Academic literature on the topic 'Behavioral psychology|Nursing|Behavioral sciences'

Decision fatigue is an applicable concept to healthcare psychology. Due to a lack of conceptual clarity, we present a concept analysis of decision fatigue. A search of the term “decision fatigue” was conducted across seven research databases, which yielded 17 relevant articles. The authors identified three antecedent themes (decisional, self-regulatory, and situational) and three attributional themes (behavioral, cognitive, and physiological) of decision fatigue. However, the extant literature failed to adequately describe consequences of decision fatigue. This concept analysis provides needed conceptual clarity for decision fatigue, a concept possessing relevance to nursing and allied health sciences.

PURPOSE: The purpose of this systematic review of the literature is to look at the current evidence of the psychological experience of physiological childbirth.BACKGROUND: Childbirth is a dynamic process in which the fetal and maternal physiology interacts with the woman’s psychosocial context, yet this process is predominantly evaluated using objective, physical measures. Simultaneously, childbirth is also a profound psychological experience with a deep impact in women that is physical, psychological, and social. The description of the psychological processes and experiences that happen during physiological childbirth will likely improve the care women receive during childbirth as health care professionals and carers will have a greater understanding of the process.METHODS/DESIGN: The electronic databases MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, PsycARTICLES, SocINDEX, and Psychology and Behavioral Sciences Collection will be searched using the EBSCOhost platform to identify studies that meet the inclusion criteria. No language or publication date constraints will be applied. Articles that pass the 3-stage screening process will then be assessed for risk of bias and have their reference lists hand searched.DISCUSSION: By synthesizing the results of the studies, this systematic review will help illuminate gaps in the literature, direct future research, and inform policymakers.

Abstract This new NIA-supported Roybal Center seeks to support Stage 1 pilot clinical trials of programs aimed at promoting caregiving competence and confidence in the great heterogeneity of dementia caregiving contexts. During our first cycle, we received 26 letters of intent (LOI) for full applications. Responses reaffirmed the Center’s premise that dementia caregiving is remarkably varied in nature. While most proposed programs focused on generic caregiving, a number addressed caregiving issues facing specific ethnic/racial groups (African American; Korean American; Native Alaskan/American Indian; Latino), and several focused on specific dementing conditions (MCI, Lewy Body Dementia,TBI-based dementia). Most described programs centered on knowledge development and daily management skill issues (e.g., management of behaviors); others specified development of physical care skills. Decision-making and communication constituted the second most common topic. Over 40% proposed adaptation of existing programs; more than 25% proposed apps or technology interventions. Investigators represented a wide range of disciplines: 45% each from Health sciences (nursing, medicine, and social work) and Social/Behavioral sciences (principally psychology) and the rest from engineering and communications. LOIs varied most in their readiness to complete a clinical trial within a year. About 40% were in very preliminary stages; 25% were clearly poised for a Stage 1 trial; 15% did not sufficiently address the Center’s aims. Key criteria for invitations to submit full applications (n=4) included: specificity of context; clinical trial readiness; reasonableness of proposed adaptation. These criteria should guide future LOIs addressing the diversity of important new research and intervention perspectives on the multifaceted work of caregiving.

