Medical Uncertainty in Students Entering Medical School

Abstract

Uncertainty is a fundamental characteristic of medical practice. Renee Fox described three types of uncertainty: limitations in the body of medical knowledge, incomplete mastery of existing knowledge, and distinguishing between limitations and mastery of knowledge. This investigation administered ten Likert-format questions about uncertainty to 171 incoming medical students at one state medical school Items were reliable over a six week test-retest, and validity was supported by correlations with an Intolerance of Ambiguity scale. Entering students recognized that uncertainty exists in medical knowledge and mastery of medical knowledge. Factor analysis of the ten item uncertainty scale revealed three dimensions: uncertainty of the profession, practice certainty, and growth in uncertainty. No significant differences in the uncertainty items, scale, or factors existed by demographic characteristics or medical specialty preferences. These findings suggest that students are aware of issues surrounding uncertainty in medicine as they begin medical school, but medical uncertainty at this early stage in medical socialization is not sufficiently powerful to be associated with medical specialty preference.     

Social Perception in Students with Learning Disabilities and Attention-Deficit/Hyperactivity Disorder

The current study investigated whether students' classification of learning disabled (LD), learning disabled with attention-deficit/hyperactivity disorder (LD/ADHD), or no classification (REG) was related to their ability to perceive nonverbal social cues. Participants in the study were 57 students between the ages of six and ten years identified as being LD, LD/ADHD, or REG. The Diagnostic Analysis of Nonverbal Accuracy test (DANVA) and the Social Perception Behavior Rating Scale (SPBRS) were used to measure social perception. A MANOVA was computed for the four subtests of the DANVA (Facial Expressions, Postures, Gestures, and Paralanguage). A separate ANOVA was computed on the SPBRS. Significant differences were found for Facial Expressions and SPBRS scores. Follow-up analysis revealed that on the Facial Expressions subtest, students with LD demonstrated significantly more difficulty in the accurate perception of cues than the REG or LD/ ADHD groups. On the SPBRS, the LD/ADHD group was rated by teachers as significantly less socially perceptive than the REG group.     

Intercultural praxis: Australian diploma of early childhood education preservice teacher visual literacy comparisons between Australia and Vietnam

ABSTRACT

This research investigates an intercultural praxis approach to using visual research methods, in Australia and Vietnam, with preservice teachers in a Diploma of Early Childhood (DEC) course. The paper results from limited research with DEC preservice teachers exploring the development of intercultural praxis and limited research in teaching whilst using visual images (photos). The methodology is supported by using Bennett’s developmental continuum for intercultural sensitivity and draws on sociocultural theories to consider how these DEC preservice teachers’ histories and situational contexts are relevant in understanding the development of intercultural communication. Mixed methods include a comparative analysis of student-produced visual multiliteracy images (photographs) generated in Australia and Vietnam, during 2015 and 2016, annotations on those photos and interviews with two cohorts of students (n = 27) six months after their experiences in Vietnam. Analysis is reinforced with Sorrells’ intercultural praxis framework to understand students’ capacity to use inquiry, framing, positioning, and dialogue processes as a result of their study tour to Vietnam. The paper outlines and reinforces the importance of being explicit in developing intercultural sensitivity in dynamic teaching contexts and illustrates the increasing awareness of intercultural communication with these DEC students.     

Coming Out in a School Setting

Abstract

The present study was conducted to learn more about the experiences of gay men and lesbians in educational settings, particularly about experiences relevant to disclosure of their sexual orientation. One hundred six gay men and 156 lesbian women responded to an anonymous questionnaire dealing with how their sexual orientation had affected their experiences in school.

As students, very few respondents had chosen to disclose their sexual orientation to principals, teachers, counselors, or friends. Reasons cited for nondisclosure included fear of the consequences and not wanting others to know. The majority of those who did disclose their sexual orientation received positive feedback for doing so, but respondents reported both positive and negative consequences of coming out. Gay men were aware of their sexual orientation at an earlier age than lesbians and were somewhat more likely to recommend disclosure to principals and teachers. Females were more likely to disclose only to females, whereas males were likely to come out to both males and females. Generally, the similarities between males and females were greater than the differences, with both groups being cautious about coming out in the school setting.     

