Measurement of Health Care Attitudes In Cystic Fibrosis Patients and Their Parents

Previous research indicates that attitudes about information acquisition, and attitudes about behavioral involvement, moderate important health behaviors. These attitudes may play an important role in the management of cystic fibrosis (CF) because of the crucial role that patient knowledge and self-involvement play in maintaining adequate functioning. However, due to the young age of CF onset, and the necessary involvement of parents in CF patients' care, two preliminary questions require attention. First, can health care attitudes be measured reliably in young samples? Second, are parents' attitudes related to their children's attitudes? In this study we examined the measurement of health care attitudes in CF patients and their parents by administering the Health Opinion Survey. Results indicated that health care attitudes could be measured reliably in parents and teens, but that for younger patients (ages 8 to 12 years), reliability was reduced. Results also indicated that parents' attitudes and patients' attitudes were largely unrelated, suggesting that patients do not automatically adopt the health care attitudes of their parents. By implication, educational interventions targeted at parents may have limited effectiveness for their children.     

Maternal Separation Anxiety and Attitudes About Maternal Grandmother Participation in Child Care

A sample of 75 primiparas in Athens, Greece were interviewed 3 days following birth (T1) regarding their attitudes towards maternal grandmother participation in child care. A follow-up questionnaire measuring the same attitudes and maternal separation anxiety (MSA) was answered 3–8 months later (T2). It was found that maternal grandmothers were going to assist in child care in 68% of the cases. Higher scores on the MSA subscale ‘employment-related separation concerns’ were obtained by all mothers who were not assisted in child care by the maternal grandmother and were highest among those mothers intending to work before the child was 1 year old. Mothers who intended to work as well as those who had a higher educational level had significantly lower scores on the MSA subscale ‘maternal separation anxiety’. Overall, mothers expressed favourable attitudes towards maternal grandmother participation at T1 and T2. Positive attitudes were especially observed among mothers who relied on grandmothers for child care.     

Attitudes of Health Care Trainees About Genetics and Disability: Issues of Access, Health Care Communication, and Decision Making

Prior studies suggest that knowledge and attitudes of health care professionals influence patient communication and medical decision making. To study this dynamic in the context of genetic disability, we developed a survey on health professionals' attitudes regarding disability and genetic screening and pilot-tested it on a sample of medical students, residents, and genetic counseling students (N = 85). Despite minimal experience with disability or genetics, most respondents reported feeling comfortable dealing with genetics (59%) and disability (75%). The majority felt that disability caused significant suffering for both the person (51%) and family (64%), and that research should be directed toward preventing genetic disability (62%). Similar to prior literature, perceived Quality of Life was most often based on degrees of physical and cognitive functioning, pain, and social support. However, differences were found between genetic counseling trainees and other medical trainees in their relative emphasis of social versus medical issues in questions of disability and genetic testing, and these response patterns were associated with differences in the groups' priorities for offering information about social resources. Respondents agreed that access to genetic testing and information is personal and that testing should be available upon request for oneself (68%) and to a lesser degree for one's fetus (55%) or child (41%). However, the same individuals frequently stated that society should regulate access to such technologies. Although most felt that the patient and professional should jointly make such decisions on a case-by-case basis, it was also seen as appropriate for the health care professional to occasionally decline genetic testing. It seems apparent that training and experience influence knowledge and attitudes. Therefore, it is critical to document knowledge and attitudes of various health care providers and trainees, including differences between various specialties, to improve educational interventions geared to this area.     

Religion and Attitudes Toward Physician-Assisted Suicide and Terminal Palliative Care

We assess religious differences in attitudes toward physician-assisted suicide and terminal palliative care, and go further than previous research by attempting to explain these variations. Using data from the 1998 General Social Survey, we fit OLS regression models to estimate the main effects of religious affiliation and indirect effects via religious involvement (church attendance and strength of affiliation). Both conservative and moderate Protestants are generally less accepting of physician-assisted suicide and terminal palliative care than nonaffiliates. However, both relationships are at least partially explained by church attendance and/or strength of affiliation.     

