Reflective team in caring for people living with dementia: a base for care improvement

A reflective team (RT) is a team of professional carers who reflect on a specific caring issue under the direction of an RT leader. The goal for the reflective process is to accomplish care improvement based on research and proven experience, and the first step is to reflect upon the competence that already exists in the context in which RT takes place. This study aims to bring previous unarticulated competence in caring for people living with dementia to the surface after it has been reflected during RT sessions. Ten assistant nurses who work closely with patients who have dementia and attend RT sessions on a regular basis were interviewed about their competence for caring for people living with dementia. Using a phenomenographic analysis, two qualitatively separate categories emerged: general caring skills and dementia-specific caring skills. It was concluded that specific skills in caring for people living with dementia build in caring skills and that tacit knowledge can be explicit and be expressed when it has been reflected in RT.     

Testing the Situationism Scale in Europe: Scale validation,self‐regulation and regional differences

The term situationism refers to an individual's belief about the importance of a behaviour's context. This study tested whether the degree of situationism expressed by individuals in various regions of Europe was consistent with self‐regulation and cross‐cultural theories. The English version of a Situationism Scale (measuring beliefs about the relation between the environment and one's own behaviour) was translated into five additional languages: Dutch, German, Hungarian, Italian and Slovenian. Young adults (N = 1106, M_Age = 22.9 years, 79% female) across Europe responded to one of the six language versions of the scale as part of a larger survey. Results indicated that: new language versions were psychometrically valid; there was a positive relation between situationism and the use of situation‐control strategies; and situationism was higher for individuals from regions that are Eastern European and relatively more interdependent, compared with individuals from regions that are Western European and relatively less interdependent. As the first evaluation of the Situationism Scale outside America, this study supports the Scale's validity and suggests not only may some effects of situationism be universal, but between‐ and within‐culture differences in situationism exist. Overall, when making judgments and decisions about the self, cultural background and individual differences in situationism may come into play.     

Theological Implications of Young Earth Creationism and Intelligent Design: Emerging Tendencies of Scientism and Agnosticism

Abstract

Creationism is a worldview that does not accept the undirected formation and development of life but requires intelligent (supernatural) intervention. We analyzed texts representing Young Earth creationism (YEC) and intelligent design (ID) for their theological content and implications by assessing their position in central issues of systematic theology. YEC proponents emphasize the young age of the Earth and the necessity of literal interpretation of Genesis as prerequisites for the Fall and redemption. ID accepts the geological age of the planet, but requires intervention during evolution. YEC maintained the traditional characteristics of the Christian God (omnipotence, omniscience, benevolence), while some ID authors refused to speculate on the nature of the alleged designer. YEC authors utilized reinterpretation of scientific data as evidence for creation and to legitimize their belief in the historicity of Genesis. This could be regarded a form of scientism. YEC theodicy concentrated on the Fall as the cause of evil and the eschatological resolution of suffering. In contrast, ID proponents attempted to solve theodicy by compensated benefits of, e.g., pain. ID did not take a clear stand regarding salvation and ecclesiology, but YEC authors considered the acceptance of evolutionary theory and Christian faith to be mostly inconsistent. YEC doctrine differed from major Christian denominations by accepting scientific evidence as a proof for the historicity of Genesis and showed signs of exclusivity regarding evolutionary proponents. In ID, no satisfactory theodicy could be observed and some ID theorists could be classified as agnostics because of doubting the identity of the designer and by limiting God's omnipotence and benevolence. Both YEC and ID demonized evolutionary theory and its proponents. Creationism seems to be on its way to becoming a new kind of denomination or an emerging novel religion.     

Out of the depths

A fundamental approach of theology as practiced within the palliative setting is care for the whole human being, with particular focus on spirituality and the spiritual dimension. Theology and medicine come together in palliative care in which the spiritual aspect is an important component together with the physical, psychological, and social. This article is based on a mixed methods study of spirituality among persons receiving palliative care. Findings revealed the importance of spirituality and its multidimensional elements by which spirituality was perceived as a complex phenomenon relating to religious and non-religious aspects of human life. Theological reflection based on the present findings indicates that a sharp distinction between the concepts of religion and spirituality is not beneficial. It also reveals the significance of the spiritual dimension and that theology has an important role in creating a deeper understanding of this complex part of human existence. Spiritual needs, expressed in various ways, were evident among the participants receiving palliative care. The findings confirm that the theological approach in palliative care, with its focus on the whole human being and emphasis on spirituality and the spiritual dimension, continues to be the hallmark of practicing theology within palliative care.     

