Spiritual Care in the ICU: Perspectives of Dutch Intensivists,ICU Nurses,and Spiritual Caregivers

Since there are no scientific data available about the role of spiritual care (SC) in Dutch ICUs, the goal of this quantitative study was twofold: first, to map the role of SC as a part of daily adult ICU care in The Netherlands from the perspective of intensivists, ICU nurses, and spiritual caregivers and second, to identify similarities and differences among these three perspectives. This study is the quantitative part of a mixed methods approach. To conduct empirical quantitative cohort research, separate digital questionnaires were sent to three different participant groups in Dutch ICUs, namely intensivists, ICU nurses, and spiritual caregivers working in academic and general hospitals and one specialist oncology hospital. Overall, 487 participants of 85 hospitals (99 intensivists, 290 ICU nurses, and 98 spiritual caregivers) responded. The majority of all respondents (>70%) considered the positive effects of SC provision to patients and relatives: contribution to mental well-being, processing and channeling of emotions, and increased patient and family satisfaction. The three disciplines diverged in their perceptions of how SC is currently evolving in terms of information, assessment, and provision. Nationwide, SC is not implemented in daily ICU care. The majority of respondents, however, attached great importance to interdisciplinary collaboration. In their view SC contributes positively to the well-being of patients and relatives in the ICU. Further qualitative research into how patients and relatives experience SC in the ICU is required in order to implement and standardize SC as a scientifically based integral part of daily ICU care.     

Accessibility of affective versus cognitive components of attitudes

Four studies investigated differences in accessibility of affective and cognitive components of attitudes. Accessibility was measured by response times on bipolar semantic differential evaluative adjectives (e.g. ‘positive–negative’) in response to how one felt and thought, respectively, about an attitude object. The evaluative items were accompanied by affective and cognitive context items, which were not analysed, but were meant to promote the retrieval of affective and cognitive evaluations respectively. Responses to affective evaluations were given faster than responses to cognitive evaluations, suggesting that affect-based evaluations are more accessible in memory than cognition-based evaluations. The results were obtained in two attitude domains, i.e. brand names and countries. The results support the validity of a two-component affect–cognition model of attitude. © 1998 John Wiley & Sons, Ltd.     

When, what, and how much to reward in reinforcement learning-based models of cognition

Reinforcement learning approaches to cognitive modeling represent task acquisition as learning to choose the sequence of steps that accomplishes the task while maximizing a reward. However, an apparently unrecognized problem for modelers is choosing when, what, and how much to reward; that is, when (the moment: end of trial, subtask, or some other interval of task performance), what (the objective function: e.g., performance time or performance accuracy), and how much (the magnitude: with binary, categorical, or continuous values). In this article, we explore the problem space of these three parameters in the context of a task whose completion entails some combination of 36 state-action pairs, where all intermediate states (i.e., after the initial state and prior to the end state) represent progressive but partial completion of the task. Different choices produce profoundly different learning paths and outcomes, with the strongest effect for moment. Unfortunately, there is little discussion in the literature of the effect of such choices. This absence is disappointing, as the choice of when, what, and how much needs to be made by a modeler for every learning model.     

How to get radical creative ideas into a leader’s mind? Leader’s achievement goals and subordinates’ voice of creative ideas

In the present research we investigated when and why leaders tend to oppose or adopt radical creative ideas voiced by their subordinates. In a field study (Study 1, N = 127) we showed that leaders’ performance goals were positively related to their tendency to oppose radical creative ideas, whereas leaders’ mastery goals were positively related to their tendency to adopt them. We replicated these findings in an experimental study (Study 2, N = 90), in which we showed that performance goal leaders were more likely to oppose radical creative ideas voiced by their subordinates than mastery goal leaders, whereas mastery goal leaders were more likely to adopt those ideas than performance goal leaders. In Study 2, we further showed that the effects of leaders’ achievement goals on their oppose and adopt responses were mediated by the leaders’ interest in exploration. Finally, in Study 3 (N = 91), we experimentally demonstrated that oppose and adopt responses of performance goal leaders, rather than mastery goal leaders, were sensitive to the behavioural mode by which subordinates voiced their radical creative ideas. That is, performance goal leaders were less likely to oppose and more likely to adopt radical creative ideas when subordinates voiced them in a considerate mode rather than an aggressive mode.     

