration
Abstract Creativity is necessary for doctoral students to gain their degrees and for postdoctoral... more Abstract Creativity is necessary for doctoral students to gain their degrees and for postdoctoral researchers to distinguish themselves. It is, however, a contested conceptwhich is troubling given its current prominence within dominant discourses in higher ...
This study extends prior examination of adolescent violence etiology, drawing on an ethnically di... more This study extends prior examination of adolescent violence etiology, drawing on an ethnically diverse, community accessed, yet emotionally vulnerable sample (N = 849) of adolescents at-risk for school drop-out. A balanced risk and protective factor framework captured theorized dimensions of strain, coping, and support resources. We tested the combined and unique contribution of risk and protective components spanning individual, peer/school, and family predictor domains, including victimization histories. Hierarchical regressions yielded significant overall explanation of violent behaviors as well as unique predictors within each of the three domains. Tests for sex differences and moderating effects suggested that levels of risk and protective factors differed for males and females, although the functional relationships to violence were the same for both sexes. Results are discussed relative to prevention and early intervention programs; particularly the importance of understanding adolescent violent behaviors within a context that addresses stress and distress.
Journal of Child and Adolescent Psychiatric Nursing, 1994
Seclusion represents an extreme form of intervention commonly used by the psychiatric nurse to pr... more Seclusion represents an extreme form of intervention commonly used by the psychiatric nurse to provide containment and safety. This intervention is controversial, severely limits patient's freedom, and evoks significant responses from both patients and healthcare professionals. No convincing evidence has been found to support the use of this extreme and controversial intervention with children.
Journal of Child and Adolescent Psychiatric Nursing, 1995
Secl ii s ion and yes t ra in t a re con t roversia I, restrictive interventions employed by psyc... more Secl ii s ion and yes t ra in t a re con t roversia I, restrictive interventions employed by psychiatric nurses in response to patient violence. Wzile these interzmtions are used widely, relatively little is known about them. There is little support in the literature for the efficacy of seclusion and restraint. Although i f seems impractical to suggest that seclirsion and restraint be eliminated, many questions about these processes are unanswered. Nurses are in an ideal position to conduct studies related to patients' behavior and the use of seclusion and restraint. This article presents a review of the literature related to seclusion and restraint and suggests areas for future research.
Journal of Child and Adolescent Psychiatric Nursing, 2009
If and how family support and self-esteem might interact to protect against adolescent suicide ri... more If and how family support and self-esteem might interact to protect against adolescent suicide risk is not well understood. Hierarchical multiple regression was used to examine the moderating effect of family support on the relationship between self-esteem and suicide risk behaviors among potential high school dropouts (N = 849), using questionnaires and in-depth assessment interviews. Family support moderated the impact of self-esteem on suicide risk; the ameliorating effect of self-esteem was stronger among adolescents with low versus high family support. Self-esteem influences adolescent suicide risk behaviors for youth with low as well as high family support. Interventions designed to strengthen both self-esteem and support resources are appropriate.
International Journal of Mental Health Nursing, 2007
Youth who experience difficulty in school are at risk for suicide, yet there is little published ... more Youth who experience difficulty in school are at risk for suicide, yet there is little published information specific to risk and protective factors among this group. The purpose of this study was to conduct an in-depth examination of risk and protective factors associated with suicidal behaviour among youth who were experiencing problems in school and to compare these factors between suicide risk and non-suicide risk subgroups. Participants were 730 high school students in the Northwest and Southwest regions of the United States, aged 14-21 years. All participants were known to be experiencing difficulty with grades and/or attendance. Students completed a paper-and-pencil questionnaire and a one-on-one interview, which assessed suicidal behaviours as well as risk factors (e.g. drug involvement, emotional distress, stress), and protective factors (e.g. self-esteem, coping, support). Analysis of covariance tests, controlling for age and sex, were conducted to examine differences between the suicide risk and non-suicide risk groups on each risk and protective factor. The suicide risk subgroup reported higher levels of all risk factors, except alcohol and marijuana use, and lower levels of protective factors. While the groups did not differ on frequency of alcohol or marijuana use, they did differ on other illicit drug use and consequences of alcohol and other illicit drug use. Recommendations for nurses practising in school settings are discussed.
