Effects of suicidal behavior on a psychiatric unit nursing team

1. Suicide of a psychiatric inpatient can have significant, although diverse, effects on the emotions and behavior of both individual nurses and team functioning. 2. The majority of participants in this study felt there was a need for formal debriefing or counseling for themselves and their colleagues after a critical incident, although there was less consensus about the timing and structure of such an intervention. 3. This research highlights the need for advanced training of critical incident stress management team members and for flexibility in the application of critical incident stress management techniques.     

Implementation and program evaluation of trauma-informed care training across state child advocacy centers: An exploratory study

Awareness of Trauma-Informed Care (TIC) is essential for all professionals employed at child advocacy centers (CAC). This study evaluated the effectiveness of a training program that utilized a modified version of a TIC curriculum accessible through the National Child Traumatic Stress Network (NCTSN) among CAC workers in Florida. The workers' TIC knowledge level (n = 203) was examined prior to the training, immediately thereafter, and in a 12-month follow-up. Participants in general had similar levels of TIC knowledge before the training although the knowledge level was significantly affected by race/ethnicity, years of working experience, and educational degree. The results also indicated that participants' TIC knowledge significantly increased after training, with an effect size of 0.71. This increase appeared to be universal among participants. Further, the significant increase still maintained in the 12-month follow-up test. The analysis of participants' responses to two open-ended questions suggested that most participants were satisfied with the program. It is suggested that training efforts need to be conducted frequently to ensure that CAC employees get repeated exposure to the information in order to ultimately improve the services they provide to victims.     

Relationship between collective efficacy and contextual performance among university athletes in Japan

The purpose of this study was to clarify the relationship between collective efficacy and contextual performance among university athletes in Japan. We carried out 305 university athletes (201 males, 104 females) from 14 teams in various geographic areas in Japan. The average age of the participants was 19.91 years (SD = 1.01). The kinds of sports were soccer, basketball, baseball, volleyball, and so on. Then, using Collective Efficacy Questionnaire for Sports (CEQS; Sandra E. Short et al., 2005) and Contextual Performance Scale (Ikeda, and Furukawa, 2008), we examined the relationship between collective efficacy and Contextual performance. In conclusion, this study provided the following three remarks. 1) There are relationship between collective efficacy and contextual performance. 2) Contextual performance execution level improve collective efficacy. 3) It is important to always recommend contextual performance in own team to strengthen the collective efficacy more.     

An investigation of the endowment effect in the context of a college housing lottery

The endowment effect was examined in a two-part study in the context of a college housing lottery. Students who were awarded their first choice of residence hall were asked the lowest dollar amount they would be willing to accept (WTA) to give up their first choice hall whereas students who were denied their first choice were asked the highest dollar amount they would be willing to pay (WTP) to obtain their first choice. Results from the initial assessment showed the presence of the endowment effect regarding students’ valuation of their first choice residence hall immediately after the housing lottery (i.e., WTA price was significantly higher than WTP price). The follow-up surveyed participants from the initial assessment who responded when contacted a second time after they had experienced two months of life in the residence hall they were awarded in the lottery. Results from the follow-up showed that the endowment effect was still present after experiencing life in the residence hall. Moreover, further analyses revealed that the endowment effect was, in fact, enhanced after the living experience. These findings demonstrate that within the context of a housing lottery, a highly-valued commodity, long-term experiences substantially increase the magnitude of the endowment effect, even when controlling for other factors that have been shown to impact this effect.     

Increasing Child Serving Professionals’ Awareness and Understanding of the Commercial Sexual Exploitation of Children

ABSTRACT

Child serving professionals need increased understanding of the identification and therapeutic needs of child victims of commercial sexual exploitation. This study evaluated the effectiveness of a training program aimed to increase awareness of commercial sexual exploitation of children (CSEC) among professionals likely to encounter victims in their work. Professionals’ (N = 227) knowledge level was examined prior to the training, immediately thereafter, and in a 6–12 month follow-up. Despite professional position or years of experience, participants had similar levels of CSEC knowledge before the training and all showed a significant improvement in their knowledge after the training. However, follow-up testing on a smaller subsample demonstrated that knowledge gains were not maintained. The analysis of the participants’ responses to how their behavior would change subsequent to the training revealed important themes including: (1) greater ability to identify/assess or recognize CSEC victims, (2) greater understanding and knowledge of CSEC, (3) increased ability to communicate, interact, and engage with CSEC victims, and (4) heightened desire to educate others and raise awareness about CSEC. Results also indicated that participants were very satisfied with the training and found it highly relevant to their work.     