The Utilization of Sexual Fantasies by Sexually Experienced University Students

Abstract

The purpose of this investigation was to determine the nature of and the gender differences in the situational contexts, preferences, and functions of sexual fantasies by sexually experienced, never-married university students.

An anonymous questionnaire was administered to 187 never-married male and 235 never-married female undergraduate and graduate student volunteers at a midwestern commuter university. The data analyses for this investigation were limited to those 144 males and 166 females who had experienced sexual intercourse.

Statistically significant differences were found with reference to the situational contexts of sexual fantasies by gender. Men were more likely than women to report sexual fantasies during masturbation, foreplay, sexual intercourse, and immediately prior to orgasm. In general, men also were more likely to fantasize about being the recipient of sexual activity whereas women were more likely to fantasize about past sexual experiences and romantic settings for sexual activity. The findings strongly suggest that sexual fantasies help many persons of both genders to develop sexual arousal and to achieve orgasm.     

Factors influencing college women's contraceptive behavior: An application of the integrative model of behavioral prediction

Objective: This study investigated variables within the Integrative Model of Behavioral Prediction (IMBP) as well as differences across socioeconomic status (SES) levels within the context of inconsistent contraceptive use among college women. Participants: A nonprobability sample of 515 female college students completed an Internet-based survey between November 2014 and February 2015. Methods: Respondents were asked about their contraception use, knowledge and information sources, demographic information, and IMBP factors, including attitudes, norms, and perceived behavioral control (PBC). Results: While overall attitudes, norms, PBC, and intentions for contraceptive use were high, only 46.8% of women used contraception consistently. Data also revealed only moderate levels of knowledge about contraception. While there were no differences across SES levels for attitudes, PBC, norms or knowledge, SES levels did differ in sources used to acquire contraceptive information. Conclusions: This study highlights the need to consider where college women acquire contraceptive information which is associated with SES.     

Immigrant students and their teachers – exploring various constellations of acculturation orientations and their impact on school adjustment

ABSTRACT

The present study examined what impact various constellations of acculturation orientations of immigrant students and their teachers have on the students’ school adjustment. For this purpose, the study analysed the acculturation orientations of 1106 5th graders and their class teachers in Switzerland. Using multiple regression analysis, we found that immigrant students were more satisfied at school if their teachers had similar attitudes about cultural assimilation and cultural diversity and could, thus, be said to have congruent acculturation orientations. With respect to students’ academic self-concept, immigrant students with a minority orientation whose teachers value cultural diversity including the heritage culture of their students showed a lower academic self-concept despite matching acculturation orientations. We interpret this result as a dilemma of teachers between the endeavour to develop culturally sensitive attitudes and behaviours and the risk to create stereotype threat and its negative effects through addressing cultural differences. Furthermore, a mismatch between the students’ (bi-)national identification at school and the teacher’s perception of the student as an immigrant or a native-born student could be shown to have adverse effects on the academic self-concept in the group of students with older teachers (50+ years).     

Adolescent’s Perceptions of Sexual Relationships Between Students and Teachers

ABSTRACT

Very little is known about how people perceive and respond to sexual relationships between students and teachers, and even less is known about how adolescents view these relationships. In this study, a large sample of high school students (N = 1203; Mean age: 16.83) responded to four scenarios describing a sexual relationship between a student and teacher. We manipulated student and teacher age, and the power differential between the student and teacher and we measured perceptions of wrongness and likelihood of reporting the situation. The data indicated that in situations of older students (18 vs. 14 or 16) and younger teachers (21 vs 30 or 40), they are less likely to be perceived as wrong and less likely to be reported. Likewise, situations were judged as more wrong when the power differential between students and teachers was greater. Further, there were strong gender differences, such that females (vs. males) consistently viewed the situations as more wrong and were more likely to report. Implications for future research and policy are discussed.     

