Interracial Contact in South Africa Within the Nursing Context1

Previous research on the effect of intergroup contact has highlighted the necessity for the contact to be of equal-status within a supportive environment. The South African apartheid system, with its active discouragement of such contact, presents an interesting context in which the effect of inter-racial contact may be examined. One hundred and thirteen nurses from four private hospitals took part in the study. Two of the hospitals had racially integrated training programs, and two trained one race group alone. A number of questionnaires were administered to the nurses in individual interviews. The responses indicated that nurses from the contact hospitals viewed the integration of nursing significantly more positively than did the nurses from the noncontact hospitals. However, trait evaluations of the nurses own and corresponding race group on the dimensions, personality and work ability suggested that negative intergroup attribution had not been eliminated by the contact.     

The psychodynamics of forensic mental health nursing

Abstract

The aim of this paper is to clarify some important interpersonal dynamics that underpin forensic patients’ presentations within the clinical environment, in a way that is accessible to nurses. The world of forensic mental health nursing is often difficult to describe to those who have not experienced first hand prolonged clinical contact with patients at the therapeutic interface of secure services. Even then, the characteristic, intense emotional phenomena that tend to arise out of interpersonal relationships with patients and colleagues is not easy to articulate. Yet, for those of us who consider our professional identity to be one of “forensic mental health nurse,” it seems important to find a way to put words to what appears to occupy a large component of our working lives. More importantly, if we can develop a way to make sense of the way our work makes us feel and the way we can find ourselves relating to others within our professional roles, we will be in a better position to harness our energy and enthusiasm in the service of supporting forensic patients towards effective care and treatment pathways. Of course, forensic patients are supported through services with or without a framework for articulating emotional and interpersonal experiences. However, this frequently occurs in the context of significant struggle. For patients, this struggle is often characterized by difficulty communicating what their needs are, and for nurses this struggle is often characterized by feeling emotionally overwhelmed by their task of providing containing, therapeutic relationships for patients whose interpersonal needs are not clear to them. This article will use case examples to describe some of the complex interpersonal and emotional challenges faced by forensic nurses, and explain how a psychodynamic framework could support nursing practice in each of the case examples.     

Age and burnout syndrome in nursing professionals: moderating role of emotion-focused coping

This study examined whether the association between age and the three burnout dimensions (emotional exhaustion, depersonalisation and reduced personal accomplishment) depend on the extent of nursing professionals’ use of emotion-focused coping strategy. Participants were 283 nurses (Mage = 35 years, SD = 8.17, Range = 23–66 years) from a tertiary healthcare institution in south-eastern Nigeria. They completed self-report measures of relevant variables in paper and pencil form. Increased age was associated with reduced personal accomplishment for nurses with high emotion-focused coping, but not for those who were low or moderate in use of emotion-focused coping. Such moderation effects were not found for emotional exhaustion and depersonalisation. Findings clarify the conditions under which age may be associated with reduced sense of achievement at work among nursing professionals. The study adds to knowledge in combating burnout in nursing and could guide health managers in developing strategies that might prevent or ameliorate nurses’ burnout.     

Neonatal responsiveness as a function of maternal contact and obstetrical drugs

This work was designed to study changes in neonatal behavior during the first two days of life. Infants in Part I were from middle-class backgrounds. Half of these infants had unrestricted maternal contact during the first two days of life, the other half had contact with their mothers only at feeding time. Infants in Part II were from low socio-economic backgrounds. They were cared for entirely by the nursery staff during the first two days of life, so that differences in maternal style did not affect their behavior. Half of these babies were born to mothers who received 50 mg meperidine during labor, half to mothers who received no meperidine. This work provided evidence for the sensitivity of the neonate during the first two days of life. Both those infants who received unrestricted maternal contact and those whose mothers had received no obstetrical drugs exhibited more behavioral change than those who received low maternal contact or whose mothers had received meperidine during labor. High maternal contact and absence of obstetrical drugs also resulted in increased sensitivity to some environmental stimuli.     

