Research & clinical practice. Building a nursing research culture

The internalization of clinical nursing research values, norms, and attitudes via orientation and research development, along with the introduction of research tools (artifacts), constitutes the birthing phase of the acculturation process. The development of unit and individual research agendas and the implementation of research rounds illustrates a "bonding phase," in that nurses are bonding or weaving research into the fabric of their clinical practice. The final phase, stabilization, occurs when clinical nursing research is core to clinical nursing practice as illustrated by rewards or sanctions via performance evaluations, and provisions for release time for research participation.     

Update on medications for the treatment of anxiety

It is interesting to note that antidepressants are widely represented in the medications used to treat the anxiety disorders. This has led to speculation about the role of depression, particularly subclinical forms being manifested as anxiety disorders. The specificity of diagnostic categories suggests that, at least for the moment, medications have a very specific and circumscribed role in the treatment of anxiety. This suggests that the difficulties of many anxious patients are not effectively treated with medication or that medication has only a short-term role at best. The next column will review health problems associated with psychotropic treatments for anxiety and discuss strategies for creating a "wedge," ie, introducing adjunct learning experiences along the anxiety gradient in conjunction with pharmacotherapy.     

International law and human rights: trends concerning international migrants and refugees

Not with standing human rights linkages, migrants and refugees are often on the periphery of effective international protection. State sovereignty and self-regarding notions of community are used to deny or dilute substantive and procedural guarantees. Recently, even non- discrimination as a fundamental principle has been questioned, as has the system of refugee protection. This article located both migrants and refugees squarely within the human rights context, contrasting both inalienable rights with the demands of sovereignty, and juxtaposing the 2 in a context of existing and developing international standards. Migration and refugee flows will go on, and the developed world, in particular, must address the consequences - legal, humanitarian, socioeconomic, and cultural. Racism and institutional denials of basic rights daily challenge the common interest. This article shows how the law must evolve, responding coherently to contemporary problems, if the structure of rights and freedoms is to be maintained.     

Demographics: people and markets

The basics of demography are now basic to us business as well. Demographics combine demographic data with socioeconomic and geographic factors to help business and other managers know the market for their goods and services. This pamphlet explains market, product, and site analyses, discusses data sources and resources, and includes case studies involving major corporations. Post-war population trends have had an enormous impact on consumer and labor markets, bringing home to business the importance of taking advantage of demographic shifts. Advances in computerized access to data describing changes and increased consciousness of their economic significance has spurred the application of demographic knowledge by managers and the growth of the demographics information industry. The pamphlet describes the resources and methods of demographics including the creation and use of demographic data products.     

The effects of the age and structure of population on family change]

The age structure of a population is one basic factor of population research. It is not only affected by birth, death, immigration, and marriage, but it also reflected in changes of family size. The article analyzed it from two aspects: (1) the age structure of population acts on the size and structure of the family. The younger the age structure, the larger the family size. Otherwise, it is the opposite. According to the 1982 census, 35.4% of the population was 0-14 years in rural areas, and average family size was 4.6; but in urban areas 26.0% of the population was 0-14 years and family size was 3.9. The family was characterized as a nuclear family as industrialization in economic development increased and the population aged. In the 1982 census, 64.7% were nuclear family and 6% were aging population in China. Three- generation families (or more) have decreased dramatically. The change of family size and structure is affected by change of internal family age structure. The younger population (0-14 years) is dependent and 90% live with their parents. The adult population (15-59) years are more affected by marriage, birth and social economic action. Families are established in this age period and give much more effect to fertility. The aging population (over 60) years is facing changes. They appear to be a "Defect" family because the wife or husband has passed away. They change from independent to dependent. 78.3% population over 60 years were dependent on children or social welfare, only 21.7% were independent according to the survey in Beijing Changping County.     

An analytical paradigm for the analysis of national inmigration patterns

This study proposes and demonstrates an analytic paradigm based upon a substantive categorization of a set of inmigration correlates. It exemplifies the notion of categorizing, analyzing according to the categorization, and subsequently discussing the phenomenon in more depth. The paradigm has 2 steps: 1) the variables are categorized according to the cells resulting from the intersection of a preferably small number of nominal dimensions and 2) the data are analyzed, directly anchored in the prior categorization. The data used is Israel's 1983 census macro-data gathered from the Central Bureau of Statistics for the Israeli towns with populations of at least 5000. The authors defined 6 variables as push variables and 4 as pull variables. Results of the regression employing push variables show that 4 variables accounting for 72% of inmigration were found to significantly predict inmigration: 1) unemployment, 2) percentage of Asians-Africans, 3) town size, and 4) religiosity. Within the pull classification, the regression analysis reveals that 2 of the 4 variables explain 31% of the inmigration variance: 1) educational level (26%) and 2) income (5%). The 1st regression analysis on the 2nd dimension shows that the percentage of Asian-African origin and town population size account for 32% of the immigration variance. In the 2nd regression analysis, unemployment explains 48% of the inmigration variance and educational level explains 8%. In the 3rd regression, only home crowding explains a significant amount of the immigration variance (19%). Results of a multiple regression analysis show that unemployment level, percentage of Asian-Africans, population size, and level of religiosity account for 72% of the inmigration variance. Thus, the characteristics of a town inmigrating (push variables) are demographic, economic, and social. However, the attractive features of a town are only economic. Among all economic factors, unemployment is primary. In addition, not only are both percentage of Asians-Africans and population size significantly deflective of inmigration, but each also plays a separate and independent role.     

Big girls don't frown,big boys don't cry—Gender differences of professional actors in communicating emotion via facial expression

It was tested whether professional actors would be able to communicate emotional meaning via facial expression when this is presented to judges without context information. Forty takes were selected from movies, depicting a female or a male actor in close-up showing facial expression. These close-ups were selected by two expert judges, who knew the complete movie and had to agree on the emotion expressed or expected to be expressed by the female or male actor in the respective take. Five takes each were selected to represent the basic emotions of joy, sadness, fear, and anger. Twenty takes each were selected showing female and male actors. These 40 takes (edited in random order onto video tape) were presented to 90 judges (about half female and half male; about half younger pupils and about half older ones), whose task it was to judge the emotion(s) expressed on nine 5-point-emotion scales. Results indicated that female actors are somewhat better (though not statistically significant) in communicating emotion via facial expression without context than male actors are. Furthermore, significant interactions between portrayed emotion and gender of actors were found: While recognition rate for joy is very high and identical for both genders, female actors seem to be superior in communicating fear and sadness via facial expression, while male actors are more successful in communicating anger. A display rule approach seems to be appropriate for the interpretation of these results, indicating that gender-specific attempts to control/inhibit certain emotions do not only exist in real life, but also in movies.The research reported here was supported by a grant of the Deutsche Forschungsgemeinschaft (WA 519/2-2). I thank Uwe Balser and Tina Mertesacker for their help in selecting the stimuli, preparing the judgment tapes, recruiting subjects and conducting the study.     

Demographic behavior: controlled fertility

The current status of fertility and its control in France is reviewed. Consideration is given to changes in contraceptive usage, nuptiality, educational status and fertility, birth timing and spacing, and female labor force participation. The author notes that fertility has not declined significantly since the mid-1970s. Fertility differentials by geographical region and occupation are also considered.