As Perturbações do Espetro do Autismo (PEA), perturbações globais do desenvolvimento, têm incidência de 4-5 por cada 10000 nascimentos, predominantes no sexo masculino (razão de 4:1), apresentam-se em três níveis de gravidade que interferem na vida da criança, com impacto na dinâmica e funcionamento familiar. Objetivos: Conhecer como se desenvolve a consulta de enfermagem junto da família da criança com PEA, identificar o que avaliam e que planos de cuidados os enfermeiros desenvolvem quando assistem a família da criança; compreender as dificuldades dos enfermeiros na consulta de enfermagem e a relação que estabelecem com a família da criança. Participantes e Métodos: Revisão Integrativa da Literatura, para responder à questão “A que aspetos estão atentos os enfermeiros quando assistem a família da criança com PEA na consulta de enfermagem?”. Pesquisa bibliográfica no portal EBSCO, B-On acedendo às bases de dados Psychology and Behavioral Sciences Collection; MEDLINE; CINAHL Plus; MedicLatina, ERIC, Science Citation Index Expanded, SciVerse ScienceDirect e PMC, base de dados SCielo e Google Académico, selecionando estudos de 2009- Maio/2015 em português, inglês e espanhol. Utilizaramse os descritores “nurse”; “nursing”; “family”; “autism”; “autismo spectrum disorder”; “knowledge” e correspondentes em português. Incluíram-se sete artigos. Resultados: Os enfermeiros centram a atuação na criança, realizam avaliação do desenvolvimento infantil e conhecimento da família sobre a perturbação, identificando necessidades da família. O plano de cuidados é realizado com foco na criança relativamente às rotinas e atividades ritualizadas, sem especificidade para a família. As dificuldades dos enfermeiros centram-se na falta de conhecimento sobre a perturbação e abordagem à família. A relação do enfermeiro e família baseia-se na confiança, compreensão e aceitação. O enfermeiro adota papel socializador e educador. Conclusões: Os enfermeiros não se sentem preparados para lidar com a família da criança, necessitam formação. Têm de direcionar a prática para as necessidades dos pais e irmãos.

Antecedentes: O sono assume papel importante nos primeiros anos de vida ao promover o crescimento e desenvolvimento da criança. A insuficiência e baixa qualidade do sono nas crianças tem vindo a constituir problema de saúde pública. Um total de 25 a 50% das crianças até aos cinco anos de idade apresentam dificuldades relacionadas com o sono. Objetivos: Conhecer as intervenções de enfermagem desenvolvidas pelos enfermeiros que visem o exercício adequado do papel parental no lidar com o comportamento dos filhos no momento de dormir. Participantes/Métodos: Revisão Integrativa da Literatura, para responder à questão “Como ajudam os enfermeiros os pais de crianças até aos cinco anos de idade a lidar com o comportamento dos filhos no momento de dormir?” Pesquisa bibliográfica nas bases de dados social science, nursing and heath professions, neuroscience, medicine and dentistry decision science, B-on, Psychology and Behavioral Sciences Collection, Medline (with full-text), CINAHL Plus (with full-text), MedicLatina and ERIC, selecionando estudos de 2012 a Maio/2017 em português, inglês, francês e espanhol utilizando-se “parents”; “nurse”; “children’s sleep”; “Sleep habits”; “sleep”; “children” e “recommendation” e seus correspondentes em português. Incluíram-se oito artigos. Resultados: Pais com maior conhecimento sobre higiene e padrões de sono dos filhos, adotam melhores estratégias, mais adequadas às suas crianças e que visam a promoção de comportamentos favorecedores do sono. Existem algumas disparidades sobre B e d S h a rin g e sestas em contexto de infantário. Os enfermeiros, de uma forma geral, têm pouca formação sobre o sono da criança, o que dificulta a sua ação. Conclusões: Embora a maioria dos pais estejam sensíveis a desenvolver estratégias adequadas às necessidades de sono do filho, os enfermeiros devem estar despertos para a importância da capacitação dos pais sobre o sono dos filhos. Tem de ser feito um maior investimento na vertente dos ensinos e promoção de boas práticas antes do sono

