基层医院年轻医生临床素质现状分析及培养对策

本文对基层医院年轻医生临床素质的现状进行分析,指出了文化层次、福利待遇、带教培养、质控意识、科研热情、人文修养和医疗环境等方面存在的缺陷和不足是导致基层医院年轻医生临床素质低的重要原因。同时呼吁政府加大投入和确保医疗环境安全,加强年轻医生政治思想教育,树立正确的人生观和良好的医德医风,具备良好的心理素质、较好的人文修养和过硬的沟通能力,强化质控意识,引导和培养年轻医生加强临床知识积累,掌握科学的思维方法,从而促进科研水平的提高。     

Task-specificity of balance training

Despite much research on balance training, it is still unclear whether balance training leads to highly task-specific adaptations or rather non-specific adaptations. Hence, in this study we examined whether balance training increased performance only in the balance task that was trained or also in non-trained tasks. Forty healthy participants (28 m 12 f, 25 ± 4 years, 177 ± 10 cm, 73 ± 14 kg) were assigned to one of two training groups (TGs) or a control group. Both TGs completed six sessions over 2 weeks, only the training device differed. Before and after the training, performance in the trained task as well as in additional untrained tasks was recorded. ANOVAs showed that each TG outperformed the other groups only in the task they had trained (e.g., task trained by TG1: +225% in TG1, only +41% and +30% in TG2 and control, group * time interaction, p < 0.001; Untrained task 1: TG1 +48%, TG2 +48%, and control +30%, no significant interaction, p = 0.72). In summary, 2 weeks of balance training resulted in highly task-specific effects, no transfer even to very similar tasks was observed. Therefore, we recommend identifying and training exactly those tasks that need improvement, and test the efficacy of training programs using specific tests instead of general tests with limited functional relevance.     

The effect of counselling-based training on online peer support

The aim of the current study is to investigate the impact of counselling-based training on online peer support by comparing the interventions of trained peer supporters as opposed to non-trained peer supporters. Two independent raters analysed 746 support posts published during a period of one year at the ‘Student to Student’ online peer support discussion forum at University of Athens. Results showed that the 30-hour counselling-based training used in this study allowed trained peer supporters to use basic counselling skills, such as open-ended and closed-ended questions and paraphrasing more often and even use relatively complex techniques, such as problem solving or definition of the main problem that non-trained supporters did not use at all or used very rarely. In addition, training did not seem to affect the peer support relationship, as indicated by the lack of differences between the two groups on empathy, acceptance and empowerment. Based on these findings, it was concluded that the training enhanced the peer support offered without compromising the nature of the relationship formed between peers. Therefore, brief counselling-based training can be an integral part of every peer-moderated online support programme.     

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

A significant proportion of the counselling that people receive takes place within informal, situated encounters between service users and practitioners in fields such as nursing, medicine, teaching and social work. However, almost all of the research that has been carried out into the process and outcomes of counselling consists of studies of formal, contracted counselling and psychotherapy based in therapy clinics and offices. The competent and effective delivery of counselling that is embedded in a primary professional role, such as that of nurse, teacher or social worker, presents considerable challenges for practitioners. Research evidence around the process and outcomes of embedded counselling represents a valuable resource that has the potential to enhance the quality of counselling conversations enacted by practitioners in health, education, social work and other professions. An overview is provided of different types of research that has been carried out into informal and embedded counselling, and of the main themes that have emerged from these studies. Suggestions are made for the further development of this field.     

What’s it all about? A qualitative study of meaning in life for counseling psychology doctoral students

The interviews of 10 female counseling psychology doctoral students regarding their views about meaning in life (MIL) were analyzed using consensual qualitative research. The participants defined MIL as goals or purposes, were actively involved in searching for meaning, and believed that MIL had been stimulated by life-changing experiences and culture. On a personal level, they gained meaning from relationships, personal growth, and religion/spirituality. On a professional level, they gained meaning from providing therapy, conducting research, and teaching. As therapists, participants approached MIL indirectly by asking about client goals/motivations or by focusing on other clinical problems that if resolved would enhance MIL. Implications for doctoral training and for psychotherapy are offered.     

Longitudinal Effects of OCB on Cadre Selection and Pursuing a Career as Militia Cadre in the Swiss Armed Forces

In the present investigation longitudinal data obtained from recruits undergoing basic military training in the Swiss Armed Forces were used to examine the effects of organizational citizenship behavior (OCB) on a subsequent cadre selection and the willingness to voluntarily pursue a career as militia cadre. Results of the hierarchical logistic regression controlling for demographic variables, cadre recommendation, and allocation to the desired branch of service showed OCB predicted both the selection as cadre and the voluntariness to pursue a career as militia cadre. These effects show to what extent OCB may predict significant additional effort. Results are discussed with regard to further examination of the effects of OCB on career outcomes and selection decisions.     

The Role of Spirituality in the Lives of Mothers of Breast Cancer Survivors

Breast cancer impacts an entire family system. The mothers of breast cancer patients are likely impacted in a variety of ways by their daughters’ diagnoses. To date, few researchers have investigated the experiences and perspectives of this population. In the present study, the authors explored how mothers of breast cancer survivors managed adversities associated with this disease and illness. Using secondary data and narrative analysis, the investigators analyzed data gathered from 30 mothers. Findings indicate that participants relied on their spirituality for the management of stress and hardship related to having a loved one with breast cancer.     

Trick or trait? The combined effects of employee impression management modesty and trait modesty on supervisor evaluations

Prior research on the benefits of modest self-presentation in organizational contexts has shown positive effects on several career-related outcomes, including employees' reputation, organizational support, and mentoring. However, little is known about the nature, mechanisms, and boundary conditions of this promising impression management tactic. Our study addresses this research gap by integrating two theoretical conceptions of modesty, i.e., impression management modesty (IM modesty) and trait modesty. We developed and tested an overarching theoretical model that postulates positive interactive effects of employees' IM modesty and trait modesty on supervisor ratings of employees' likeability, competence, and job performance. Data on 233 employee–supervisor dyads were analyzed using hierarchical regression and conditional process analyses. As expected, the effects of IM modesty were systematically moderated by employees' trait modesty: For employees with high trait modesty, IM modesty demonstrated significant positive effects on supervisor ratings of employee likeability and competence, which in turn were associated with higher job performance ratings. For employees with low trait modesty, however, using IM modesty was neither beneficial nor detrimental to supervisor evaluations. Implications for theory, practice, and avenues for future research are discussed.