Attitudes Toward Spirituality and Spiritual Care among Iranian Nurses and Nursing Students: A Cross-Sectional Study

Addressing spiritual needs is taken into account as an integral part of holistic health care and also an important component of nursing practice. The aim of present study is to evaluate attitudes toward spirituality and spiritual care among nurses and nursing students at Semnan University of Medical Sciences in Iran. In this cross-sectional study, all nurses (n = 180) working in the teaching hospitals affiliated to Semnan University of Medical Sciences as well as senior nursing students (n = 50) selected by the census method. Finally, 168 individuals meeting the inclusion criteria were evaluated as the study sample. The data collection instrument was the Spirituality and Spiritual Care Rating Scale. The mean and standard deviation scores of attitudes toward spirituality and spiritual care among nurses and nursing students were 59 ± 10.9, and the scores obtained by the majority of study population (64.3%) ranged between 32 and 62 which were at a moderate and relatively desirable level. Nurses and nursing students working in aforementioned hospitals reported positive attitudes to spirituality and spiritual care. Given the importance of spiritual care and also the moderate level of spirituality and spiritual care among nurses and nursing students in this study, institutionalization of the concept of spirituality, provision of an appropriate context to deliver such care, and also implementation of interventions in order to improve spiritual care along with other nursing skills were assumed of utmost importance.     

The Relationship Between Turkish Nursing Students' Perceptions of Spiritual Care and their Attitudes Towards Death

Journal of Religion and Health - This study aimed to examine the relationship between nursing students' perception of spiritual care and their attitudes towards death. This cross-sectional...     

The Relationship Between Perceived Parenting,Negative Core Beliefs,and Dysfunctional Attitudes Among Young Adults

Previous studies have found that perceived parenting is associated with dysfunctional attitudes that predict depression. However, few studies have empirically investigated processes by which perceived parenting is associated with dysfunctional attitudes. To fill this gap, this study tested the hypothesis that perceived low parental care would be associated with negative core beliefs, which, in turn, would be associated with dysfunctional attitudes. To strictly test the hypothesis, this study controlled for current depressive symptoms that could affect the relationships between study variables. The participants were 305 college students (141 females). The results differed by sex: for female students, the hypothesis was supported; for male students, negative core beliefs were associated with dysfunctional attitudes; however, perceived low care was not associated with negative core beliefs. The findings suggest that targeting low parental care and negative core beliefs for females and negative core beliefs for males may help prevent their dysfunctional attitudes and the resultant depression.     

Attitudes towards the old and death,and spiritual well-being

The purpose of this research was to determine the interrelationship of attitudes towards older people, death attitudes, and the spiritual well-being of 300 nursing students. Instruments employed were Kogan's Old People Scale, the Death Anxiety Scale, the Death Depression Scale, and the Spiritual Well-being Scale. Pearson product-moment correlation coefficients and multiple-regression analysis were used to test the hypotheses. Hypotheses were supported predicting an inverse relationship between attitudes towards older people and death anxiety and death depression (p<.01), and a positive relationship between spiritual well-being and negative attitude towards older people (p<.01). Data did not support the hypothesis that death attitudes and spiritual well-being would account for greater variance in attitudes towards older people than either single variable alone. From a step-wise multiple-regression analysis, race/ethnicity and death attitudes together accounted for 21% of the variance in attitudes towards older people. Study results demonstrated that Caucasian nursing students hold positive attitudes toward older people. Implications for health care are discussed with particular emphasis on potential strategies for education.     

Frontotemporal Dementia and the Reactive Attitudes: Two Roles for the Capacity to Care?

People who have a particular behavioural variant of Frontotemporal Dementia (bvFTD) suffer from a puzzling early set of symptoms. They appear to caregivers to cease to care about things that they did before, without manifesting certain other significant deficits that might be expected to accompany this change. Are subjects with bvFTD appropriate objects of reactive attitudes like resentment and indignation that seem to presuppose responsible agency? I explore two possible routes to answering this question in the negative that both appeal to the role of the capacity to care in accounts of responsible agency. The first appeals to the capacity to care as fundamental in determining the aptness of moral demands and appraisals; the second appeals to the capacity to care as required for the very possibility of being someone who could in principle receive deserved praise or blame. In order to assess these lines of reasoning, it will be necessary to settle on a plausible account of caring, and the case of subjects with bvFTD can help in illuminating the relevant capacities. I suggest that the two routes, when clarified, are promising, but that interesting questions about the nature of desert and its relationship to caring remain open.     