Purpose The systematic use of patient-reported outcome measures (PROMs) has been advocated as an effective way to standardize cancer practice. Yet, the question of whether PROMs can lead to actual improvements in the quality of patient care remains under debate. This review examined whether inclusion of PROM in routine clinical practice is associated with improvements in patient outcomes, processes of care, and health service outcomes during active anticancer treatment. Methods A systematic review of five electronic databases (Medline, EMBASE, CINAHL [Cumulative Index to Nursing and Allied Health Literature], PsycINFO, and Psychology and Behavioral Sciences Collection [PBSC]) was conducted from database inception to May 2012 to locate randomized and nonrandomized controlled trials of patients receiving active anticancer treatment or supportive care irrespective of type of cancer. Results Based on prespecified eligibility criteria, we included 26 articles that reported on 24 unique controlled trials. Wide variability in the design and use of interventions delivered, outcomes evaluated, and cancer- and modality-specific context was apparent. Health service outcomes were only scarcely included as end points. Overall, the number of statistically significant findings were limited and PROMs' intervention effect sizes were predominantly small-to-moderate. Conclusion The routine use of PROMs increases the frequency of discussion of patient outcomes during consultations. In some studies, PROMs are associated with improved symptom control, increased supportive care measures, and patient satisfaction. Additional effort is required to ensure patient adherence, as well as additional support to clinicians who will respond to patient concerns and issues, with clear system guidelines in place to guide their responses. More research is required to support PROM cost-benefit in terms of patient safety, clinician burden, and health services usage.