The effect of observational learning on students’ performance,processes, and motivation in two creative domains

Background . Previous research has shown that observation can be effective for learning in various domains, for example, argumentative writing and mathematics. The question in this paper is whether observational learning can also be beneficial when learning to perform creative tasks in visual and verbal arts. Aims . We hypothesized that observation has a positive effect on performance, process, and motivation. We expected similarity in competence between the model and the observer to influence the effectiveness of observation. Sample . A total of 131 Dutch students (10^th grade, 15 years old) participated. Method . Two experiments were carried out (one for visual and one for verbal arts). Participants were randomly assigned to one of three conditions; two observational learning conditions and a control condition (learning by practising). The observational learning conditions differed in instructional focus (on the weaker or the more competent model of a pair to be observed). Results . We found positive effects of observation on creative products, creative processes, and motivation in the visual domain. In the verbal domain, observation seemed to affect the creative process, but not the other variables. The model similarity hypothesis was not confirmed. Conclusions . Results suggest that observation may foster learning in creative domains, especially in the visual arts.     

Autobiographical memory functions in young Japanese men and women

The present study examined whether the three major functions of autobiographical memory observed in Western societies (i.e., directing-behaviour, social-bonding and self-continuity) also exist in an East Asian society. Two self-report measures were used to assess the autobiographical memory functions of Japanese men and women. Japanese young adults (N = 451, ages 17–28 years) first completed the original Thinking About Life Experiences (TALE) Questionnaire. They subsequently received three TALE items that represented memory functions and attempted to recall a specific instance of memory recall for each item. Confirmatory factor analyses on the TALE showed that the three functions were replicated in the current sample. However, Japanese participants reported lower levels of all three functions than American participants in a previous study. We also explored whether there was an effect of gender in this Japanese sample. Women reported higher levels of the self-continuity and social-bonding functions than men. Finally, participants recalled more specific instances of memory recall for the TALE items that had received higher ratings on the TALE, suggesting that the findings on the first measure were supported by the second measure. Results are discussed in relation to the functional approach to autobiographical memory in a cross-cultural context.     

Temporal distribution of favourite books,movies, and records: Differential encoding and re-sampling

The reminiscence bump is the effect that people recall more personal events from early adulthood than from childhood or adulthood. The bump has been examined extensively. However, the question of whether the bump is caused by differential encoding or re-sampling is still unanswered. To examine this issue, participants were asked to name their three favourite books, movies, and records. Furthermore, they were asked when they first encountered them. We compared the temporal distributions and found that they all showed recency effects and reminiscence bumps. The distribution of favourite books had the largest recency effect and the distribution of favourite records had the largest reminiscence bump. We can explain these results by the difference in rehearsal. Books are read two or three times, movies are watched more frequently, whereas records are listened to numerous times. The results suggest that differential encoding initially causes the reminiscence bump and that re-sampling increases the bump further.     

The valence of sex:Automatic affective associations in erotophilia and erotophobia

Sexual stimuli may elicit positive and negative emotions that can impact sexual thoughts, responses, and behavior. To date, most research on affect and sexuality has focused on conscious processes and affective states. Less is known about how automatic and trait-level affective processes influence our reactions to sexual stimuli. This study used a priming task with backward masking and a trait measure of erotophobia-erotophilia - the tendency to respond to sex on a negative-to-positive continuum - to improve our understanding of the role of automatic and affective processes in response to sexual stimuli. Erotophilic individuals demonstrated automatic associations between sexual primes and positively-valenced targets, whereas erotophobic individuals classified negatively-valenced targets faster regardless of whether primes were sexual or neutral. The findings suggest that the valence of sexual stimuli can be processed automatically and is associated with trait-level affective responses to sex. Implications for research on risky sexual behavior and sexual dysfunction are discussed.     

Feedback type as a moderator of the relationship between achievement goals and feedback reactions

The aim of the current study is to shed new light on the inconsistent relationship between performance‐approach (PAp) goals and feedback reactions by examining feedback type as a moderator. Results of a field experiment (N = 939) using a web‐based work simulation task showed that the effect of achievement‐approach goals was moderated by feedback type. Relative to individuals pursuing mastery‐approach goals, individuals pursuing PAp goals responded more negatively to comparative feedback but not to task‐referenced feedback. In line with the hypothesized mediated moderation model, the interaction between achievement goals and feedback type also indirectly affected task performance through feedback reactions. Providing employees with feedback is a key psychological principle used in a wide range of human resource and performance management instruments (e.g., developmental assessment centres, multi‐source/360° feedback, training, selection, performance appraisal, management education, computer‐adaptive testing, and coaching). The current study suggests that organizations need to strike a balance between encouraging learning and encouraging performance, as too much emphasis on comparative performance (both in goal inducement and in feedback style) may be detrimental to employees' reactions and rate of performance improvement.