"Is It My Responsibility?": A Qualitative Review of University Students' Perspectives on Bystander Behavior

Blame the System, not the Victim: Understanding the Lack of Advocacy for Missing and Murdered Indigenous Women and Girls

More than 5,000 Native American and Alaska Native women and girls go missing annually in the United States, and murder is the third leading cause of death for those aged 10 to 24. The current studies assess why, despite such statistics, individuals who are not Native American fail to advocate for Missing and Murdered Indigenous Women and Girls (MMIWG). The Pilot Study (N = 205) and Study 1 (N = 3,992) revealed that greater cognitive invisibility of contemporary Native Peoples (i.e., the absence of cognitive representations) was related to greater minimization of Native Peoples' experiences with racism. Racism minimization was associated with greater blaming of MMIWG victims and less blaming of societal contributors to the epidemic. These factors predicted greater apathy toward MMIWG and less MMIWG advocacy. The results suggest that the cognitive invisibility of Native Peoples affords attitudes and beliefs that allow non-Native individuals to deny, justify, and distance themselves from the MMIWG epidemic.

Examining and mitigating racism in nursing using the socio-ecological model

Racism in nursing is multifaceted, ranging from internalized racism and interpersonal racism to institutional and systemic (or structural) elements that perpetuate inequities in the nursing profession. Employing the socio-ecological model, this study dissects the underlying challenges across various levels and proposes targeted mitigation strategies to foster an inclusive and equitable environment for nursing education. It advances clear, context-specific mitigation strategies to cultivate inclusivity and equity within nursing education. Effectively addressing racism within this context necessitates a tailored, multistakeholder approach, impacting nursing students, faculty, administration, professional organizations, and licensing and accrediting bodies. This all-encompassing strategy recognizes that the interplay of interpersonal dynamics, community culture, institutional policies, and broader societal structures intricately shapes individual experiences. Nurses, nurse leaders, educators, organizations, and policymakers can work together to create a more equitable and inclusive nursing profession by targeting each of these levels. This transformational process can yield positive outcomes across various environments where nurses learn, work, and serve people and enable the demographic composition of nurses to better match the populations served.

Bystander Intervention in Intimate Partner Violence: A Scoping Review of Experiences and Outcomes

Governments across the globe are increasingly implementing policies that encourage bystanders to prevent intimate partner violence (IPV) by intervening in violent or potentially violent situations. While a wealth of research examines the most effective mechanisms for increasing potential bystanders' feelings of self-efficacy and rates of intervention, there is significantly less evidence demonstrating how effective bystander intervention is at preventing or interrupting IPV. This article thus presents a scoping review of the literature examining the experiences and outcomes of bystander intervention in IPV. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses, extension for Scoping Reviews guidelines, six databases were searched for relevant peer-reviewed studies published in English between 2001 and 2021. A total of 13 articles were ultimately included in the review. The review highlights that although current knowledge on the topic is highly limited, the combined findings of the studies indicate that immediate responses to bystander intervention are heavily context dependent: victims (and perpetrators) tend to react differently to bystander intervention depending on the type of intervention, the type of violence being used, and their relationship to the bystander. However, we have little to no understanding of the outcomes of bystander intervention, or how these outcomes might vary across different contexts. We argue that a more comprehensive understanding of the immediate and long-term implications of bystander intervention across different contexts is crucial if we are to maximize the effectiveness and minimize the potential for harm resulting from bystander interventions in IPV.

The Lived Experience of Racism in the Sikh Community

The Sikh community may be more visible and vulnerable to racism than other religious groups, and previous research has documented the racism targeted at Sikh men and women in the United States. Relatively few studies have, however, addressed the racism experienced by Sikh communities in other countries, where racism may be less closely connected to the events of 9/11. The present study investigates the lived experience of racism in Sikh adults living in the United Kingdom. Six participants (5 male, 1 female) aged 19 to 30 years (M = 24.17, SD = 3.98) were recruited via advertisements placed on social media. Both Amritdhari Sikhs (n = 4) who had undertaken the Amrit Sanskar initiation ceremony or commitment and Sahajdhari Sikhs (n = 2) who had not undertaken the initiation participated. Semi-structured interviews were conducted (totaling 372 minutes of interview data), covering a range of subjects including personal experiences of racism and subsequent responses to the racist abuse. Interpretative Phenomenological Analysis of the interview transcripts identified five superordinate themes. These were (1) Appearance and Visibility; (2) Inevitability and Normalization; (3) Coping and Conformity (Religion as Support, Fitting In, Internalization); (4) Education and Understanding; and (5) Bystander Behavior (Experiences of Intervention, Religious Duty to Intervene, Consequences of Intervention). Findings highlight the extent to which racism occurs and the increased vulnerability of the Sikh community (e.g., appearance being the focus of racist abuse). Findings also highlight the importance of religion as a source of support and cultural pride and the significance of education and bystander behavior. Future research should further investigate these themes and introduce interventions to support the safety and well-being of members of the Sikh community experiencing racist abuse.

