Maternal confidence,knowledge, and quality of mother-toddler interactions: A preliminary study

The purpose of this study was to examine the relationships among maternal confidence, knowledge of child development, and quality of mother-toddler interactions using self-efficacy (Bandura, 1977, 1989) as the theoretical framework. Using the Toddler Care Questionnaire, 50 mothers of toddlers were asked to estimate their confidence in their ability to parent their toddlers. Mothers also completed the Knowledge of Infant Development Questionnaire and were videotaped in their homes during a structured interaction with their toddlers. Maternal confidence was positively correlated with maternal knowledge of child development and parenting. The relationships among mother's knowledge of child development, maternal confidence, and quality of mother-toddler interactions were examined by a 2 × 3 analysis of variance with quality of interactions as the dependent variable. There were no significant main effects for maternal knowledge or confidence on quality of mother-toddler interactions, but there was a significant interaction effect. That is, the combined effects of maternal knowledge and confidence were related to quality of mother-toddler interactions. These results may explain previous inconsistencies in the literature regarding the significance of maternal confidence for mother-child interactions and are congruent with self-efficacy theory. Implications for interventions are discussed.     

An analysis of referrals to chaplains in a community hospital in New York over a seven year period

The study analyzed the pattern of referrals to chaplains in a suburban hospital over a 7-year period. Nurses made more than half of all the referrals to chaplains, with nursing accounting for 81.74% of referrals from staff members other than pastoral care workers and volunteers. Social workers and physicians made 11.74% and 4.08% of referrals, respectively. The number of referrals from social workers (r=.86, p<.05), nurses (r=.68, p<.10) and other staff (r=.69, p<.10) increased across years, with the exception of physicians. Three quarters of referrals were requests for chaplains to visit patients and one quarter were requests to visit with family or friends. A significant difference was found in the percentage of referrals made for patients and family/friends by staff members (p<.05), with social workers making a higher percentage of referrals for relatives and friends (34.1%), compared to nurses (26.74%) and physicians (27.27%). The most common presenting problems for which patients were referred to chaplains were anxiety, depression, and pregnancy loss. The rate of referrals for patients over the entire study period was 39.04 per 1000 patient stays.