Layers of engagement: Staff perceptions of spiritual care in residential aged care

ABSTRACT

Addressing the spiritual care needs of residents living in aged-care facilities should be an important dimension of quality care. We conducted semi-structured interviews with residential aged-care staff (including caregivers, nurses, managers, and chaplains) in New Zealand to explore how spiritual care is understood and operationalized. Many participants appeared to equate spiritual care with holistic care that respects the whole person. Participants discussed five types of spiritual care engagement requiring different skills, knowledge, and personal commitment, including information gathering, facilitation, companionship, end-of-life care, and counseling. Our findings suggest that the spiritual care that was offered by our participants, clergy and non-clergy alike, was predominantly informal and unplanned.     

Another look at retroactive and proactive interference: A quantitative analysis of conversion processes

Traditionally, the causes of interference phenomena were sought in “real” or “hard” memory processes such as unlearning, response competition, or inhibition, which serve to reduce the accessibility of target items. I propose an alternative approach which does not deny the influence of such processes but highlights a second, equally important, source of interference—the conversion (Tulving, 1983) of accessible memory information into memory performance. Conversion is conceived as a problem-solving-like activity in which the rememberer tries to find solutions to a memory task. Conversion-based interference effects are traced to different conversion processes in the experimental and control conditions of interference designs. I present a simple theoretical model that quantitatively predicts the resulting amount of interference. In two paired-associate learning experiments using two different types of memory tests, these predictions were corroborated. Relations of the present approach to traditional accounts of interference phenomena and implications for eyewitness testimony are discussed.     

Determinants of National Identity in East and West Germany: An Empirical Comparison of Theories on the Significance of Authoritarianism, Anomie, and General Self-Esteem

This paper presents an integrated theoretical model of national identity, nationalism, and patriotism that takes into account some action-theoretical deliberations, the theories of authoritarianism and anomie, and the social identity approach. The model was tested empirically for citizens of the former East and West Germany with the use of a structural equations model. Most of the hypotheses were supported: Authoritarianism has a significant potential to explain national identity and nationalism. Anomie and general self-esteem are of subordinate relevance. Generally, East and West Germans identify themselves with Germany for the same reasons. However, these results suggest a more differentiated analysis of the effects of anomie and general self-esteem in explaining national identity.     

National Identity in a United Germany: Nationalism or Patriotism? An Empirical Test With Representative Data

Nationalism and patriotism can be thought of as consequences of national identity that represent positive evaluations of one's own group but imply different social goals. This paper investigates the ways in which these concepts are related to attitudes toward minorities. The data analyzed were drawn from a representative sample of residents of the former East and West Germany who responded to items on the national identity of Germans in 1996 as part of a panel study. A model with multiple indicators was tested via a multiple-group analysis of a structural equations model followed by latent class analyses. Both East and West Germans displayed attitudinal patterns that link national identity with tolerance toward others; in both subsamples, nationalism and patriotism were respectively associated with greater intolerance and greater tolerance toward minorities.     

The role of horizontal categorization in retroactive and proactive interference

Four paired-associate experiments with a total N of 291 participants investigated the effects of horizontal categorization on retroactive and proactive interference. (Exclusively) horizontal categorization means that unique categorical relationships hold across the A-B and A-C stimulus-response pairs of successive word lists (e.g., fruit--pear, river--Thames, in list 1; and fruit--plum, river--Wolga, in list 2). Experiment 1 found no significant amounts of interference with this type of list organization. However, strong interference arose with the same materials when the categorical structure was destroyed in Experiment 2. A third experiment contrasted two alternative explanations for these results, and Experiment 4 replicated the effect of horizontal categorization (vs. no categorical relationship) in a within-participants design. The results of the four experiments largely fit with a response competition explanation proposed by Bower, Thompson-Schill, and Tulving (1994), adapted to the within-participants designs used here. Overall, the present findings add to a body of evidence demonstrating limits to retroactive and proactive interference.