Cyberbullying prevention: Insight and recommendations from youths, parents, and paediatricians

An Exploration of Pediatricians' Professional Identities: A Q-Methodology Study

Professional identities may influence a wide range of attitudes, ethical standards, professional commitments and patient safety. This study aimed to explore the important elements that comprise pediatricians' professional identities. A Q-methodology was used to identify the similarities and differences in professional identity. Forty pediatricians were recruited from two tertiary referral hospitals in Taiwan. A list of statements was developed by five attending physicians and three residents. R software was used to analyze the Q-sorts to load the viewpoints and formulate the viewpoint arrays. Additional qualitative data-one-to-one personal interviews-were analyzed. Twenty-eight of forty pediatricians, 11 males and 17 females, with an average age of 39.9 (27-62) years, were associated with four viewpoints. We labeled the four viewpoints identified for professional identity as (1) professional recognition, (2) patient communication, (3) empathy and (4) insight. The professional recognition viewpoint comprised of youngest participants-28-36 years-with the majority as residents (77.8%), while the empathy viewpoint comprised the oldest participants-38-62 years-with all as attending physicians. All participants in the empathy and insight viewpoints were married. This study found professional identity to be a multifaceted concept for pediatricians, especially in the areas of professional recognition, patient communication, empathy and insight into patient care.

Adolescent and parent emotions and perceptions regarding news media stories about bullying: A qualitative study

News articles covering bullying have often focused on tragic situations. The purpose of this study was to understand adolescents' and parents' emotions and perceptions related to bullying news media coverage. Participants were recruited as adolescent-parent dyads from pediatric clinics. During qualitative interviews, participants read and commented on two news article excerpts: 1) a tragic 'fear-based' individual bullying news story; 2) a public health-oriented bullying news story. Qualitative analysis used the constant comparative approach. Our 50 participants included 25 adolescents with mean age 16.1 years (SD=0.97), 44% female and 72% Caucasian, and 25 parents with mean age 49.2 (SD=6.7) years, 80% female and 76% Caucasian. After reading the fear-based news excerpt, 19 adolescents (76%) and 18 parents (72%) responded that they felt negatively. For the public health-oriented excerpt, 12 adolescents (48%) and 20 parents (80%) felt positively. Further, over half of participants felt the news articles related to their lived experiences. Our data support that fear-based articles were associated with feeling sadness and hopelessness while public health-oriented news articles contributed to positive feelings and perceptions. This finding supports the potential of news media about bullying to serve as a venue for education or empowerment for families.

What Caregivers Want: Preferences for Behavioral Health Screening Implementation Procedures in Pediatric Primary Care

There has been a national push for universal psychosocial prevention screening in pediatric primary care. Implementation science highlights the importance of considering patients' perspectives when developing such procedures; however, minimal studies have examined this. The present study employed a mixed-methods design to examine caregivers of pediatric patients' (n = 149) preferences and comfort with psychosocial screening procedures. A subset of participants (n = 20) were interviewed to better understand reasons for responses. Results indicated that caregivers rated screening for physical health, development, emotion and behavior, caregiver adverse childhood experiences (ACEs), and child ACEs within primary care as important or very important. The majority of caregivers were not comfortable completing screenings in the waiting room and preferred the exam room. Caregivers primarily preferred the primary care provider to administer screenings and communicate results and recommendations. Parents also preferred the behavioral health provider to provide recommendations on emotion and behavior, parent ACEs, and child ACEs. Qualitative reasons for responses included relationship quality, knowledge of child, expertise, and desire for direct communication. Findings have implications for developing family-centered, trauma-informed practices within primary care, particularly among those within under-resourced rural communities.