Psychotherapy with older adults: benefits and barriers

Psychotherapeutic treatments are known to be effective in older adults with mental illnesses. Depression, anxiety, and complicated bereavement must be considered psychiatric illnesses, rather than normal consequences of aging. To improve the rate of psychotherapy use among older adults, stigma surrounding psychiatric treatment, as well as misconceptions that older adults are incapable of change, must be unlearned and eliminated.     

The self reported confidence of newly graduated midwives before and after their first year of practice in Sydney, Australia

BackgroundGraduates from a new, 3-year Bachelor of Midwifery program joined those educated through the 1 year, postgraduate route (for those already qualified as nurses) for the first time in New South Wales (NSW) Australia in 2007. Many hospitals offer transition support programs for new graduates during their first year of practice though there is little evidence available to inform these programs.ObjectivesTo establish the new midwife's confidence in working to the 14 “National Competency Standards for the Midwife”¹ and the International Confederation of Midwives (ICM) Definition of a Midwife and to explore whether the new midwife's confidence changed over the new graduate year. In particular the study set out to determine whether there were any differences in the confidence of new graduates from undergraduate or postgraduate programs.DesignPre and post survey with comparisons longitudinally and within undergraduate and postgraduate cohorts.SettingsThree Area Health Services in Sydney and surrounding areas, Australia.ParticipantsA convenience sample of all new graduate midwives employed in the three Area Health Services in the early months of 2008.MethodsNew graduate midwives rated their level of confidence (1–10) in working to the 14 National Competency Standards for the Midwife and the ICM Definition of a Midwife during their first weeks of employment and after the completion of their first year of practice.ResultsMidwives prepared through the undergraduate and postgraduate routes commenced their first year of practice with similar levels of confidence. The confidence of these midwives increased modestly over the first year of practice. Those from postgraduate programs were significantly more confident than those from undergraduate programs on four competencies after the first year of practice. Participant's self reported confidence in working to the ICM Definition of a Midwife was low.ConclusionsOur profession and community need strong, confident midwives and it is in all our interests to look to ways we can best achieve this. While the findings of this study should be treated with caution, this study suggests that there is room for improvement in the way we support newly graduated midwives to build their confidence over their first year of practice. Further research is needed to identify the needs of newly graduated midwives and how best we can support them to develop as strong and confident practitioners through their first year of practice.     

Helping the helpers: Post‐traumatic distress and need for help among Israeli social workers in foster care agencies following armed conflict

This study examined the associations between exposure to armed conflict, perceived support, work experience, needing help, and post‐traumatic distress among Israeli social workers in foster care agencies based on Conservation of Resources theory. The study used a mixed‐methods design. Six months after the end of an armed conflict, 82 social workers responded to a web‐based questionnaire with closed‐ and open‐ended questions. Results showed that exposure to the armed conflict was moderately associated with post‐traumatic stress symptoms and functional impairment. Only the workers' perceived need for personal help (but not help for professional matters) was positively associated with their psychological distress. The qualitative analysis suggests that social workers showed strengths and wanted help mainly to improve their professional skills. Yet they also elaborated on the complexities involved in conducting their professional work, especially home visits, because such visits put their own lives in danger and meant deserting their own families. Practice implications are as follows: Foster care agencies should make greater efforts to provide knowledge and skills, support, supervision, and a “safe haven” for their workers, in the context of armed conflict.     

The Application of Group Interviews to the Planning and Evaluation of Career Development Programs

Structured, focused group interviews (focus groups) provide the opportunity to assess the knowledge and experiences of a variety of people with a common interest in a relatively short period of time. Through carefully structured questions and materials as well as planned interactions, a focused situation is created to yield the desired information. This article presents the methodology and results of the focus group interviews conducted as part of an evaluation of the Career Information System of Iowa. The advantages and disadvantages of focus groups and additional applications to career development program planning and evaluation are discussed.     

An application of social choice theory to U.S.D.A. forest service decision making

To meet the requirements of the National Environmental Policy Act of 1969, the U.S.D.A. Forest Service has changed the way forest plans are developed. The focus of this paper is to address the group-decision problem using social choice theory, specifically the voting models of Condorcet and Borda. The elements of a social choice problem are voters, alternatives, preferences, and aggregation. A case study from the Shoshone National Forest is used to demonstrate the use of the voting models from social choice theory. The solutions derived from the analysis are strategy and coalitional strategy proof implying that behaviors intended to influence the outcome, such as vote trading, would be unsuccessful.     

Economic growth and female labour: the case of Israel

This article aims to demonstrate the relation between the participation and location of women in the Israeli labour force and economic-structural processes central to the development of the Israeli economy. It begins with a discussion of the main features of the economic growth of Israeli society, indicating the implications of these features for female labour. The overall pattern of female participation in the labour force is then discussed, noting the main shifts in this pattern and their significance, followed by a more detailed presentation of the position of women in a number of economic branches–the textile and clothing industries, education and welfare services, finance and trade. The sexual division of labour is further examined according to the difference between Ashkenazi and Oriental women of first and second generations. Finally, a concluding discussion assesses the significance of women to the economy and the implications of their position within the economy to their future prospects.     

Selective serotonin reuptake inhibitor. Discontinuation syndrome

Based on emerging research findings, nurses are urged to become more aware of SSRI discontinuation syndrome. To ameliorate or avoid the associated symptoms, client education is recommended, and dosage tapering is encouraged whenever possible. Although the symptoms associated with discontinuation syndrome usually are mild, they may pose particular safety concerns for clients with co-occurring conditions. In these situations, precautions should be taken to prevent exacerbation of existing problems.     

Culturally sensitive treatment of African Americans with substance-related disorders

1. Recent data indicate African Americans are the largest ethnic/racial population in the United States, and psychiatric nurses are in pivotal positions to develop culturally sensitive mental health care. 2. Spirituality, religion, families, and communities play key roles for African Americans with substance-related disorders. 3. Barriers to culturally sensitive mental health care include diagnostic bias and mistrust, stigma, and cost.     

Situated Knowledge and Learning in Dispersed Teams

This qualitative field study explores how geographically dispersed teams learn and accomplish challenging work by drawing on knowledge situated in the multiple physical locales they span. We propose the construct of situated knowledge as important for understanding the learning process in dispersed teams. Data collected on seven development projects, each spanning multiple sites, reveal that situated knowledge is at the same time a valuable resource and a source of communication difficulty for dispersed teams. We find that, because their members understand and participate in locale–specific practices, dispersed teams can easily access and use unique locale–specific knowledge resources to resolve problems that arise in those same locales. However, when dispersed teams need knowledge situated at a site other than where the problem occurred, they must first recognize and adjust for locale–specific practices within which that knowledge is embedded before they can use it. The paper reports on analyses of 44 learning episodes that involved identifying and engaging situated knowledge, and draws from these data to identify implications for research and practice.