Effects of contact and personality on intergroup attitudes of different professionals†

The aim of this study was to examine the effects of intergroup contact, personality, and demographic characteristics on the intergroup attitudes of police officers, medical doctors and nurses (N=421; 274 females, 147 males). Following the contact hypothesis, intergroup contact in and of itself was not expected to be sufficient for reducing intergroup prejudice, especially in unequal contacts between professionals and their clients. It was argued that the quality of contact required for the improvement of intergroup attitudes is not equal status or emotional closeness of the participants, but rather that of individuation and familiarity of the outgroup member. The results showed that both level of authoritarianism and individuation of an outgroup member affected intergroup attitudes across all types of contact. For authoritarianism, this result did not hold separately for males, but the individuation effect was very stable; those who knew an outgroup member only superficially held more negative intergroup attitudes than those who knew him or her well, even in unequal and non‐voluntary contacts, and even when controlling for authoritarianism, gender, education and professional field. The effect was non‐significant in voluntary contacts. No differences in intergroup attitudes were found between males and females or between the professional groups among males after controlling for authoritarianism. Copyright © 2000 John Wiley & Sons, Ltd.     

The effect of an integration program on teacher and student attitudes to mentally-handicapped children

This study examines the effect of contact with autistic children on teacher and peer attitudes to mentally-handicapped children in general. Children were interviewed and teachers completed questionnaires about their attitudes toward mentally-handicapped children in five schools attended by autistic boys and five schools not attended by any mentally-handicapped children. Children who had contact with autistic boys had more positive and realistic attitudes. Teachers' attitudes were generally positive and did not vary across settings, but those with experience in teaching mentally-handicapped children were found to have more positive attitudes than those with no experience. The implications for the integration of mentally-handicapped children are briefly discussed.     

Knowledge and Attitudes of Hospital Nurses in Italy Related to Near-Death Experiences

I distributed Nina Thornburg's Near-Death Phenomena Knowledge and Attitudes Questionnaire to 750 nurses in three Verona hospitals, and received 476 completed questionnaires. Questionnaire respondents had a modest knowledge of near-death experiences (NDEs). Nevertheless, respondents expressed a positive attitude towards NDEs in general, and towards patients who had had NDEs. Thirty-four percent of the nurses had personally encountered NDErs, and those nurses reported a higher level of knowledge than their colleagues who had not had that opportunity. Furthermore, in relation to the global sample, nurses who had encountered an NDEr showed attitudes that were more positive regarding both the NDE itself and the type of assistance they offered NDErs.     

Long-term nurse-patient interactions: factors in patient compliance or noncompliance to the dietary regimen

Noncompliance to treatment regimens is a widespread, costly problem. The present study examines nurse-patient interactions as factors in compliance/noncompliance to the hemodialysis dietary regimen. Several research studies have evidenced these interactions to be central to patient compliance. However, no research has been reported that has controlled for the nature of the treatment regimen; rather, practitioners' interactions with patients who are being treated for a variety of disorders have been examined. An interaction-process-analysis technique was used to code the verbal behaviors that occur during treatment between 38 hemodialysis outpatients with chronic renal disease and the nurses who provide their treatment. These verbal interactions were analyzed in relation to levels of dietary compliance/noncompliance of patients and length of nursing tenure. It was found that emotionally positive and negative responses by nurses were both positively associated with noncompliance to the dietary regimen; however, treatment-related responses by nurses were not associated with compliance/noncompliance level. With regard to length of nursing tenure, it was found that emotionally positive and negative responses by patients were positively associated with nursing tenure and that treatment-related questions by nurses were negatively associated with nursing tenure.     

Relationship of field dependence-independence to documentation of nursing-process components by registered nurses in a clinical setting

Scores on the Group Embedded Figures Test of 56 registered staff nurses were correlated with percentage of components of nursing process documented on care plans and progress notes. Education, age, and work experience were control variables. The mean embedded figures scores for associate degree, diploma, and baccalaureate nurses were 11.47, 9.47, and 12.83, respectively. Baccalaureate nurses had the most success in documenting components and diploma nurses had the least. A significant correlation was observed between test scores and percentage of nursing process chains completed by diploma nurses. For associate-degree nurses, a significant inverse correlation was observed between test scores and percentage of components used and percentage of chains with a nursing diagnosis.     