The age period of 0-8 years is the most important moment for every human being to develop all the developmental features supported by parents at home and teachers / tutors at the Early Childhood Education Institute (ECE). In parenting, six main aspects must be known and applied by each parent. Lack of education, nutritional knowledge, care and care, and aspects of clean-living habits in the family can have an impact on children's growth and development processes. This study aims to develop a module 6 aspects of child development for parental guidance. This study uses a research and development approach to test the effectiveness of the posttest design. Respondents in this study are parents who have children up to 5 years and early childhood educators. The findings show that from these six main aspects, it seems that parents and ECE tutors do not yet understand the ECE concept. In another perspective, there is still a lack of knowledge about these 6 main aspects which require training and parenting modules to develop the 6 aspects of child development. Keywords: Early Childhood Education, Child Development Aspect, Parenting Training Module References: Arikunto, S. (2010). Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Asdi Mahasatya. Britto, P. R., Lye, S. J., Proulx, K., Yousafzai, A. K., Matthews, S. G., Vaivada, T., … Bhutta, Z. A. (2017). Nurturing care: promoting early childhood development. The Lancet, 389(10064), 91–102. https://doi.org/10.1016/S0140-6736(16)31390-3 Coore Desai, C., Reece, J. A., & Shakespeare-Pellington, S. (2017). The prevention of violence in childhood through parenting programmes: a global review. Psychology, Health and Medicine, 22(February), 166–186. https://doi.org/10.1080/13548506.2016.1271952 Darling-Churchill, K. E., & Lippman, L. (2016). Early childhood social and emotional development: Advancing the field of measurement. Journal of Applied Developmental Psychology, 45, 1–7. https://doi.org/10.1016/j.appdev.2016.02.002 Davis, S., Votruba-Drzal, E., & Silk, J. S. (2015). Trajectories of Internalizing Symptoms From Early Childhood to Adolescence: Associations With Temperament and Parenting. Social Development, 24(3), 501–520. https://doi.org/10.1111/sode.12105 Đorđić, V., Tubić, T., & Jakšić, D. (2016). The Relationship between Physical, Motor, and Intellectual Development of Preschool Children. Procedia - Social and Behavioral Sciences, 233(May), 3–7. https://doi.org/10.1016/j.sbspro.2016.10.114 Eisenberg, N., Taylor, Z. E., Widaman, K. F., & Spinrad, T. L. (2015). Externalizing symptoms, effortful control, and intrusive parenting: A test of bidirectional longitudinal relations during early childhood. Development and Psychopathology, 27(4), 953–968. https://doi.org/10.1017/S0954579415000620 Gall, M. D., Gall, J. P., & Borg, W. R. (2007). Educational Research: An Introduction (4th ed.). New York: Longman Inc. Gardner, F., Montgomery, P., & Knerr, W. (2016). Transporting Evidence-Based Parenting Programs for Child Problem Behavior (Age 3–10) Between Countries: Systematic Review and Meta-Analysis. Journal of Clinical Child and Adolescent Psychology, 45(6), 749–762. https://doi.org/10.1080/15374416.2015.1015134 Gilmer, C., Buchan, J. L., Letourneau, N., Bennett, C. T., Shanker, S. G., Fenwick, A., & Smith-Chant, B. (2016). Parent education interventions designed to support the transition to parenthood: A realist review. International Journal of Nursing Studies, 59, 118–133. https://doi.org/10.1016/j.ijnurstu.2016.03.015 Grindal, T., Bowne, J. B., Yoshikawa, H., Schindler, H. S., Duncan, G. J., Magnuson, K., & Shonkoff, J. P. (2016a). The added impact of parenting education in early childhood education programs: A meta-analysis. Children and Youth Services Review, 70, 238–249. https://doi.org/10.1016/j.childyouth.2016.09.018 Guyer, A. E., Jarcho, J. M., Pérez-Edgar, K., Degnan, K. A., Pine, D. S., Fox, N. A., & Nelson, E. E. (2015). Temperament and Parenting Styles in Early Childhood Differentially Influence Neural Response to Peer Evaluation in Adolescence. Journal of Abnormal Child Psychology, 43(5), 863–874. https://doi.org/10.1007/s10802-015-9973-2 Jones, D. E., Feinberg, M. E., Hostetler, M. L., Roettger, M. E., Paul, I. M., & Ehrenthal, D. B. (2018). Family and Child Outcomes 2 Years After a Transition to Parenthood Intervention. Family Relations, 67(2), 270–286. https://doi.org/10.1111/fare.12309 Jürges, H., Schwarz, A., Cahan, S., & Abdeen, Z. (2019). Child mental health and cognitive development: evidence from the West Bank. Empirica, 46(3), 423–442. https://doi.org/10.1007/s10663-019-09438-5 Kalland, M., Fagerlund, Å., Von Koskull, M., & Pajulo, M. (2016). Families First: The development of a new mentalization-based group intervention for first-Time parents to promote child development and family health. Primary Health Care Research and Development, 17(1), 3–17. https://doi.org/10.1017/S146342361500016X Knauer, H. A., Ozer, E. J., Dow, W. H., & Fernald, L. C. H. (2019). Parenting quality at two developmental periods in early childhood and their association with child development. Early Childhood Research Quarterly, 47, 396–404. https://doi.org/10.1016/j.ecresq.2018.08.009 Kopala-Sibley, D. C., Cyr, M., Finsaas, M. C., Orawe, J., Huang, A., Tottenham, N., & Klein, D. N. (2018). Early Childhood Parenting Predicts Late Childhood Brain Functional Connectivity During Emotion Perception and Reward Processing. Child Development, 00(0), 1–19. https://doi.org/10.1111/cdev.13126 Kurniah, N., Andreswari, D., & Kusumah, R. G. T. (2019). Achievement of Development on Early Childhood Based on National Education Standard. 295(ICETeP 2018), 351–354. https://doi.org/10.2991/icetep-18.2019.82 Leijten, P., Raaijmakers, M. A. J., Orobio de Castro, B., van den Ban, E., & Matthys, W. (2017). Effectiveness of the Incredible Years Parenting Program for Families with Socioeconomically Disadvantaged and Ethnic Minority Backgrounds. Journal of Clinical Child and Adolescent Psychology, 46(1), 59–73. https://doi.org/10.1080/15374416.2015.1038823 Lomanowska, A. M., Boivin, M., Hertzman, C., & Fleming, A. S. (2017). Parenting begets parenting: A neurobiological perspective on early adversity and the transmission of parenting styles across generations. Neuroscience, 342, 120–139. https://doi.org/10.1016/j.neuroscience.2015.09.029 Lucassen, N., Kok, R., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., Jaddoe, V. W. V., Hofman, A., … Tiemeier, H. (2015). Executive functions in early childhood: The role of maternal and paternal parenting practices. British Journal of Developmental Psychology, 33(4), 489–505. https://doi.org/10.1111/bjdp.12112 Molchanov, S. V. (2013). The Moral Development in Childhood. Procedia - Social and Behavioral Sciences, 86, 615–620. https://doi.org/10.1016/j.sbspro.2013.08.623 Morris, A. S., & Williamson, A. C. (2019). Building early social and emotional relationships with infants and toddlers: Integrating research and practice. Building Early Social and Emotional Relationships with Infants and Toddlers: Integrating Research and Practice, 1–351. https://doi.org/10.1007/978-3-030-03110-7 Parhomenko, K. (2014). Diagnostic Methods of Socio – Emotional Competence in Children. Procedia - Social and Behavioral Sciences, 146, 329–333. https://doi.org/10.1016/j.sbspro.2014.08.142 Rutherford, H. J. V., Wallace, N. S., Laurent, H. K., & Mayes, L. C. (2015). Emotion regulation in parenthood. Developmental Review, 36, 1–14. https://doi.org/10.1016/j.dr.2014.12.008 Sheedy, A., & Gambrel, L. E. (2019). Coparenting Negotiation During the Transition to Parenthood: A Qualitative Study of Couples’ Experiences as New Parents. American Journal of Family Therapy, 47(2), 67–86. https://doi.org/10.1080/01926187.2019.1586593 Sitnick, S. L., Shaw, D. S., Gill, A., Dishion, T., Winter, C., Waller, R., … Wilson, M. (2015). Parenting and the Family Check-Up: Changes in Observed Parent-Child Interaction Following Early Childhood Intervention. Journal of Clinical Child and Adolescent Psychology, 44(6), 970–984. https://doi.org/10.1080/15374416.2014.940623 Sulik, M. J., Blair, C., Mills-Koonce, R., Berry, D., & Greenberg, M. (2015). Early Parenting and the Development of Externalizing Behavior Problems: Longitudinal Mediation Through Children’s Executive Function. Child Development, 86(5), 1588–1603. https://doi.org/10.1111/cdev.12386 Theise, R., Huang, K. Y., Kamboukos, D., Doctoroff, G. L., Dawson-McClure, S., Palamar, J. J., & Brotman, L. M. (2014). Moderators of Intervention Effects on Parenting Practices in a Randomized Controlled Trial in Early Childhood. Journal of Clinical Child and Adolescent Psychology, 43(3), 501–509. https://doi.org/10.1080/15374416.2013.833095 UNDP. (2018). Human Development Indices and Indicators. 2018 Statistical Update. United Nations Development Programme, 27(4), 123. Retrieved from http://hdr.undp.org/sites/default/files/2018_human_development_statistical_update.pdf%0Ahttp://www.hdr.undp.org/sites/default/files/2018_human_development_statistical_update.pdf%0Ahttp://hdr.undp.org/en/2018-update