Entwickeln im Team – Effekte für den Einzelnen

This study tested the effects of a 2-day team building intervention on team members’ team identification, social support and collective self-efficacy. Members (n?=?32) of three teams from different sectors completed questionnaires before, directly after and six weeks after the team building intervention. Two teams served as control groups. Results showed lasting positive effects of team building on identification, support and collective self-efficacy in the training groups but no changes in the control groups.     

A comprehensive work injury prevention program with clerical and office workers: Phase II

Sixteen full-time clerical and office workers participated in this prospective parallel-randomized trial. Intervention consisted of four hours of individualized training through a multi-faceted injury prevention program. In Phase I, musculoskeletal symptoms, stress, and energy levels were measured before and after intervention. Differences between Group A (intervention) and Group B (control) were described; pre to post differences between members within each group were also described. In Phase II, there were a greater number of statistically and clinically relevant differences within Group A at week 16 (eleven weeks following intervention) than at week five (immediately post-intervention). The eyes, neck, shoulder, elbow-forearm, and wrist-hand were impacted most positively by intervention, however, the frequency and intensity of headaches increased. Stress and energy level differences were minimal. Group B workers received intervention during weeks 18-21. Differences in average measures from pre to immediately post-intervention were greater within Group B than Group A. Both groups reported fewer sick days during the month of intervention than during pre and post-intervention months.     

Short-term and long-term effects of training in emotionally focused couple therapy: professional and personal aspects

This study investigated the immediate and long-term personal and professional effects of a 4-day externship training in emotionally focused couple therapy (EFT). EFT externship training uses lecture, discussion, video vignettes, live demonstrations, and role-plays to convey an attachment-based approach to working with couples. The two samples included clinicians (N = 76) who completed surveys immediately before and after training, and a subset of these clinicians (N = 29) who completed measures an average of 8 months later. Results indicate that following training, participants increased in their EFT knowledge and competence, became more open to their feelings, were more self-compassionate, were less likely to use avoidant attachment behaviors, and improved their own personal relationships.     

How Do Efforts to Enhance Career Preparation Affect Peer Groups?

The present study investigated how efforts to enhance career preparation affect peer groups. The participants were 710 9th graders who were randomized into control and intervention groups and assessed 3 times during 1 academic year: at baseline (T1, Fall), immediately after the career preparation intervention (T2, 3 months after baseline), and 5 months after the intervention (T3, Spring). The results showed, first, that maintenance of a stable clique was more likely when most clique members participated in the intervention. Second, it was found that the members of adolescents' cliques resembled each other in respect of the strength of the intervention effect. Finally, the results showed that the similarity of the clique members in career choice preparedness first decreased as a result of the short‐term impact of the intervention but then increased after the intervention was over, suggesting that peer groups were partly responsible for weakening the effect of the intervention. These results have important implications for understanding how peer groups moderate external influences on their members and how the stability of peer groups is affected by these influences.     

Establishing Positive Youth Development Approaches in Group Home Settings: Training Implementation and Evaluation

This article reports on a training program for group home supervisors that was designed to utilize positive youth development principles in work with youth transitioning from care to independent living. Over a period of 5 months, eight one-day training sessions took place across one state in the U.S. (Massachusetts) with a total of 186 group care staff in attendance. The evaluation consisted of three components: observation of participant feedback during training, training day post-test, and follow-up with participants 2–3 months after training. Implications of the data, particularly barriers to implementation of training programs, are discussed.     

An integrated relapse prevention and relationship safety intervention for women on methadone: testing short-term effects on intimate partner violence and substance use

This study tests the feasibility, safety, and short-term preliminary effects of a relapse prevention and relationship safety (RPRS) intervention in reducing drug use and the experience of intimate partner violence (IPV) among women on methadone. For this randomized controlled trial, 34 women who met IPV and drug use criteria were randomly assigned to either the RPRS condition (n = 16) or a one-session informational control (IC) condition (n = 18). RPRS participants were more likely than IC participants to report a decrease in minor physical or sexual IPV (OR = 7.1, p = .05), minor psychological IPV (OR = 5.3, p = .03) and severe psychological IPV (OR = 6.07, p = .03) at the 3-month follow-up. Data suggest that RPRS participants were also more likely than IC participants to report a decrease in any drug use at 3 months (OR = 3.3, p = .08). This study provides preliminary evidence that the RPRS intervention is effective in reducing IPV and drug use among women on methadone.     

