Student Development and Support using a Logotherapeutic Approach

This study reports on participants' meaning-centred experiences and perspectives after attending a logotherapy-based student development and support programme. Thirteen students who were enrolled in the first year of the academic programme, in health science programme at a South Africa university, were participants. Qualitative inquiry was used for the data collection and analysis. Findings suggest that a meaning-centred approach may prove to be beneficial for first year university students.     

Understanding the Ageing Process: A Developmental Perspective of the Psychosocial and Spiritual Dimensions

SUMMARY

This chapter describes a perspective of psychosocial and spiritual development in the later years of life. It outlines a study of nurses conducted in six nursing homes using pre and post workshop tests to identify changes in nurses' assignment of a list of behaviours as psychosocial or spiritual. Use of SPSS found significant changes between the pre and post tests. Pre workshop tests only identified items as spiritual if they included the word God, or Bible. Results from this study highlight the potential role for nurses in aged care to provide spiritual care as part of holistic care. It also highlights the fact that many nurses feel ill prepared for this role.     

Health,Healing and Wholeness in Frail Elderly People

ABSTRACT

This article explores the relationship between health, healing and wholeness in a group of twenty frail older residents of nursing homes, using in-depth interviews. While the participants in this study were all frail and lived with a number of disabilities, they demonstrated signs of transcendence in their responses to their disabilities. While independent living older adults in a previous study had all expressed fears of future vulnerability, only 45% of these nursing home residents said they had fears. Failure to thrive is discussed as one area of concern for frail older people, noting that this may stem from a lack of nourishment of the soul. Pastoral care is described as a multidisciplinary intervention for these residents, forming part of their wholistic care.     

Alternative Lens Model Equations for Dichotomous Judgments about Dichotomous Criteria

The Brunswik lens model typically represents a judge's accuracy using parameters derived from linear regression. This is not optimal if the judgment or the ecological criterion is dichotomous. Alternative approaches, modeling dichotomies using logistic regression, or linearizing judgments with confidence ratings, have not been compared with the same data. Four techniques for deriving lens model equation parameters were compared: (i) linear and (ii) logistic regression applied to dichotomous patient outcomes and judgments; (iii) linear regression with confidence‐adjusted judgments but dichotomous patient outcomes; and (iv) a hybrid with a linear model of the confidence‐adjusted judgments and a logistic model of the patient outcomes. Judgment accuracy (r_a) was slightly higher with confidence adjustment of the categorical judgments. The logistic lens model accounted for a higher proportion of r_a than the linear lens model; the confident‐linear and hybrid lens models were intermediate. For up to a quarter of participants, different methods identified different cues as most important. Display condition differences in achievement r_a and in lens model components are similar with all lens model methods. Each of the three alternative lens model equation methods improves on the linear lens model equation's decomposition of the accuracy of dichotomous judgments. Confidence adjustment improves achievement although it requires additional work from the subjects. The logistic lens model equation explains the highest proportion of achievement, but with a small stimulus set, it is more vulnerable to cue intercorrelations than either the linear or the confident linear lens model equation. Copyright © 2016 John Wiley & Sons, Ltd.     

采用人性化护理管理降低护理差错的思考

随着社会的迅速发展及人们生活水平的不断提高,人们对医疗服务的需求增加,护理工作者所面对的压力增大,产生护理差错的概率增加。同时,护理工作者知识结构水平的改变,整体素质上升,对护理管理要求提高,人性化管理成为当今谈论的焦点,也成为减少护理差错、提高护理质量的重要手段。     

Age and burnout syndrome in nursing professionals: moderating role of emotion-focused coping

This study examined whether the association between age and the three burnout dimensions (emotional exhaustion, depersonalisation and reduced personal accomplishment) depend on the extent of nursing professionals’ use of emotion-focused coping strategy. Participants were 283 nurses (Mage = 35 years, SD = 8.17, Range = 23–66 years) from a tertiary healthcare institution in south-eastern Nigeria. They completed self-report measures of relevant variables in paper and pencil form. Increased age was associated with reduced personal accomplishment for nurses with high emotion-focused coping, but not for those who were low or moderate in use of emotion-focused coping. Such moderation effects were not found for emotional exhaustion and depersonalisation. Findings clarify the conditions under which age may be associated with reduced sense of achievement at work among nursing professionals. The study adds to knowledge in combating burnout in nursing and could guide health managers in developing strategies that might prevent or ameliorate nurses’ burnout.     

Reflecting on – traditions,ceremony, and the formation of bachelor-prepared nurses

In this article, we explore the ways that the traditional nursing oath ceremony might serve as a reflective transformative moment for first-year students as they take their first tentative steps in a developmental journey of being and becoming registered nurses. Traditions in professional programs act as a rite of passage and hold the promise of an invitation and a new sense of belonging. This discussion explores the possibilities that exist within reflective transformative learning moments. The discussion unfolds through our eyes as nursing faculty teaching in an undergraduate nursing program. We recall our experience of practicing with first-year nursing students, and discuss the age-old debate: is the focus of teaching delivering content, or the formation of practitioners?     

Youth Needs at Intake into Trauma‐Informed Group Homes and Response to Services: An Examination of Trauma Exposure,Symptoms, and Clinical Impression

Trauma‐informed care is recommended to improve the quality of group home services for youth. Youth exposure to trauma and associated symptoms are important factors involved in making the clinical impression that determines treatment services. This study considered three dimensions of trauma (exposure, symptoms, and clinical impression) to determine associations with behavioral incidents of youth in trauma‐informed group homes and how trauma was related to changes in psychopathology from intake to discharge. Archival records of youth (N = 1,096), age 9–18 (M = 15.7 years) who received services from January 2013 to December 2017, and departed the program were used. Statistical procedures included hierarchical linear modeling and analysis of covariance. Results indicated trauma symptoms predicted emotional problems and self‐injurious behavior. Youth in high‐ and low‐trauma groups both showed decreases in behavioral incidents and psychopathology, but clinical impression of trauma moderated the change in emotional problems from intake to discharge. Youth deemed by clinicians to have lower trauma (based on history of maltreatment and expression of trauma symptoms) had greater decrease in emotional problems from admission to discharge. Limitations and implications for further research on implementation and effectiveness of trauma‐informed models are discussed.     

论护理学是医学中人文精神的主要承载者

医学是"以人为本"的科学,对病人的关怀照顾是医学中人文关怀的主要体现,护理学作为医学的分支科学,是以女天赋的母性慈爱为基础,以对病人的关怀照顾为目的的学问,所以,护理学是医学中人文精神的主要承载者.     

危机管理在急诊护理管理中的应用

本文概述了急诊护理危机管理的含义,分析了当前急诊科护理危机的隐患因素,并进一步探讨危机管理在急诊护理管理中应用时的具体措施。阐述了强化危机管理在现代急诊护理管理中的重要作用,提出应最大限度防范与控制急诊护理危机,全面提高急诊科护理管理水平。