Suicide is a leading cause of death for adolescents. A number of problem behaviors associated wit... more Suicide is a leading cause of death for adolescents. A number of problem behaviors associated with youth suicide fall into the purview of law enforcement personnel, and they are therefore in a position to detect risk and prevent suicidal behaviors. Eight hundred one youth identified as having school difficulty, a group at increased risk for both suicide and legal problems, participated in a paper and pencil survey followed by an interview focusing on suicide risk and protective factors. Linear regression was used to examine the ability of factors within each risk and protective factor dimension to predict current suicide risk. The study goal was to determine the most relevant factors influencing suicide risk in each domain examined. Findings are discussed in terms of implications for assessment and policy for law enforcement personnel.
This study adapted a U.S. drug use prevention program for use with Russian at-risk adolescents, a... more This study adapted a U.S. drug use prevention program for use with Russian at-risk adolescents, and explored directions for further development of programs addressing prevention of substance abuse and other health risk behaviors including risk of HIV infection.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) identified patients report receiving subst... more Lesbian, gay, bisexual, transgender, and queer (LGBTQ) identified patients report receiving substandard care from healthcare providers. They face the fear and disturbing reality of discrimination when accessing health care. Without culturally sensitive treatment, nursing and other health professions do not properly care for this population. Following the recent trend towards awareness and need for inclusion of LGBTQ populations in healthcare, this paper provides a summary of the current literature on the treatment and needs of LGBTQ people and describes focus groups conducted to explore perceptions regarding provider behaviors. It concludes with a list of behaviors that enhance or impede quality care that can serve as a guide for healthcare professionals.
Keywords: LGBTQ health care, minorities, health care disparities, cultural competency, nursing
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc, Jan 11, 2015
... 20096. Borg, M., Maunder, R., Jiang, X., Walsh, E., Fry, H. and Di Napoli, R. 2009. “Internat... more ... 20096. Borg, M., Maunder, R., Jiang, X., Walsh, E., Fry, H. and Di Napoli, R. 2009. “International students and academic acculturation: The role of relationships in the doctoral process”. ... (Redfield,Linton, and Herskovits 193624. Redfield, R., Linton, R. and Herskovits, M. 1936. ...
... a * , Elaine Walsh b , Alan Richardson c & Bernard Morley d Available onl... more ... a * , Elaine Walsh b , Alan Richardson c & Bernard Morley d Available online: 05 May 2011. ... View all references; Levine et al. 198828. Levine, MN, Guyatt, GH, Gent, M., De Pauw, S., Goodyear, MD, Hryniuk, WM, Arnold, A., Findlay, B., Skillings, JR and Bramwell, VH 1988. ...
To date few reports have provided direct comparison of psychosocial vulnerability and resources a... more To date few reports have provided direct comparison of psychosocial vulnerability and resources among youth with victimization and perpetration histories. Within a racially diverse, high-risk adolescent sample (n = 849), this study undertakes MANCOVA tests on a multidimensional set of risk and protective factors contrasting youth with histories of (1) neither violent victimization nor perpetration, (2) victimization only, (3) perpetration
Abstract Creativity is necessary for doctoral students to gain their degrees and for postdoctoral... more Abstract Creativity is necessary for doctoral students to gain their degrees and for postdoctoral researchers to distinguish themselves. It is, however, a contested conceptwhich is troubling given its current prominence within dominant discourses in higher ...
This study extends prior examination of adolescent violence etiology, drawing on an ethnically di... more This study extends prior examination of adolescent violence etiology, drawing on an ethnically diverse, community accessed, yet emotionally vulnerable sample (N = 849) of adolescents at-risk for school drop-out. A balanced risk and protective factor framework captured theorized dimensions of strain, coping, and support resources. We tested the combined and unique contribution of risk and protective components spanning individual, peer/school, and family predictor domains, including victimization histories. Hierarchical regressions yielded significant overall explanation of violent behaviors as well as unique predictors within each of the three domains. Tests for sex differences and moderating effects suggested that levels of risk and protective factors differed for males and females, although the functional relationships to violence were the same for both sexes. Results are discussed relative to prevention and early intervention programs; particularly the importance of understanding adolescent violent behaviors within a context that addresses stress and distress.
