The study explored the experiences of individuals in the criminal justice system with a Fetal alcohol spectrum disorder (FASD) in order to identify possible ways to reduce the likelihood of re-entry into the criminal justice system. Semi-structured interviews were conducted to capture the voices of two participant groups: (1) individuals with an FASD, and (2) professionals who work with clients with an FASD. Qualitative research methods were used to analyse the data. Analysis of 20 interviews (n = 21) yielded three major themes: (1) primed to enter the system, (2) hindered within the system, and (3) strengthened to move beyond the system. Participants identified biological (e.g., poor decision-making abilities and inability to self-advocate), psychological (e.g., mental health issues and victimization), and social factors (e.g., limited social support) that increased risk of re-entry into the criminal justice system. Participants also identified strengths (e.g., hope, willingness to change, and resilience) that could assist with more positive outcomes. The study provides insight into the unique experiences of individuals in the criminal justice system with an FASD – with reference to both risk factors and relevant personal strengths. Implications for practice are discussed, including suggestions for increasing support, awareness, and a focus on strengths.

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Facilitating student achievement of nationally recognized entry-level-competencies in nursing leadership is a critical step in building capacity to promote patient safety, quality of care, and healthy work environments. Data for this substudy were drawn from a larger multi-phased, multi-method, cross-sectional, descriptive study conducted to inform comprehensive undergraduate curricular revision. The research question for this substudy was: what are the perceptions about undergraduate program preparation for nursing leadership? Frequencies and percentages summarized relevant quantitative data from the surveys and deductive content analysis was used to further explore the category of leadership which emerged from content analysis of qualitative data in the larger study. Key findings illustrate need for additional attention to learning experiences in conflict management, delegation and supervision of clinical teams, and advocacy. Greater collaboration between educational and clinical agencies is needed to find mutually beneficial strategies to support nursing leadership development for nursing students and new graduates.

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