Factors Associated with Engaging in Bystander Intervention Behavior Among College Students

Sexual violence (SV) is a well-documented and highly prevalent issue on college campuses that disproportionately impacts women, students of color, and students who identify as lesbian, gay, bisexual, transgender, queer (LGBTQ). In recent years, bystander intervention programming has emerged as a promising prevention strategy for colleges due to its success in preventing SV before it occurs using community involvement; however, little consideration has been given to the power, status, or position that a bystander has when deciding whether to intervene and weighing the potential consequences of their actions. In order to inform university campus bystander intervention programming and increase its effectiveness, more work is needed to understand specific student characteristics (e.g., race/ethnicity, gender identity, sexual orientation, history of SV) that may be associated with engaging in bystander behavior in SV risk situations. Using cross-sectional data from a large west-coast university, 592 students were surveyed about their SV-related experiences. Poisson regression models were utilized to determine the relative risk of engaging in bystander behavior by sociodemographic identities and history of SV victimization. Our fully adjusted model indicated that experiencing attempted and completed sexual assault was associated with engaging in bystander behavior; belonging to specific minority groups was differentially associated with engaging in bystander behavior, as was belonging to a minority group and having a history of SV. Personal histories, identities, and power inequity matter when deciding to engage in bystander behavior. Additional research is needed to create more well-rounded and population-specific bystander intervention programs that are inclusive of diverse student voices and experiences.

Reluctance to Make a "Blind Faith Jump": LGBTQ+ College Students' Perspectives on Allies' Barriers to Preventing Sexual Assault

Campus sexual assault is a significant problem across the United States, and research has indicated LGBTQ+ students are at a greater risk of victimization than their straight-cisgender peers. Furthermore, LGBTQ+ students face unique barriers to help-seeking following an assault, including fear of stigmatizing the LGBTQ+ community. We propose that straight-cisgender allies may act as vigilant bystanders who notice signs of sexual assault and offer assistance to prevent assault from happening to LGBTQ+ students and/or to offer support after an assault occurs. Yet, research on the role of bystanders in preventing and alleviating sexual assault has largely overlooked experiences and perspectives of LGBTQ+ students. In this study, we explored LGBTQ+ students' perceptions of the roles straight-cisgender allies may play in alleviating the problem of sexual assault of LGBTQ+ students. We conducted group interviews with 30 LGBTQ+ college students from 19 campuses across the United States, paying attention to what they perceived as barriers to allies' help. Findings illustrate ways that boundaries between LGBTQ+ insiders and outsiders can leave both groups reluctant to make a "blind faith jump" to seek or offer help. We propose suggestions for how sexual assault prevention programming may bridge this gap between LGBTQ+ students and straight-cisgender allies.

Looking out for You and Me: College students' Strategies for Preventing Sexual Assault in Drinking Contexts

Background: Sexual assault and heavy alcohol use are prevalent and interrelated public health concerns on university campuses. Surprisingly, however, few alcohol harm reduction interventions address this intersection to help students reduce both personal and community risks for sexual assault in college drinking contexts. Objectives: In the current study, students (ages 18-24) shared strategies they use to protect themselves and others from sexual assault in college drinking contexts, as well as challenges to implementing these strategies. A series of six focus groups were conducted across two universities in the U.S. (N = 35). Participants responded to open-ended questions focused on drinking and sexual assault (e.g., What are some of the things students might do to avoid or address situations where they feel pressured of coerced to hook up or have sex when they do not want to?). Results: Thematic analyses demonstrated students' awareness of protective behavioral and bystander intervention strategies that could help reduce vulnerability to experience sexual assault for themselves or others in drinking contexts. Perceived barriers to using bystander intervention strategies included student's own and friends' heavy drinking (decreased inhibitions, loss of autonomy), ambiguity in deciphering risk (lack of familiarity, minimization, diffusion of responsibility), and gender (gender norms, power imbalances). Conclusions: This study informs the development of interventions that help students identify strategies and overcome barriers to reduce risks for sexual assault in college drinking contexts.

Alcohol's Role in Campus Sexual Assault Bystander Behavior: A Systematic Review

Between 50% and 70% of campus sexual assaults (SA) involve alcohol and campuses frequently promote bystander intervention strategies to prevent SA in student party contexts. This systematic review evaluates the measurement and outcomes of quantitative studies on how alcohol affects campus SA bystander outcomes. Using four search strategies and rigorous systematic review methods, we conducted a review of 36 studies. We included studies published after 2,000 conducted with college students in the United States, its territories, and Canada which contained information on alcohol use and SA bystander outcomes (behaviors and upstream proxies). Only a third of included studies measured bystander behavior directly, the majority measured upstream proxies (e.g., intentions, self-efficacy). Most studies considered the influence of victim intoxication on bystander outcomes. No studies assessed the pharmacological or physiological effects of alcohol on bystander outcomes. A single study examined hypothetical bystander responses when intoxicated, one-third examined bystander's typical alcohol use in relation to bystander outcomes. Many findings are contradictory, including fundamental details such as how often students encounter SA involving alcohol or whether bystanders' alcohol use predicts outcomes. Findings suggest that students are less likely help intoxicated victims compared to sober victims, but there are clear moderating factors. Perpetrator intoxication was not studied in relation to bystander behavior and did not influence any upstream proxies. Evaluations of interventions on alcohol and bystander topics are promising yet more research is required. This review illuminates key gaps in the literature, including the need for validated measures and scenarios, event-level studies, and alcohol administration trials.