The Interplay of Implicit Causality,Structural Heuristics,and Anaphor Type in Ambiguous Pronoun Resolution

Two visual-world eye-tracking experiments investigating pronoun resolution in Finnish examined the time course of implicit causality information relative to both grammatical role and order-of-mention information. Experiment 1 showed an effect of implicit causality that appeared at the same time as the first-mention preference. Furthermore, when we counterbalanced the semantic roles of the verbs, we found no effect of grammatical role, suggesting the standard observed subject preference has a large semantic component. Experiment 2 showed that both the personal pronoun hän and the demonstrative tämä preferred the antecedent consistent with the implicit causality bias; tämä was not interpreted as referring to the semantically non-prominent entity. In contrast, structural prominence affected hän and tämä differently: we found a first-mention preference for hän, but a second-mention preference for tämä. The results suggest that semantic implicit causality information has an immediate effect on pronoun resolution and its use is not delayed relative to order-of-mention information. Furthermore, they show that order-of-mention differentially affects different types of anaphoric expressions, but semantic information has the same effect.     

Does Rumination Mediate the Association of Private Prayer,Stress, and Their Interaction with Depression among Christians? A Cross-Sectional Study

Mechanisms underlying significant associations between different types of prayer and depression are unknown. Based on the conceptualization of prayer as stress buffering coping style and the Response Style Theory, we proposed that rumination mediates the association of prayer types and stress with depression. This cross-sectional study (N?=?227 Christians, M_age 41.74, SD 14.82, age range 18–82 years, 76% female) used path modeling to test whether rumination mediated the associations between prayer types and prayer types by stress interactions with depression. Rumination fully mediated the associations of the colloquial and ritual prayer by stress interactions with depressive symptoms, while meditative and petitionary prayer was directly associated with depressive symptoms. Further, petitionary prayer and the ritual prayer by stress interaction were associated with more and not with less rumination and depressive symptoms, respectively. Summarized, first empirical evidence supports an integration of prayer, stress, and rumination into one model of depression. However, the exact nature of their interplay depends on the prayer type. If replicated, our findings allow the integration of prayer into cognitive-behavioral treatment of depression in religious and spiritual clients.     

Longitudinal predictors of changes in the morningness–eveningness personality among Norwegian nurses

The aim of this cohort study was to investigate factors that might cause a shift in morningness–eveningness personality. A large sample of Norwegian nurses (n = 1144) participated in a longitudinal survey study about life- and work factors, symptoms of anxiety and depression, and habits such as smoking, caffeine- and alcohol consumption. A hierarchical regression analysis was employed to determine if these variables had predictive value concerning changes in morningness assessed with the Diurnal Type Scale (DTS) over a 24-month interval. The results showed that percentage of full time equivalent, having children (or having children move in), and female gender all predicted higher scores on the morningness scale over time. Also, factors such as number of night shifts during the past two years, whether the subject had started smoking and higher alcohol consumption by the subject all predicted lower scores on the morningness scale over time.     

Spatial orienting in the visual field: a unified perceptual space?

Visual attention can be oriented toward a spatial location in the visual field exogenously by an abrupt onset of a peripheral cue. In a series of behavioral studies on exogenous orienting of attention with a double-cue paradigm, we demonstrated a functional subdivision of perceptual space in the visual field. Specifically, inhibition of return (IOR) is much stronger at periphery relative to perifoveal visual field up to approximately 15° eccentricity, suggesting two dissociable functional areas in the visual field. To further investigate the generality of this functional subdivision of the visual field, we measured IOR effects with another single-cue paradigm and applied a very short cue-target interval that was typically anticipated not to observe any inhibitory effect at all. Consistent with this expectation, no IOR effects at the eccentricities up to 15° were observed. However, significant IOR effects beyond 15° eccentricities were consistently demonstrated. These results not only revealed an early onset of IOR for more peripheral stimuli, but also confirmed that the perceptual space in the visual field is not homogeneous but underlies a functional subdivision with a border of ca. 15° eccentricity.