Journal of Child and Adolescent Psychiatric Nursing, 1994
Seclusion represents an extreme form of intervention commonly used by the psychiatric nurse to pr... more Seclusion represents an extreme form of intervention commonly used by the psychiatric nurse to provide containment and safety. This intervention is controversial, severely limits patient's freedom, and evoks significant responses from both patients and healthcare professionals. No convincing evidence has been found to support the use of this extreme and controversial intervention with children.
Journal of Child and Adolescent Psychiatric Nursing, 1995
Secl ii s ion and yes t ra in t a re con t roversia I, restrictive interventions employed by psyc... more Secl ii s ion and yes t ra in t a re con t roversia I, restrictive interventions employed by psychiatric nurses in response to patient violence. Wzile these interzmtions are used widely, relatively little is known about them. There is little support in the literature for the efficacy of seclusion and restraint. Although i f seems impractical to suggest that seclirsion and restraint be eliminated, many questions about these processes are unanswered. Nurses are in an ideal position to conduct studies related to patients' behavior and the use of seclusion and restraint. This article presents a review of the literature related to seclusion and restraint and suggests areas for future research.
Journal of Child and Adolescent Psychiatric Nursing, 2009
If and how family support and self-esteem might interact to protect against adolescent suicide ri... more If and how family support and self-esteem might interact to protect against adolescent suicide risk is not well understood. Hierarchical multiple regression was used to examine the moderating effect of family support on the relationship between self-esteem and suicide risk behaviors among potential high school dropouts (N = 849), using questionnaires and in-depth assessment interviews. Family support moderated the impact of self-esteem on suicide risk; the ameliorating effect of self-esteem was stronger among adolescents with low versus high family support. Self-esteem influences adolescent suicide risk behaviors for youth with low as well as high family support. Interventions designed to strengthen both self-esteem and support resources are appropriate.
International Journal of Mental Health Nursing, 2007
Youth who experience difficulty in school are at risk for suicide, yet there is little published ... more Youth who experience difficulty in school are at risk for suicide, yet there is little published information specific to risk and protective factors among this group. The purpose of this study was to conduct an in-depth examination of risk and protective factors associated with suicidal behaviour among youth who were experiencing problems in school and to compare these factors between suicide risk and non-suicide risk subgroups. Participants were 730 high school students in the Northwest and Southwest regions of the United States, aged 14-21 years. All participants were known to be experiencing difficulty with grades and/or attendance. Students completed a paper-and-pencil questionnaire and a one-on-one interview, which assessed suicidal behaviours as well as risk factors (e.g. drug involvement, emotional distress, stress), and protective factors (e.g. self-esteem, coping, support). Analysis of covariance tests, controlling for age and sex, were conducted to examine differences between the suicide risk and non-suicide risk groups on each risk and protective factor. The suicide risk subgroup reported higher levels of all risk factors, except alcohol and marijuana use, and lower levels of protective factors. While the groups did not differ on frequency of alcohol or marijuana use, they did differ on other illicit drug use and consequences of alcohol and other illicit drug use. Recommendations for nurses practising in school settings are discussed.
Suicide is a leading cause of death for adolescents. A number of problem behaviors associated wit... more Suicide is a leading cause of death for adolescents. A number of problem behaviors associated with youth suicide fall into the purview of law enforcement personnel, and they are therefore in a position to detect risk and prevent suicidal behaviors. Eight hundred one youth identified as having school difficulty, a group at increased risk for both suicide and legal problems, participated in a paper and pencil survey followed by an interview focusing on suicide risk and protective factors. Linear regression was used to examine the ability of factors within each risk and protective factor dimension to predict current suicide risk. The study goal was to determine the most relevant factors influencing suicide risk in each domain examined. Findings are discussed in terms of implications for assessment and policy for law enforcement personnel.
This study adapted a U.S. drug use prevention program for use with Russian at-risk adolescents, a... more This study adapted a U.S. drug use prevention program for use with Russian at-risk adolescents, and explored directions for further development of programs addressing prevention of substance abuse and other health risk behaviors including risk of HIV infection.
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articles by Elaine Walsh
Keywords: LGBTQ health care, minorities, health care disparities, cultural competency, nursing
Papers by Elaine Walsh
Keywords: LGBTQ health care, minorities, health care disparities, cultural competency, nursing