University Student Attitudes Toward American Indians

This study measured racial attitudes of 201 students toward American Indians in a variety of social-interpersonal and educational situations. Student's racial attitudes were generally positive except in a situation involving an American Indian student receiving free health care. Results are discussed in the context of the current sociopolitical climate.     

Primary Care Medical Provider Attitudes Regarding Mental Health and Behavioral Medicine in Integrated and Non-integrated Primary Care Practice Settings

Primary care medical providers (PCPs) have become de facto providers of services for the management of both mental and chronic illnesses. Although some reports suggest that PCPs favor having Behavioral Health colleagues provide behavioral health services in primary care, others demonstrate this view is necessarily not universal. We examined attitudes regarding behavioral health services among PCPs in practices that offer such services via onsite behavioral health providers (n = 31) and those that do not (n = 62). We compared referral rates and perceived need for and helpfulness of behavioral health colleagues in treating mental health/behavioral medicine issues. In both samples, perceived need was variable (5?C100%), as were PCPs?? views of their own competence in mental health/behavioral medicine diagnosis and treatment. Interestingly, neither sample rated perceived access to behavioral health providers exceptionally high. Referral rates and views about the helpfulness of behavioral health services, except in relation to depression and anxiety, were lower than expected. These results suggest a need for increased collaboration with and education of PCPs about the roles and skills of behavioral health professionals.     

Emotions,Attitudes, and Reasons

Our emotional faculties respond to successes, gains, advantages, threats, losses, obstacles, and other personally significant objects or situations, producing positive or negative evaluations of them according to their perceived import. Being an evaluative response is a feature that emotions share with paradigm attitudes (beliefs, intentions, judgments, etc.). However, recently philosophers have been reluctant to treat emotions as attitudes. The usual reasons given have to do with the automaticity of emotions and their occasional recalcitrance. In this article, I argue that these things shouldn't disqualify emotions from counting as genuine attitudes. Our emotions do bear the kind of relationship with our reasons that is characteristic of our attitudes.     

Proposition 187 reexamined: Attitudes toward immigration among California voters

The purposes of this study were to examine socio-demographic predictors of attitudes toward immigration in a community-based sample (N = 494) from the Los Angeles area; and to explore the relationship between attitudes toward immigration and the providing of educational and health services to the children of undocumented immigrants. Not providing services to the children of undocumented immigrants was a key element of California's Proposition 187. Attitudes toward immigration were measured with the Attitudes Toward Immigration Scale (ATIS). The providing of services was measured through the participants' evaluations of a school scenario and a health care scenario. Results indicated that participants who were middle-aged or older, less educated, identified as Republican, and were third generation or greater were more likely to hold negative attitudes toward immigration. Furthermore, participants holding negative attitudes toward immigration were less likely to provide education and health care services to the children of undocumented immigrants.     

Proposition 187 reexamined: Attitudes toward immigration among California voters

The purposes of this study were to examine socio-demographic predictors of attitudes toward immigration in a community-based sample (N = 494) from the Los Angeles area; and to explore the relationship between attitudes toward immigration and the providing of educational and health services to the children of undocumented immigrants. Not providing services to the children of undocumented immigrants was a key element of California's Proposition 187. Attitudes toward immigration were measured with the Attitudes Toward Immigration Scale (ATIS). The providing of services was measured through the participants' evaluations of a school scenario and a health care scenario. Results indicated that participants who were middle-aged or older, less educated, identified as Republican, and were third generation or greater were more likely to hold negative attitudes toward immigration. Furthermore, participants holding negative attitudes toward immigration were less likely to provide education and health care services to the children of undocumented immigrants.     

Graphic Somatography: Life Writing,Comics, and the Ethics of Care

This essay considers the ways in which graphic caregiving memoirs complicate the idealizing tendencies of ethics of care philosophy. The medium’s “capacious” layering of words, images, temporalities, and perspectives produces “productive tensions. . . The words and images entwine, but never synthesize” (Chute 2010, 5). In graphic memoirs about care, this “capaciousness” allows for quick oscillation between the rewards and struggles of care work, representing ambiguous, even ambivalent attitudes toward care. Graphic memoirs effectively represent multiple perspectives without synthesis, part of a structural and thematic ambivalence that provides a provocative counterpart to the abstract idealism of ethics of care philosophy.     