<p><strong>BACKGROUND:</strong> Lack of intimacy is currently the main concern rather than main concern of the experts in psychology and counseling. It is considered as one of the most important causes for divorce and as such to improve marital intimacy a great number of interventions have been proposed in the literature. Intimacy training and counseling make the couples take effective and successful steps to increase marital intimacy. No study has reviewed the interventions promoting marital intimacy after marriage. Thus, this review study aimed to classify the articles investigating the impact of interventional programs on marital intimacy after marriage.</p><p><strong>SEARCH METHODS:</strong> In April 2015, we performed a general search in Google Scholar search engines, and then we did an advanced search the databases of Science Direct, ProQuest, SID, Magiran, Irandoc, Pubmed, Scopus, <a href="http://www.cochranelibrary.com/">Cochrane Library</a>, and Psych info; Cumulative Index to Nursing and Allied Health Literature (CINAHL). Also, lists of the references of the relevant articles were reviewed for additional citations. Using Medical Subject Headings (MESH) keywords: Intervention (Clinical Trials, Non-Randomized Controlled Trials, Randomized Controlled Trials, Education), intimacy, marital (Marriage) and selected related articles to the study objective were from 1995 to April 2015. Clinical trials that evaluated one or more behavioral interventions to improve marital intimacy were reviewed in the study.</p><p><strong>MAIN RESULTS:</strong> 39 trials met the inclusion criteria. Eleven interventions had follow-up, and 28 interventions lacked follow-up. The quality evidence for 22 interventions was low, for 15 interventions moderate, and for one intervention was considered high. Findings from studies were categorized in 11 categories as the intimacy promoting interventions in dimensions of emotional, psychological, physical, sexual, temporal, communicational, social and recreational, aesthetic, spiritual, intellectual intimacy, and total intimacy.</p><p><strong>AUTHORS’ CONCLUSIONS:</strong> Improving and promoting communication, problem solving, self-disclosure and empathic response skills and sexual education and counseling in the form of cognitive-behavioral techniques and based on religious and cultural context of each society, an effective step can be taken to enhance marital intimacy and strengthen family bonds and stability. Health care providers should consider which interventions are appropriate to the couple characteristics and their relationships.</p>