Teaching Note—“By Any Means Necessary!” Infusing Socioeconomic Justice Content Into Quantitative Research Course Work

ABSTRACT

Existing research suggests a majority of faculty include social justice content in research courses but not through the use of existing quantitative data for in-class activities that foster mastery of data analysis and interpretation and curiosity about social justice–related topics. By modeling data-driven dialogue and the deconstruction of quantitative meaning making related to social justice in and around social work practice topics, we can prepare our students to be agents of change in their social work careers and possibly engage our students in an often difficult course. Specifically, I provide examples for how discussions about socioeconomic justice can be infused in teaching about univariate, bivariate, and multivariate statistical analyses from the perspectives of critical consumption and the production of research.     

Managing chronic conditions in college: Findings from prompted health incidents diaries

Objective: This pilot study assessed an electronic health diary method designed to collect data about critical health incidents experienced by college students who have chronic health conditions. Participants: Nine university students with chronic medical conditions were recruited to complete a series of e-mail–based surveys, sent once every 3 days across the fall 2014 semester. Methods: In each survey, participants described a health-related incident that occurred within the past day and cited resources that helped or could have helped in that situation. They completed follow-up interviews and ranked the importance of cited resources. Results: The diary completion rate was 78.3% (141/180). Most frequently affected management areas were activities (61.3%), monitoring (34.9%), and problem-solving (34.3%). Resources considered helpful included situational knowledge, campus health professionals, peer support, and relaxation opportunities. Conclusions: Prompted health incidents diary method achieved a high completion rate and provided data that could be useful for college health researchers and practitioners.     

Socioeconomic Status,Psychosocial Factors and Health in Urban Guyana

Abstract

This study seeks to understand the relationship between socioeconomic status (SES) and self-reported indicators of physical and mental health in an urban Third World context. The data come from a probability sample of 654 adult residents of Georgetown, Guyana. There is a significant inverse association between formal education and morbidity for four of the six measures of health status. In this research the extent to which self-concept, health behaviors, stress and social ties are linked to health status and SES, and can explain SES differences in health status is explored. Psychosocial factors, especially the self-concept measures (self-esteem and mastery) play a moderate role in accounting for educational differences in health status.     

The challenges of a hidden disability: Social work practice in the field of traumatic brain injury

Abstract

Traumatic brain injury (TBI) has become an important area for social work practice. Children and adults sustaining TBI often undergo hospitalisation, rehabilitation and face the prospect of lifelong cognitive and psychosocial impairments. Families are profoundly affected by the consequences of the injury. TBI is a ‘hidden disability’ because there are typically no physical markers indicating a person has brain damage. This paper aims to provide some guidelines for social work practice in the area, in particular, outlining options for social work interventions at individual, family, community, service system and policy levels. Social workers need to acquire specialised knowledge about brain injury, reformulate traditional models of grief counselling to address the adjustment challenges and utilise community education and service innovation to address the social stigma and reduced level of community participation associated with brain damage. Finally, social workers aim to nurture a sense of hope in the face of the tragedy.     

College Students and HIV/AIDS: A Comparison of Nontraditional and Traditional Student Perspectives

Objective and Participants The authors compared nontraditional college students' knowledge and perceptions of HIV/AIDS and sexual practices with previously reported results about traditional students. Methods Nontraditional students completed an online survey with questions based on national HIV/AIDS surveys. Traditional students completed the same survey with paper and pencil. Results Overall, the authors found more similarities than differences between the 2 groups. The findings support previous research that suggests that although college students are knowledgeable about HIV and its risks, they express little personal concern about becoming infected. The authors also discuss how apparent differences between nontraditional and traditional students regarding personal concern about becoming infected, relationship status, and information sources may influence the development of effective prevention strategies geared toward nontraditional college students. Conclusions Institutional leaders need to adapt to these differences, and researchers should undertake additional studies to clarify these differences so that college students may be more effectively educated about HIV/AIDS and encouraged to get tested.     

Comfort Women: Enhancing Students’ Global Awareness through Human Right Education

Abstract

Teaching about the comfort women of World War II offers a compelling case study for the social studies classroom and human rights education. The topic will educate students to become knowledgeable about the larger world and its dark histories that have been omitted or scarcely mentioned in U.S. history textbooks. This article provides high school social studies teachers with the historical background of comfort women, rationales for including this topic in social studies curriculum, and teaching strategies and resources that teachers can use in their classrooms.     

