Reconnecting with policy: requirements for survival as a mental health nurse

This article discusses the disconnection between mental health nurses and policy, and the importance of reconnecting such relationships not only to benefit the consumers with whom we work but also to influence health care policies and, ultimately, contribute to strategies to improve the health of our nation. In this article, I draw on my own experiences and apply these to a discussion of how we, as mental health nurses, can influence and strengthen our relationships with nursing policy.     

India: Keystone of the British Empire

Teaching about diversity and respect for others is a challenging task for today's educators—especially at the middle school level. This article describes successful attempts to do so at the sixth-grade level. These real-life experiences enhanced classroom learning and reached out to the community. The author hopes that other educators will duplicate this endeavor. Although the lessons described focused on the Lakota nation, educators can teach about any tribal culture by using this approach.     

Mapping the terrain of strategic politics among social change-oriented youth

This paper explores the ‘everyday’ politics of social change-oriented (SCO) youth. We apply an everyday network of youth politics approach in order to explore the lived experience of politics for SCO youth, accessing how they understand, negotiate, and actualize youth politics. Our study demonstrates that SCO youth negotiate politics through everyday, localized, and relational networks. Utilizing a youth-led participatory action research model, we present qualitative findings drawn from interviews conducted by SCO youth-researchers among their SCO youth peers.     

The Role of Mother–Child Joint Play in the Early Development of Children's Conduct Problems: A Longitudinal Observational Study

This observational study examined the relationship between mother–child spontaneous joint play and the development of conduct problems in preschoolers, using a short‐term longitudinal design. The sample consisted of 60 children showing a range of levels of conduct problems, recruited at their third birthday through community health services in low SES areas. Spontaneous joint play and other mother–child activities were coded from naturalistic, unstructured observations in the home. Amount of time spent in joint play at age 3 predicted individual improvement in conduct problems at age 4, and importantly, this association was independent of initial level of child conduct problems and hyperactivity, social class, maternal depression, and frequency of negative mother–child interactions. The amount of time the child spent unoccupied and not interacting with mother independently predicted worsening conduct scores over time. However, time spent in other activities, including joint conversation and solitary play did not predict change in conduct scores over time. The results suggest that positive and proactive parenting processes such as joint play may make a unique contribution to the very early development of conduct problems, independent of other risk factors. There was no evidence that this association was mediated by child factors such as hyperactivity and poor attention skills.     

Question Understanding Aid (QUAID): A Web Facility that Tests Question Comprehensibility

When respondents do not understand the meaning of a survey question,they will not supply valid and reliable answers. Survey methodologistsshould therefore benefit from computer tools and other analyticalschemes that help them identify problems with questions withrespect to comprehension difficulty. We developed a Web facilitycalled Question Understanding Aid (QUAID; www.psyc.memphis.edu/quaid.html)that assists survey methodologists in identifying problems withthe wording, syntax, and semantics of questions on questionnaires.The survey methodologist enters the question into the Web facility,along with any context information and answer alternatives thataccompany the question. QUAID quickly returns a list of potentialproblems with question comprehension, including unfamiliar technicalterms, vague or imprecise relative terms, vague or ambiguousnoun phrases, complex syntax, and working memory overload. Thisarticle describes QUAID and some empirical studies that haveassessed the validity and utility of QUAID’s critiquesof questions. The output of QUAID was compared with the judgmentsof experts in language, discourse, and cognition during thedevelopment of the tool. In one evaluation, expert survey methodologistscritiqued and revised problematic questions, whereas in a secondevaluation survey methodologists evaluated the quality of originalproblematic questions, questions revised with the assistanceof QUAID, and questions revised without QUAID. In a third evaluation,eye-tracking data were collected while respondents read questionson a computer screen and answered questions aloud. Respondentshad a tendency to give up processing difficult questions tooearly (called an early exit), which potentially threatens thevalidity of the respondents’ answers. Survey methodologistsare encouraged to use QUAID and further evaluate its validityand utility.     

Hardship Among Older Adults in the HRS: Exploring Measurement Differences Across Socio-Demographic Characteristics

Measures of hardship have been proffered as better indicators of economic well-being than traditional measures of socioeconomic status (SES). However, there is a dearth of research on latent factor structures and measurement bias in items assessing hardship across socio-demographic characteristics, especially among older adults. As such, the purpose of this study was to determine the factor structure of items measuring hardship in the Health and Retirement Study (HRS) and to determine measurement bias across socio-demographic groups (i.e., race/ethnicity, gender, and age). The participants were HRS subjects who completed an additional psychosocial survey (N = 3074). The results revealed a single latent factor for hardship (comparative fit index = 0.99, root mean square error of approximation = 0.02) using confirmatory factor analysis on eight items in the HRS. The multiple indicator, multiple causes (MIMIC) model was used to determine measurement bias in the items due to socio-demographic characteristics. Compared to white respondents, black respondents were more likely to endorse items of financial dissatisfaction (Odds Ratio (OR) = 2.19, 95 % Confidence Interval (CI) = 1.43, 3.35), while Latino respondents were more likely to endorse food insecurity (OR = 2.78, 95 % CI = 1.60, 4.83); and older individuals (age 65 and older) were less likely to endorse having moved to a worse residence/neighborhood (OR = 0.32, CI = 0.18, 0.57) and being unemployed (OR = 0.28, CI = 0.20, 0.38). These results indicate that there is differential item functioning for specific measures of hardship suggesting that there are differences observed for the measurement of hardship for these items across racial/ethnic and age groups.