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Previous studies indicate adherence to pre-operative antibiotic prophylaxis guidelines has been inadequate. The purpose of this paper is to determine adherence rates to current perioperative antibiotic prophylaxis guidelines in gynecologic surgery at a tertiary care, academic institution. As a secondary outcome, improving guidelines after physician re-education were analyzed.

A retrospective chart review (2,463 patients) was completed. The authors determined if patients received perioperative antibiotic prophylaxis in accordance with current guidelines from the America College of Obstetricians and Gynecologists. Data were obtained before and after physician tutorials. Quality control was implemented by making guideline failures transparent. Statistical analysis used Fisher’s exact and agreement tests.

In total, 23 percent of patients received antibiotics not indicated across all procedures. This decreased to 9 percent after physician re-education and outcome transparency (p<0.0001). Laparoscopy was the procedure with the lowest guideline compliance prior to education. The compliance improved from 52 to 92 percent (p<0.0001) after re-education.

Gynecologic surgeons overuse antibiotics for surgical prophylaxis. Physician re-education and transparency were shown to enhance compliance.

Educational tutorials are an effective strategy for encouraging physicians to improve outcomes, which, in turn, allows the healthcare system a non-punitive way to monitor quality and mitigate cost.

This paper aims to examine the cultivation of anti-racist practices with pre- and in-service teachers in post-secondary contexts, and the tensions of engaging in this work for equity and justice in urban teacher education.

The paper relies on critical race theory (CRT) and critical whiteness studies (CWS), as well as auto-ethnographic and storytelling methods to examine how black in-service teachers working with a black teacher educator and white pre-service teachers working with a white teacher educator enacted strategies for cultivating anti-racist practices.

Findings indicate that for black and white educators alike, developing critical consciousness and anti-racist pedagogical practices requires naming racism as the central construct of oppression. Moreover, teachers and teacher educators demonstrated the importance of explicitly naming racism and centralizing (rather than de-centralizing) the political project of anti-racism within the current socio-political climate.

In addition to racism, educators’ racialized identities must be centralized to support individual anti-racist pedagogical practices. Storying racism provides a context for this individualized work and provides a framework for disrupting master narratives embedded in educational institutions.

Much has been written about the importance of teachers connecting to students’ out-of-school lives to increase academic achievement and advance educational justice. Strategies for forging those connections include using assets-based practices and linking school curricula to students’ community and cultural identities. While these connections are important, this paper focuses on teachers’ explicit anti-racist practices in urban education.

The burgeoning practice of peer-to-peer breastmilk sharing in the United States conflicts with public health concerns about the safety of the milk. In-depth interviews with 58 breastmilk sharers highlight the ways in which these respondents counter widespread risk narratives. These caregivers deploy existing social values such as self-reliance, good citizenship, and “crunchy,” or natural, mothering to validate their milk-sharing practices. However, because of stratified reproduction, in which society encourages White motherhood while it disparages motherhood among poor women and women of color, these discourses are more accessible to milk sharers who are White and from middle-class. Black and Latinx milk donors and recipients offer additional rationale for milk sharing that includes reclaiming their legacies as worthy mothers and elevating milk sharing to justice work. In rejecting and reframing risk, all of these milk sharers work toward flattening the good mother/bad mother binary.

Gender and disability are intimately connected as embodied experiences that young people navigate interactionally. Disabilities scholars have theorized that men and women with chronic health conditions face uniquely gendered challenges. Theories of gender and disability centered on youth continue to gain prominence as the population of children and young adults with chronic health conditions grows. This study draws on data from 22 in-depth interviews with young adults diagnosed with chronic health conditions in childhood in the United States. Women, men, and gender nonbinary individuals report that doing disability in interactions in childhood meant doing gender in expected feminine ways. Specifically, interviewees described increased empathy, a deep understanding of their own emotions, and the ability to use adversity to connect with and benefit others as expectations. Interviewees employed or resisted doing gender in ways that reflected individuals' gender locations. Women and nonbinary individuals saw feminine performance as a sign of weakness, often resisting demonstrating it in interactions. On the other hand, feminine performance reportedly impacted men in the sample in positive ways. This study takes a life course approach to illuminate how the ableist expectations expressed to disabled children are gendered and impact how disabled young adults negotiate an ableist world.

This article looks at the attitudes and perceptions that young offenders have of dental health and services prior to and during their time at a Young Offenders’ Institution in the North East of England. The recent incorporation of prison health services into National Health Service (NHS) structures and funding arrangements brings with it statutory responsibilities concerning the amount and equivalence of health care in and out of prison settings. It also requires evaluation of services in comparable ways. Prison health in general and prison dental health in particular have previously been isolated from mainstream NHS health care in terms of both practice and research. The results from this study highlight the need for those responsible for dental health services at all penal institutions to examine the levels of provision they provide and how the perspectives of this marginalized and vulnerable group can be taken into account in the planning and improvement of services.