Outpatient marijuana treatment for adolescents. Economic evaluation of a multisite field experiment

An economic evaluation of five outpatient adolescent treatment approaches (12 total site-by-conditions) was conducted. The economic cost of each of the 12 site-specific treatment conditions was determined by the Drug Abuse Treatment Cost Analysis Program (DATCAP). Economic benefits of treatment were estimated by first monetizing a series of treatment outcomes and then analyzing the magnitude of these monetized outcomes from baseline through the 12-month follow-up. The average economic costs ranged from $90 to $313 per week and from $839 to $3,279 per episode. Relative to the quarter before intake, the average quarterly cost to society for the next 12 months (including treatment costs) significantly declined in 4 of the 12 site-by-treatment conditions, remained unchanged in 6 conditions, and increased in 2 treatment conditions (both in the same site). These results suggest that some types of substance-abuse intervention for adolescents can reduce social costs immediately after treatment.     

Baseball's emotion work: Getting psyched to play

The problematic nature of sport contests creates a variety of emotions—anxiety, fear, sadness, joy, anger, disgust, frustration, compassion, and embarrassment. The present study uses an interactionist/interpretive investigation of baseball hitters and pitchers (N=21). Data were gathered by analysis of in-depth semistructured interviews with members of a college baseball team. A photo-elicitation interviewing technique was used with videotapes of the players in game situations. Players were asked to respond to the experience of hitting and pitching while observing the videotapes of themselves. The emotional experiences that emerged from the interviews focused on managing and maintaining their emotions within an optimal level of arousal. The players perceive the optimal level of arousal is necessary for a desirable performance.     

A systematic review of psychosocial interventions for suicidal adolescents

Suicide is a leading cause of death for young people and rates of serious suicidal thoughts are even higher. Due to these high rates and potential harm to youth, effective interventions are necessary. The purpose of this systematic review was to determine the impact of interventions designed for suicidal adolescents. Both quasi-experimental and experimental designs in the published and unpublished literature were included, and a total of 17 studies were located. According to meta-analysis, intervention group participants were slightly less likely to have suicidal and self-harm events than control group participants. However, when studies assessed outcome at a later period than immediately after intervention, experimental group participants were slightly more likely to have suicidal and self-harm events than control group participants. For studies that measured suicidal ideation at posttest, intervention group participants were slightly less likely to report suicidal ideation than control group participants, both at posttest and at follow-up. These contradictory findings are explored and discussed.     

Effects of a participatory ergonomics intervention computer workshop for university students: a pilot intervention to prevent disability in tomorrow's workers

A participatory approach was used to create a computer ergonomics workshop for college students, incorporating an instructional systems design process and adult learning inquiry perspectives. The primary objective of this participatory ergonomic pilot intervention was to involve students throughout the training design process in solving computer workstation ergonomic problems and adopting healthy computing behaviors. Students' level of participation included becoming part of the training design team, a co-facilitator, or a student trainee. A second objective was to examine the translation of an industrial office ergonomics training program into a college computer ergonomics training program. The long term goal was to reduce upper extremity symptoms and disability. The program was piloted at one private university. The three student trainees significantly increased their knowledge of computer ergonomics from 69% of test items answered correctly pre-training to 82% post-training. Trainees were also successful in conducting computer ergonomic evaluations of students' computing work areas. They achieved 100% accuracy in identifying ergonomic problems and proposing solutions in five ergonomic workstation assessments in the field. This approach was successful in creating a sense of ownership among the student developers and facilitators as reflected in their self-reports during a post-intervention debriefing. The results of this pilot study justify formal controlled trials of this intervention in university students, who will become tomorrow's workers.     