Anxiety and depression in Greek nursing and medical personnel

The relatively low number of nurses compared to physicians in Greece and the few available studies on the psychological problems of the health professionals led to comparison of anxiety and depression for 76 Greek nursing personnel (20 men, M age: 32.8 yr., SD: 3.8 yr., and 56 women, M age: 36.6 yr., SD: 7.7 yr.) and 66 doctors (35 men, M age: 35.9 yr., SD: 8.9 yr. and 31 women, M age: 32.7 yr., SD: 8.1 yr.) using validated translations of the Spielberger State-Trait Anxiety Inventory and the Beck Depression Inventory. Male nurses had the lowest scores on trait anxiety, while female doctors had the highest scores, followed by female nurses. Depression scores were not different between doctors and nurses, regardless of sex. Age and depression scores were positively correlated (Spearman rho = .31) only for the female nurses. The findings suggest that interventions for diagnosis and stress management in the health-care workplace should be equally targeted for nursing and medical personnel.     

HIV/AIDS and health care workers: contact with patients and attitudes towards them

Data on a range of variables associated with contact with patients with HIV/AIDS and attitudes towards them were collected from 174 Scottish health care workers. Measures of attitudes and contact (overall, social and physical) were derived from the scales devised by Pleck et al. (1988). The measure of overall contact was not significantly related to attitudes, but those with predominantly social contact with patients with HIV/AIDS had more positive attitudes towards them. This relationship was moderated by occupational characteristics, concern about working with people of unknown HIV status and neuroticism. With all these variables controlled, including social contact, those who had not received in-service training relating to HIV/AIDS had more negative attitudes. The results are discussed with regard to the measurement of social contact with patients, salient beliefs, the occupational characteristics associated with attitudes, and in-service education.     

Touch, compliance, and awareness of tactile contact

Many experimental studies have shown that touch increases compliance with a request; however, the difference between the effect of touch on compliance between participants who notice and those who do not notice such contact remains in question. An experiment was conducted in which a female confederate asked 368 female smokers to give her a cigarette. In the Touch condition, when making her request, the confederate slightly touched the participant on her forearm. Analysis showed the touch was associated with significantly higher compliance to the request, and a difference was evident in the Touch condition between subjects who had noticed the tactile contact and those who had not.     

Nursing specialty and burnout

We examined the relationship between perceived control and burnout among three nursing specialties: nurse practitioners, nurse managers, and emergency nurses. Survey data were collected from 228 nurses from 30 states. Findings indicated that emergency nurses had the least control and the highest burnout, whereas nurse practitioners had the most control and the least burnout. Mediational analyses showed that expected control, hostility, and stressor frequency explained differences between specialties in burnout. The implications of these findings for interventions that reduce burnout and promote nursing retention are discussed.     

Touch,awareness of touch,and compliance with a request

In certain situations it has been shown that touch has a positive effect on the compliance with a request expressed by a stranger. However, the difference between the effect of touch on request compliance between people who had noticed and those who had not noticed this contact has never been taken into account. In this experiment a female confederate asked 227 women to answer a questionnaire. When asking for their collaboration the forearm was or was not touched for a brief period of 1 to 2 seconds. Analysis showed that touch was associated with significantly higher compliance to the request but no difference was found between subjects who had noticed the tactual contact and subjects who had not noticed.     

Infant–mother social referencing interactions: Description and antecedents in maternal sensitivity and infant irritability

The purpose of the study was to describe naturally occurring infant and maternal behaviours in terms of social referencing in a stranger wariness situation, and to explore antecedents to such behaviouts in early maternal sensitivity and infant irritability. One hundred and ten 10-months-old infants and their mothers were videotaped. Infant social referencing behaviour was defined as puzzled looks directed at mother's face after the infant had discovered the stranger. Almost half of the infants looked with a puzzled expression at their mothers immediately after discovering the stranger, and a majority of the mothers sent a positive message back to the infants. Twenty per cent of the infants never looked at their mothers and 20% of the mothers did not respond when their infants turned to them. Infants whose mothers had responded positively to the referencing look showed positive responses to the stranger to a higher degree than infants who did not reference or those who were not responded to. Antecedents to infant and mother interactive behaviours were sought in maternal sensitivity (general sensitivity, physical contact, responsiveness, intrusiveness, response to distress, and effectiveness in comforting) and in infant irritability as observed when the infants were 4 months old. It was found that infants who did not reference their mothers for information at 10 months had experienced less sensitive mothering 6 months earlier and had also shown more irritability.     