ABSTRACT An Intervention to Change Attitudes and Physical Activities of Adult Foster Care Home Workers in Hawaii by Edna J. Smith Insufficient information is available in the medical literature to describe the physical activity habits of adult foster care home workers. Healthcare workers are notorious for lack of self-care. Being a health care worker is a mentally and physically demanding job. It stands to reason that physically fit health care workers are less likely to suffer injury or become ill. This study questions whether attitudes towards physical activity outside the workplace can be influenced the recommended downloading of a smartphone application (smart-phone app). The intervention of the smart phone application provides a free standardized way to manage physical activity. Pre- and post-intervention questionnaires survey attitudes and thoughts towards physical activity. Each participant was provided access to these questionnaires prior to downloading the smart phone application. Approximately six weeks after the initial questionnaires were returned from the study participants, the questionnaires were given again. The data analysis for this study reveals the responses of the 21 study participants to preand post-questionnaires. Interestingly, 19 of the 21 voluntary study participant identified as being of Filipino ethnicity. Filipinos are the second largest ethnic group in Hawaii (Inouye, Matsuura, Li, Castro, & Leake, 2014), where the study took place. Key Words: adult foster care homes, physical activity, exercise, Filipino healthcare workers

Research studies show that work engagement is credited with having a positive effect on business outcomes. As health care leaders and administrators continue to make efforts to improve work engagement, the global nursing shortage has become a major problem that can affect registered nurses (RNs') work engagement and turnover intentions. RNs are important to the nation's well-being as everyone's health care needs involve the role of a nurse, but RNs currently in practice experience higher demands in an environment already constrained. This qualitative case study explored the perceptions of eight RNs in a long-term health care facility located in a Northeastern region of the United States utilizing semi-structured open-ended interviews. The study illustrated how RNs' work engagement could be improved and strengthened, turnover intentions minimized to make nurses' practice environment more attractive to motivate and retain nurses in long-term care setting. Study results suggest that nurses are highly engaged in their work though they encounter several issues including understaffing that creates work overload leading to burnout and job-related stress that challenge and undermine their engagement. Results also indicate that in order to improve RNs' practice environment and minimize turnover intentions and turnover, concerns regarding understaffing, job role stress, and nurse-management conflicts need to be addressed. Study results imply that to be effective as a nurse one has to be dedicated and committed to his or her work and the profession. Additionally, organizational leaders should make concerted effort to identify and address nurses' issues to create practice environments that attract and retain nurses.

