Simulation to enhance care of patients with psychiatric and behavioral issues: use in clinical settings

Nurses with a medical-surgical clinical focus often care for patients with psychiatric and behavioral issues in acute care hospitals. This article describes how hospital staff and nursing and theater department faculty joined forces to develop realistic simulated psychiatric scenarios for use by practicing nurses.     

Use of actors as standardized psychiatric patients

Using actors in simulation provides opportunities for immersive, interactive, and reflective experiences to improve health care professionals' clinical expertise and practice. These experiences facilitate the development of enhanced critical thinking, problem-solving, and communication skills without risks to patients. This article discusses how to integrate actors and students into simulated experiences. Examples are provided using mental health simulations with actors as standardized psychiatric patients.     

Uncovering bias in order assignment

To mitigate sequencing effects in decision-making, many situations require a set of items to be considered in a random order. When such orderings are repeated, one can test whether randomization indeed obtains, or whether some orderings have been manipulated in order to achieve a favorable result. This paper articulates the key features of this problem and presents three general tests for randomness. These methods are used to analyze the order in which lottery numbers are drawn in Powerball, contestants perform on American Idol, and candidates are placed on election ballots. This last application features frequent manipulation, with potentially serious consequences.     

Psychometric Properties of the Flourishing Scale in a New Zealand Sample

The Flourishing Scale (FS; Diener et al. in Soc Indic Res 97(2):143–156, 2010) was developed to assess psychological flourishing, which can be conceived of as a social-psychological prosperity incorporating important aspects of human functioning. This study takes the FS, which has previously been validated on convenience samples of students, and analyses the underlying structure, psychometric properties, and demographic norms using nationally-representative data from New Zealand’s Sovereign Wellbeing Index (n = 10,009; Human Potential Centre in Sovereign Wellbeing Index: New Zealand’s first measure of wellbeing. Auckland University of Technology, Auckland, 2013). Evidence for the reliability and validity of the FS is presented (Cronbach alpha) and its performance compared to other related scales and behaviors. Exploratory and confirmatory factor analysis demonstrated the one factor structure of the 8-item FS. Contemporary population norms for the FS are reported, providing a much-needed benchmark for estimation of population health and permitting cross-study and international comparisons. The study provides further evidence that the FS is a valid and reliable brief summary measure of psychological functioning, suited for use with a wide range of age groups and applications.     

WHO CREATES CONTENT?

Until the Internet arrived, content creation and distribution was always an expensive, difficult process. With the Internet it is dramatically easier, faster, and cheaper. Some argue that this will move creation out of the hands of elites and lead to wider participation in the public sphere and to enhanced democracy. This paper makes three contributions to this debate. First, it uses a national random sample of the British population. This is much broader than most prior work. Second, it creates the first evidence-based typology of Internet content creation, identifying three types named ‘skilled content’, ‘social and entertainment content’, and ‘political content’. The implicit assumption of many researchers that only one type of content exists is not accurate. Third, using multivariate logistic regression it shows the characteristics of different populations that produce each type of content. Elites have no impact on creation of skilled content. Social and entertainment content is more likely to be created by non-elites. Only creation of political content is significantly and positively associated with elite status. These results clarify inconsistencies in prior studies. Each type of content is produced by a different kind of creator. Thus, type is more than just content; it also describes differences in who creates the content. The varying relationships between elite status and content creation suggest that it is important for future research to pay close attention to the type of content under study when considering possible democratization of creation.     

MEASURING AGGREGATE RELIGIOSITY IN THE UNITED STATES, 1952–2005

I present a method for measuring aggregate religiosity. The method allows one to combine many indicators of religiosity, even if the indicators measure only a portion of religiosity, or if the indicators are not measured every year of the series. I demonstrate the method by measuring aggregate religiosity of the US population from 1952 through 2005. The results show the sharp rise in religiosity during the 1950s, the decline beginning in the 1960s, and the slower decline since the 1970s. I present evidence of content and convergent validity of this new index.