What do urban college students really think about health insurance? A qualitative study

Abstract

Objective: To determine barriers and opportunities to health insurance enrollment among an undergraduate students at a large urban university. Participants: Participants were 31 college students enrolled in 4-year and community colleges in the City University of New York (CUNY), and six health services and insurance enrollment specialists who facilitate and assist in the health insurance enrollment process for CUNY students. Methods: Focus groups were conducted with students and in-depth interviews with key informants in May 2017. Results: The research revealed important insights into how students perceive and value insurance and yielded recommendations for the university to improve enrollment of its students. Conclusions: Many colleges can increase student enrollment in health insurance by informing and educating students about the process. Improving enrollment processes can increase insurance rates and improve student population health.     

Contested affordances: teachers and students negotiating the classroom integration of mobile technology

ABSTRACT

This paper extends an emerging approach emphasizing contextual variation in the affordances of digital technologies and new media through an empirical application focused on relational dynamics of power and resistance. Specifically, I focus on the case of student and teacher negotiations over smartphones and social media in the classroom ? a case where actors on either side of a power relationship assign conflicting meanings to the same technology. Interviews were conducted with 37 students and 19 teachers at a public high school with a technology policy designating students’ personally-owned smartphones as educational devices. As the affordance of contextual mobility allowed students to access shared online social spaces within the classroom, smartphones threatened the cultural logic of separation bounding the social from the educational. With their sense of control threatened, teachers sought to re-constitute separation through strategies of restriction and differentiation. Viewing online-offline integration as a taken-for-granted part of social life, students used strategies of adaptive resistance to combat school policies and maximize technology use. However, students also worked to re-constitute separation through peer cultural norms limiting the in-school consequences of online peer social interactions. Underneath the contestation between restriction and resistance, both teachers and students worked to set conditions on the affordance of contextual mobility.     

The state of qualitative research in health and social science literature: a focused mapping review and synthesis

Abstract

Pluralism and creativity are inherent and important parts of the qualitative endeavour. The multiplicity of approaches and methods can, however, be confusing. We undertook a focused mapping review and synthesis to obtain a snap-shot profile of the state of qualitative research in health and social science literature. We retrieved 102 qualitative articles published between January and March 2015 from six leading health and social science journals. Articles were scrutinised for alignment between researchers’ reported orientation (methodological or philosophical positioning) and the techniques used (methods). In the sampled articles level of alignment was generally high, with considerable mastery of qualitative approaches evident. However, the complexity of the qualitative landscape highlighted in our review, led us to develop a diagrammatic representation: The Qualitative Research Level of Alignment Wheel?. This educational resource/teaching aid is designed to assist qualitative researchers (particularly those more novice) and research students to locate the orientation and techniques of their studies. As an important contribution to the international field of qualitative inquiry, it will assist in understanding and accounting for points at which techniques are melded and orientations blended. In turn this will lead to the individual and collective qualitative endeavour as being a coherent one.     

Adult probation and Parole Services in Victoria

Abstract

The first practicum is often regarded as a critical transition period in the development of a professional social worker, but little is known about the way students interpret their experience, assess their competence and/or re-evaluate their commitment to this career. The present study relies on interview data provided by fourth year social work students at the University of Tasmania. Its findings show what types of learning experience students deem to be significant and how they develop a sense of professional competence. Implications of the findings for professional bodies, training institutions, supervisors and students are discussed.     

LIMITATIONS OF EVIDENCE-BASED PRACTICE FOR SOCIAL WORK EDUCATION: UNPACKING THE COMPLEXITY

Abstract

64 students in their first semester of a four year BA program in social work were found to have social attitudes and occupational values that differed significantly from those of their contemporaries who majored in the social sciences (N = 75). The study attempted to determine whether social background, individual occupational choice or institutional selection could account for these differences.

The attitudes of the social work students were practically identical to those of a comparison group (N = 58) of unsuccessful applicants for the same school of social work. Therefore institutional selection procedures could not account for the differences between the social work and the social science students. It was found that the differences in attitudes between social work students and candidates on the one hand and social science majors on the other hand persisted when differences in social background and previous work experience were statistically controlled. It was therefore concluded that individual occupational choice was the main source of the attitude differences found.