CHARACTERISTICS OF WOMEN IN TRADITIONAL AND NON-TRADITIONAL MANAGERIAL ROLES

This study investigated characteristics which distinguish women who choose traditional as opposed to non-traditional careers and who function at differing occupational levels. 156 nurses represented the traditional sample, and 147 women in business and industrial positions in which 20% or fewer of the job incumbents were female comprised the non-traditional career group. The women were matched according to age and education across three occupational levels. It was determined that women as a group in non-traditional business roles as compared to the traditionals were more achieving, emphasized production more, saw themsleves as having characteristics more like managers and men, and saw no self-characteristics which conflicted with those ascribed to male managers. The business women considered the domestic role as less important, had fewer children, and fewer children living at home, than did the nurses. The two groups did not differ in their attitude toward the importance of their careers, their perceptions of their husband's attitudes, nor in the education level of their spouse and parents. These findings lead to the conclusion that leadership attributes and behavior of women do vary between organizational settings and across occupational levels in predictable ways.     

Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support

Abstract

The main approach to rectifying the well documented poor basic life support (BLS) skills of doctors and nurses, based on a Skills Model, has met with only partial success. This study compares the utility of a Skills Model with one that incorporates a cognitive component in predicting BLS skills. Outcome-expectancy, self-efficacy, training and experience of BLS, and BLS ability were assessed in 53 trained nurses. Ability was unrelated to training or experience of BLS. Nurses who scored highest on the BLS skills assessment perceived the procedure as significantly more successful than those with lower scores. Self-efficacy was unrelated to ability, but was related to status: senior nurses were significantly more confident but no more competent in performing BLS than junior nurses. Nurses who had attended more arrests, while more confident, were no more competent than those who had attended fewer. Assessment of BLS skills reduced self-efficacy beliefs. A model for predicting the relationship between self-assessed ability and objectively assessed skill is outlined.     

Communal Orientation and the Burnout Syndrome Among Nurses: A Replication and Extension1

The present study focused on the distinction between two equity considerations in “people” jobs: the relationship with the recipients with whom one works and the exchange relationship with the organization for which one works. The sample consisted of nurses who were employed in one particular nursing home for mentally retarded patients. The results show that perceived inequity in both types of relationships is linked to emotional exhaustion and reduced personal accomplishment. As expected, individual differences in communal orientation differentiate when nurses feel inequitably treated in their relationships with their patients. Moreover, the results suggest that low communally oriented nurses restore equity in their relationships with patients by withdrawing emotionally (depersonalization). In contrast, nurses who felt inequitably treated in the employee-employer relationship reported a higher intent to quit. No direct link between burnout symptoms and the intention to quit was observed.     

儿童孤独感与同伴关系、社会行为及社交自我知觉的研究

本研究采用同伴提名法和问卷调查法对3-6年级儿童共600名进行了研究,试图考察儿童孤独感与同伴关系、社会行为及社交自我知觉的关系。结果表明:(1)受欢迎组儿童的孤独感显著低于被拒绝组、被忽视组、有争议组和一般组;一般组儿童的孤独感显著低于被拒绝组和被忽视组。(2)社交自我知觉较高的儿童的孤独感显著低于社交自我知觉一般和较低的儿童,社交自我知觉一般的儿童的孤独感显著低于社交自我知觉较低的儿童。(3)高攻击型儿童的孤独感高于低攻击型儿童,但没有达到显著水平;高退缩型儿童的孤独感显著高于一般退缩型和低退缩型儿童,一般退缩型儿童的孤独感显著高于低退缩型的儿童。     

Grandparents' psychological well-being after loss of contact with their grandchildren.

This study examined how loss of contact with grandchildren due to parental separation or divorce, family feud, or a sudden event, such as relocation, affected the emotional well-being of grandparents (N = 442). Using data from the Longitudinal Study of Generations, the depressive symptoms of grandparents were tracked over 15 years. Growth curve analysis was used to compare grandparents who had lost contact with their grandchildren with those who had not and to examine preloss to postloss change in depressive symptoms. Grandparents who lost contact with their grandchildren experienced a steeper increase in depressive symptoms as they aged compared with other grandparents. Depressive symptoms of grandparents who lost contact because of a sudden event increased up to 3 years following the loss but returned to equilibrium thereafter. The authors conclude that grandparents who lost contact with their grandchildren experienced a negative impact on their emotional health.