Compared to monoracials, multiracials appear (a) to be more concerned about acceptance within their select social groups and within society at large and (b) to have higher differentiation and uniqueness needs. Artworks help consumers successfully fulfill these needs, and multiracials are heavily dependent on artworks in their (racial) identity negotiations. In addition to these needs, familial background, school, and technical qualities of artworks serve as antecedents to artwork consumption. Multiracial identity influences artwork consumption both directly and indirectly. The indirect influence is mediated by social acceptability, group identification, and uniqueness needs. Artwork consumption serves multiracials in two ways: pleasure/escape and communication/identity negotiation.

In response to the proliferation of neoliberal reforms and a “new professionalism” (Evetts, 2009, 2011), researchers argue that school leaders, like teachers, have experienced a form of “de-professionalization” (Keddie, 2017) and that the principalship may even be an “emergent profession” (Stone-Johnson and Weiner, 2020). Such framing assumes school leaders are indeed part of a profession. And yet, while research abounds regarding teaching as a profession (Ingersoll and Collins, 2018; Sachs, 2016; Torres and Weiner, 2018), no parallel literature exists about school leaders. Such information is critical to ensure educators receive the appropriate professional development and support (Sachs, 2016) and move the field forward and thus motivated the authors to ask how principals view their work and whether it can be seen as part of a discrete profession.

The authors utilized an interpretative phenomenological approach (IPA) drawing on qualitative interviews with sixteen elementary school principals in two US states.

The authors find administration, and specifically the principalship, exists adjacent to, but distinct from, teaching. Additionally, the authors find school leadership is an “emergent” profession, with aspects of the work that indicate leadership is a profession but others that do not.

This study extends early work (Stone-Johnson and Weiner, 2020) on the impact of the COVID-19 pandemic on principals' professionalism to shed light on the larger and more long-standing features of principals' work that support and hinder its development as a profession and the implications of such designation on attracting and retaining school leaders, as well as underscoring that because school leadership and teaching can be considered discrete professions, teachers need not leave their classroom to be true professionals.

The purpose of this paper is to consider how far different unions representing white‐collar workers fulfil the expectations of their memberships. In order to focus upon this problem we intend to concentrate on the area of white‐collar membership of predominantly manual workers' unions: in particular we shall take as examples the cases of the steel and mining industries. At a time when major trade unions representing the white‐collar labour force are competing for membership on an unprecedented scale and when proposals for union amalgamations are currently being voiced, the appropriateness of union policies for this category of employees and their approval by the rank and file are of obvious relevance.

In this chapter, we use feminist and intersectional frameworks to explore how marginalized mothers discuss maternal support. In-depth interviews with an economically diverse group of 21 mothers of color suggest that most affluent, married Black mothers framed support as child-centric and engaged in concerted cultivation (Lareau, 2011) practices. Lower income, single Black mothers engaged in a strategy we call “nurtured growth” – they used low-cost school, church, and community-based resources to promote their children’s development. In contrast to these child-centric strategies of support, three mothers used mother-centric supports and practiced self-care. The families of these three mothers, however, often criticized their parenting efforts as “parenting like a White person.” The authors conclude by exploring the implications of our study for feminist outreach efforts on behalf of marginalized mothers.

The “Anti-Racism in my Pocket” case illustrates how collaborative entrepreneurial leadership can build on personal experiences, expertise and a desire to change the status quo to support racial equity. The case will support students’ critical thinking skills and further heighten their understanding of the contributions of women in leadership, anti-racism and the role of technology. Moreover, the case is motivating for students with aspirations of using business skills and knowledge to contribute to social equity.

After completing this case, students should be able to identify the role of marketing in the development, implementation and evaluation of a behavior change initiative, the Anti-Racism Action Nuggets anti-racism training program; analyze qualitative and quantitative data to assess the impact of the Anti-Racism Action Nuggets Pilot using a logic model; identify marketing opportunities, challenges and strategies to scale the Anti-Racism Action Nuggets series for a broader impact; and discuss the relationship of gender in strategic positioning and marketing leadership to the development of the Anti-Racism Action Nuggets (Optional).

This case charts the development of an anti-racism training series by two friends, Allison Plyer (she/her) and Valerie (Val) Uccellani (she/her), called Anti-Racism Action Nuggets. The two protagonists aimed to change individual behaviors to reduce structural racism through lessons that were delivered in text messages to participants. Once the course is completed, they conduct a test pilot with members of NOW, LOVE, a women’s organization in New Orleans, Louisiana. At the end of the case, students are provided with the qualitative and quantitative pilot data for their analysis to recommend next steps and important marketing considerations for the Anti-Racism Action Nuggets series.

Undergraduate, graduate and executive education

Teaching notes are available for educators only.

CCS 8: Marketing