Determinants of Attitudes toward Affirmative Action in a Swiss Sample

162 Swiss employees were surveyed to assess knowledge of and attitudes toward different types of affirmative action programs (AAPs) for women. Findings show that knowledge of AAPs was limited and AAPs were most frequently associated with child care measures. Attitudes toward opportunity enhancement programs, especially toward child care, were more positive than toward preferential selection and positive discriminatory programs. Women held more positive attitudes toward AAPs. However, for some attitudes, gender differences were entirely mediated by symbolic prejudice toward working women. Independently of gender, symbolic prejudice was a key predictor of all attitudes. Measures of self-view (self-esteem and gender self-concept) were largely unrelated to attitudes toward AAPs. Implications for research and organizations are discussed.

Attitudes, self-monitoring, and appraisal behaviors

This study examined the influence of attitudes and self-monitoring on leniency (elevation accuracy) of performance ratings and personnel decisions. In addition, moderating effects of self-monitoring on the relationship between attitudes and accuracy of ratings and decisions were investigated. Attitudes and self-monitoring tendency of 210 managers-professionals were measured, and ratings provided and decisions made by them were used to test 3 sets of hypotheses. Moderated regression and follow-up split-group analyses indicated that self-monitoring moderated the relationship between attitudes toward accurate appraisal and rating accuracy. Self-monitoring significantly influenced rating and decision accuracy such that accuracy declined with increasing level of self-monitoring. Results highlight the influence of rater's personality on appraisal behaviors. Implications of results and directions for future research are discussed.     

Attitudes,Tracing, and Control

There is an apparent tension in our everyday moral responsibility practices. On the one hand, it is commonly assumed that moral responsibility requires voluntary control: an agent can be morally responsible only for those things that fall within the scope of her voluntary control. On the other hand, we regularly praise and blame individuals for mental states and conditions that appear to fall outside the scope of their voluntary control, such as desires, emotions, beliefs, and other attitudes. In order to resolve this apparent tension, many philosophers appeal to a tracing principle to argue that agents are morally responsible (only) for those attitudes whose existence can be traced back, causally, to a voluntary action or omission in the past. My aim in this article is to critically evaluate this tracing strategy and to argue that it gives us a misguided picture of when and why we are morally responsible for our attitudes. I argue that we should accept a ‘judgment sensitivity’ condition of moral responsibility rather than a ‘voluntary control’ condition, and defend this account against various objections.     

The Moderating Effects of Attitudes on Nurses' Intentions to Report Impaired Practice

Nurses compose the largest segment of employees in the U.S. health care industry. Nurses whose professional functioning is impaired because of substance abuse represent a threat to the health and safety of patients, other health care staff, and themselves. Attitudes toward substance use have been studied in relation to nurses' intentions (decisions) to report impaired colleagues. Whether, and to what extent, these attitudes may interact with the characteristics of the "offense" to influence intentions to report impaired practice is unknown. In this article we analyze intentions to report a variety of impaired nursing practice scenarios, obtained using a policy-capturing method, to determine the extent to which attitudes held by the "reporter" influence intentions by moderating the effects of the offense characteristics. Intention data from a sample of 120 nurses were modeled using hierarchical techniques to test the moderating hypothesis. Evidence for the moderating effects of attitudes is discussed.     

Men and Menstruation: A Qualitative Exploration of Beliefs,Attitudes and Experiences

Our article presents the findings from a study exploring men’s attitudes towards and perceptions of menstruation. Using a social constructionist framework, we analyzed 48 Australian men’s written accounts in response to an anonymous online questionnaire which explored messages they received about menstruation growing up as well as their current attitudes towards, and experiences with, menstruation. Respondents were 18–69 years-old; most were Caucasian and in an intimate relationship, and they varied considerably in terms of educational attainment. Thematic analysis yielded four themes: (a) managing the stigma of menstruation, (b) talking menstruation today—open and closed communication, (c) menstruation is part of relationships, and (d) menstruation and social commentary. These findings shed light on how boys learn about menstruation and how men’s role in menstruation is constructed, emphasizing the educational, relational, and socio-political contexts in which these attitudes are created. Researchers, health care providers, and educators could use our findings to create more effective reproductive health education programs. Improving communication between parents and children may encourage a more balanced view towards menstruation, working towards reducing the stigma commonly experienced by girls and women.