Late life suicide is a major public health problem in the U.S. with elderly white men at highest risk of completed suicide. This grounded theory study explored individual perspectives of suicidality with men aged 67 to 83 years. A basic social psychological process, Losing Connections, was identified from interviews. Three stages of this process were identified during which the effect of cumulative losses culminated in depression, prompted suicidal ideation, and led to a decision point for the individual. Loss was the key theme in stage one. Relationship, health, and role losses were identified with professional role loss being the most prominent. The second stage was characterized by depression and despair during which suicidal ideation was prominent. Progressive alienation and the resolution to die characterized this phase. In stage three, the struggle between wanting to die and deciding to do so presented a decision point. The decision point was surrounded by a balance of triggers and barriers, which was modulated by ambivalence. The informant perceived they had reasons to die (triggers), but made the decision not to die because of perceived consequences (barriers). Triggers prompting the decision point were thoughts of a deceased spouse, emotional pain, health problems, and feelings of uselessness and/or hopelessness. The most common barrier to suicide was consequences to family members. Religion was not a significant barrier. Instead, there was a general lack of religious connections among informants. Likewise, social isolation was not prominent, as informants retained connections with family members, friends, and community.

This descriptive study explored possible relationships between death anxiety; perceived distance to death; health; importance of spirituality; advance directive importance, discussion, and completion; and associated sociodemographics for clients age 65 years and older. Also explored were the differences for these variables between the young-old and the old-old. The purpose was to determine if the measured items showed relationships that could be hypothesized as deterrents to completion of timely prehospital advance directives. A convenience sample of 105 clients comprised the sample population. Quantitative and qualitative research techniques were utilized in data collection and analysis. Significant positive correlations were found between: (a) discussion and completion of advance directives, (b) importance of spirituality and health, (c) health and projected finitude. Significant inverse relationships were found between: (a) health and death anxiety; (b) health and discussion of advance directives; (c) health and completion of advance directives; (d) the young-old and old-old finitude projections.

This study was designed to compare the behavioral pain responses of 2-month-old Canadian-born Chinese babies receiving a routine immunization to those of Caucasian infants in similar situations. Two groups of 26 infants were obtained through convenience from a pediatric clinic held by a Chinese pediatrician at the Chinese Hospital and a suburban pediatric practice of a large Canadian city. Facial expression using the Neonatal Facial Coding System (Grunau & Craig, 1987) and cry using the Fast Fourier Transform were measured during 30 seconds following the insertion of the needle. Acculturation in Chinese mothers, infant temperament, circadian rhythm, were assessed. Multivariate analysis of variance revealed significant differences in pain response between these two groups with the Chinese babies showing greater response. No significant effect of temperament, circadian rhythm, and gender was identified. This supports the presence of differences in pain response in relation to culture/race by at least 2 months of age.

Use of alcohol, tobacco and other addictive drugs (ATD) is a well-recognized public health concern and one of society's greatest problems. Evidence indicates that some youth begin and end drug use during adolescence. A grounded theory methodology was used to explore adolescents' views of their experience of beginning and ending ATD use. A Basic Social Psychological Process, Starting and Stopping, was identified from 12 interviews. Informants were age 14 to 18, had tried drugs at least 6 times and abstained for at least 6 months. Decision making about drug use was described. Three stages of use that led to decision points were found. If adolescents did not stop use during the beginning stage, Exploratory Use, the adolescents had the potential to progress through two additional stages of use, Purposeful Use and Intentional Use. The intensity of use increased with each stage. Each stage had identifiable triggers and barriers that had the potential to influence continued ATD use. Curiosity was a strong stimulus for beginning drug use and then exploring never-used-before drugs. An intervening dramatic event moved adolescents more quickly toward stopping. Future orientation was present as informants stopped drug use. Decisional points were characterized by the integration of what adolescents felt were benefits of use (friend relationships, liking the experience, learning about drugs, getting relief from perceived problems) and barriers to continued use (no continued interest, not liking the experience, goals obtained, effect on relationships, effect on future, dramatic event). A Basic Social Structural Process was beginning to emerge. The structural process included drug availability, peer drug use and societal environment. The theory of adolescent decision-making about ATD use provides an opportunity for health professionals to better understand adolescent drug use.

