This mixed methods study explores the role that being a helper/wounded healer has for formerly incarcerated women. Regression analyses examining the influence of a helper/ wounded healer orientation on self-esteem and social support are triangulated with indepth responses to probes regarding the benefits of helping others among a purposive sample of previously incarcerated women. Results reveal that helping others benefits the helper by boosting self-esteem, increasing prosocial activity, and enhancing social connectedness. The culture of ''giving back'' and being of service to others who are less far along in the recovery/reintegration process is discussed. Implications for policy and practice are offered.

Codes of ethics of nursing, social work, and medicine, as well as Joint Commission Accreditation Standards, require members of these professions to engage in advocacy on behalf of patients. With use of expert panels, seven categories of patient problems in the healthcare milieu were identified: ethical rights, quality care, preventive care, culturally competent care, affordable/accessible care, mental health care, and care linked to patients' homes and communities. To measure the frequency with which healthcare professionals engage in patient advocacy related to these specific problems, the Patient Advocacy Engagement Scale (Patient-AES) scale was developed and validated through analysis of responses of 297 professionals (94 social workers, 97 nurses, and 104 medical residents) recruited from the personnel rosters of eight acute-care hospitals in Los Angeles County. Hospitals included public, not-for-profit, HMO, and church-affiliated hospitals that served general hospital populations, veterans, cancer patients, and children. Results supported the validity of both the concept and the instrument. Construct validity was supported by testing the hypothesized seven-factor solution through confirmatory factor analysis; 26 items loaded onto seven components. Pearson correlations for the overall scale and seven subscales in two administrations supported their test-retest stability. Cronbach a ranged from .55 to .94 for the seven subscales and .95 for the overall Patient-AES. The Patient-AES is, to our knowledge, the first scale that measures patient advocacy engagement by healthcare professionals in acute-care settings related to a broad range of specific patient problems. ß

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This study aims to describe the factors that predict health professionals' engagement in policy advocacy. The researchers used a cross-sectional research design with a sample of 97 nurses, 94 social workers, and 104 medical residents from eight hospitals in Los Angeles. Bivariate correlations explored whether seven predictor scales were associated with health professionals' policy advocacy engagement and revealed that five of the eight factors were significantly associated with it (p < .05). The factors include patient advocacy engagement, eagerness, skills, tangible support, and organizational receptivity. Regression analysis examined whether the seven scales, when controlling for sociodemographic variables and hospital site, predicted levels of policy advocacy engagement. Results revealed that patient advocacy engagement (p < .001), eagerness (p < .001), skills (p < .01), tangible support (p < .01), perceived effectiveness (p < .05), and organizational receptivity (p < .05) all predicted health professional's policy advocacy engagement. Ethical commitment did not predict policy advocacy engagement. The model explained 36% of the variance in policy advocacy engagement. Limitations of the study and its implications for future research, practice, and policy are discussed.

This qualitative study of Kenyan non‐governmental organizations (NGOs) identified strengths and challenges associated with service provision to orphans and vulnerable children (OVC). From September to December 2006, data were collected by Kenyan research assistants in 34 NGOs in Nairobi and Eldoret. In‐depth interviews were used to explore the perceptions of directors and staff in relation to organizational strengths and challenges in serving OVC. Structuration theory and template analysis were used to identify higher‐order codes related to strengths and challenges of human agents, organizations and societal forces. Emergent themes and supporting interview quotations are presented to highlight common patterns across organizations, including strengths such as staff commitment, client outcomes, and resourceful communities, as well as challenges such as lack of staff, funding, and parental involvement. Through the analysis we uncover insights about the recursive relationship between micro and macro realities in Kenyan NGOs and the accompanying human and social transformations that result from providing services to OVC.