Supporting the scholar role in intensive care nursing

This study investigates how future informatics applications can support and challenge intensive care nurses (ICU nurses) to grow and learn continuously. To this end a research-and-design tool is introduced which is based on a model of the nursing process that starts from the idea that a nurse fulfills three different roles: the role of practitioner (using information immediately to base actions upon), the role of scholar (using information later on to learn from) and the role of human (coping with stress and dealing with emotions). In this paper the focus is on the scholar role. Twenty-eight intensive care staff members from six different hospitals were asked to recount an imposing experience from the perspective of each role. Regarding the scholar role, the participants mentioned 77 learning strategies they adopt for individual as well as organizational learning. Individual learning concerned reflection on former patient cases, reflection on current patient cases to anticipate a change in the patient's condition and reflection on personal behavior and decisions. Organizational learning concerned reflection on former patient cases. Examples of specific strategies were formal team evaluations focused on procedure and understanding the perspective of team members, being present at autopsies, and giving feedback on the nursing skills of colleagues. Based on these strategies design implications are defined for future nursing informatics applications, which will be presented.     

The effects of a pedometer-based intervention on first-year university students: A randomized control trial

ABSTRACT

Objectives: To assess the effects of a 12-week pedometer-based intervention on the physical activity behavior, health-related quality of life (HRQOL), and psychological well-being of first-year university students. Participants: First-year university students (N = 184) were recruited during September 2012 and randomly assigned to an intervention or a control group. Methods: Intervention participants were provided with a pedometer, monthly tracking logs, and follow-up e-mails. Control participants received no intervention. Physical activity, HRQOL, and psychological well-being were measured at baseline and post intervention. Data were analyzed using multivariate/univariate analysis of variance (MANOVA/ANOVA). Results: All participants experienced an increase in mild physical activity (p < .01) from baseline to follow-up. The intervention failed to produce significant differences between groups for physical activity (p = .28), HRQOL (p = .80), or psychological well-being (p = .72). Psychological well-being (p < .001), vigorous physical activity (p = .04), and mental health status (p < .001) decreased across the duration of the study. Conclusions: More intensive interventions may be required to elicit physical activity behavior change.     

Early Childhood Developmental and Nutritional Training for Foster Parents

This exploratory study examined the effectiveness of a foster parent nutrition training program. Conducted in collaboration between Woman, Infants and Children (WIC) and a state foster care licensing agency, the study involved providing an intensive training to 11 self-selected foster parents. The participants completed pre-tests and post-tests related to their level of knowledge and comfort in the area of infant nutritional needs. Paired t-tests detected significant differences before and after the intervention, with participants reporting improved knowledge and understanding. While the sample was small and voluntary, the authors feel these pilot results merit further attention in the areas of practice and research.     

The effectiveness of a parenting education program based on respected parents & respected children for mothers of preschool-aged children

The purpose of this study was to evaluate the effectiveness of the Respected Parents & Respected Children (RPRC) parenting education program for mothers of preschool-aged children in South Korea. A total of 99 mothers were assigned to an intervention group (n = 54) or a control group (n = 45). Mothers in the intervention group received 16 weekly sessions of the parenting education program and then were compared with mothers who did not take part in the program. Questionnaires were used to assess parenting characteristics (i.e., maternal depression and anger, parenting behavior, co-parenting, parenting efficacy, and parenting stress) at baseline (pre-test), immediately after the termination of the program (post-test), and 8 months after the end of the program (follow-up test). Maternal rejection/restrictions, dissatisfaction, and parental distress of the intervention group decreased and efficacy as parents improved after taking part in the program, and these effects were sustained at follow-up. Our findings support the effectiveness of the RPRC parenting education program in changing parenting strategies and satisfaction and emphasize the need for preventive interventions for parents with young children.     

Knowledge and Behavioral Impact of Adult Participation in Child Sexual Abuse Prevention: Evaluation of the Protecting God’s Children Program

ABSTRACT

This article presents findings from an evaluation of a popular adult training program (Protecting God’s Children) used in Catholic institutions, including schools, churches, and social service agencies. The study explores knowledge and behavior change based on pretest/posttest questionnaires administered to over 500 adults and follow-up questionnaires sent six months after the training. The participants in the training were compared to a control group of adults who did not participate in the program. The results indicate that participants arrive at the training with fairly high rates of preexisting knowledge but that the program increases knowledge across demographic groups. Follow-up surveys suggest that the new knowledge is retained over six months. The study indicates that the program is associated with an increase in participants talking to their own children about child sexual abuse. Participants also report sharing information with other adults and monitoring behavior around children more closely.