The importance of reducing the use of psychiatric-mental health mechanical restraints has been the focus of clinical nursing practice. A hospital with two psychiatric-mental health units has demonstrated a sustained success related to reducing mechanical restraints. In this qualitative case study, nurses were interviewed to understand how the reduction of mechanical restraints on the psychiatric-mental health units impacts the practice culture and the perception of the psychiatric nurses toward a mechanical restraint-free practice. This study provided new knowledge related to evidence from the psychiatric-mental health nursing practice, themes of barriers, and facilitators toward a restraint-free practice. The participants describe the complexity of the nursing role, how the decision to use restraints is complex, the first hand experience of the nurse who was a part of the leather restraint process, that moving the restraints off the units did not make a difference, that the removal of the restraints from the building was not supported by the nurses. The barrier themes are current practice, medication, and patient acuity or behavior. The facilitator themes are philosophy, CPI implementation, practice or culture change, and medication. This is an innovative study on a restraint-free practice. The recommendations stem from the new information obtained from the evidence and themes and include further inquiry into the passion of nurses to avoid restraint, understanding personal style as well as interaction and bias, environmental alterations, and theme-based recommendations. The evidence and themes provide nursing and nursing leadership knowledge for application to other facilities that are considering a restraint-free environment.

The current research examined the influence of the emotional labor strategies of faking emotion and suppression of emotion, empowerment, and geriatric caregiving self-efficacy on the relationship between work stress and emotional exhaustion—one dimension of burnout—for a sample of nursing staff members employed in a state-level geriatric psychiatric hospital. The total sample included 79 participants, which included registered nurses (n = 15), licensed practical nurses (n = 23) , and human service care workers (n = 41) who completed the Stress in General scale (Stanton, Balzer, Smith, Parra, & Ironson, 2001), Maslach Burnout Inventory (Human Services Survey; Maslach, Jackson & Leiter, 1996), Discrete Emotions Emotional Labor Scale (Glomb & Tews, 2004), Psychological Empowerment Scale (Spreitzer, 1995), and Geriatric Nursing Self-efficacy Scale (Mackenzie & Peragine, 2003). The mean emotional exhaustion score for the sample fell in the moderate range of burnout. First, it was hypothesized that work stress and emotional labor strategies (i.e., faking emotion and suppression of emotion) would have positive relationships with the burnout domain of emotional exhaustion while empowerment and geriatric caregiving self-efficacy would have negative relationships with this outcome. Next, a series of regression analyses tested emotional labor (i.e., faking emotion and suppression of emotion), empowerment, and geriatric caregiving self-efficacy as moderators for the relationship between stress and burnout. Results indicated that study variables were all related to emotional exhaustion in the expected direction, although several relationships fell short of statistical significance. In addition, emotional labor was a significant predictor of emotional exhaustion, with suppression of emotion playing a larger role. There was no support for the potential moderating role of emotional labor or empowerment on the relationship between work stress and burnout. However, geriatric caregiving self-efficacy was a significant moderator of this relationship. More specifically, when staff reported high work stress, those who had low self-efficacy experienced the highest emotional exhaustion values. However, when self-efficacy was high for this group, their emotional exhaustion scores decreased. For this sample, higher levels of self-efficacy appeared to play a protective role from experiencing more emotional exhaustion when in a high stress condition.

The purpose of this study was to identify from the woman's point of view what factors facilitate or inhibit disclosure of psychological abuse. Physical and psychological symptoms arise from this abuse and women are reluctant to disclose the underlying cause. This is a significant problem for every specialty in the nursing profession. A qualitative study using grounded theory was conducted with four research participants from domestic violence shelters. The results suggest contextual and behavioral factors in the disclosure process and give descriptive supporting data of related concepts. A conceptual model for the disclosure process is proposed.