Relatedness,autonomy, and competence in the caring relationship: The perspective of nursing home residents

Based on self-determination theory and person-environment congruence models, this study investigated the importance and experiences of relatedness, autonomy, and competence in the caring relationship from the perspective of residents of somatic nursing homes. Furthermore, discrepancies between the attached importance and the fulfillment of these three needs, as well as the role of resident age, health and cognition were explored.Structured questionnaires and semi-structured interview questions were used with 75 recently admitted somatic nursing home residents. The results show that relatedness was considered as more important than autonomy and competence, on average, but there also was large variation between residents in the importance attached to these three needs (n = 75). A subgroup that was asked about relatedness, autonomy, and competence in the caring relationship (n = 35) experienced rather high fulfillment of these needs, although the semi-structured interview questions revealed more nuances. In addition, discrepancies existed between the importance and the fulfillment of the needs for a considerable group of residents in this subgroup. Subjective health and cognitive functioning were correlated with the evaluation of relatedness, autonomy, and competence in the caring relationship.It is concluded that, in nursing homes, the focus should be on the match between individual preferences and actual support of relatedness, autonomy, and competence.This involves asking residents for personal preferences and facilitating caregivers in taking these into account during daily caregiving.     

“We walk on eggshells”: A phenomenological inquiry of wives’ experiences of living with active-duty Marine husbands with PTSD

ABSTRACT

In this qualitative study, the authors explored the lived experiences of wives married to active-duty male Marines who have a diagnosis of post-traumatic stress disorder (PTSD). The first author and primary investigator conducted in-depth interviews with eight women, all of whom had been married more than 3 years and experienced at least one deployment while married. Transcendental phenomenology was used to gain an understanding of each woman’s experience. The central research question in this study was “What is it like to live with an active-duty male Marine with PTSD?” Findings demonstrated five essential themes: (1) the unpredictability of living with someone with PTSD, (2) the spouse had to take on different roles, (3) the wives felt unprepared to handle PTSD, (4) the wives received different messages when trying to seek help for their husbands, and (5) the wives wanted to send messages to other wives living with Marines with PTSD.     

Evidence of tactile arm stepping in newborns and its responsiveness to optic flows specifying self-translation

Although the arms participate in many forms of human locomotion, we know very little about when arm movements emerge during locomotor development. Here we investigated whether newborns would make tactile arm stepping movements when we supported them almost horizontally so their hands touched a surface and blocked their leg movements. Building off prior work showing that newborns make more crawling and air stepping leg movements when exposed to optic flows specifying forward and backward self-translation, we also examined whether newborns would make more tactile arm steps when exposed to forward and backward optic flows compared to a random optic flow that did not specify translation. We found that newborns can perform arm stepping and produce a significantly higher number of tactile arm steps in the optic flow condition specifying backward translation than in the random optic flow condition. Both translating optic flow conditions had significantly higher numbers of alternating arm steps than the random optic flow condition. These findings show that tactile arm stepping exists at birth and that optic flows can facilitate their production, similar to leg stepping. We argue that these results further support the idea that a quadrupedal organization underlies early upright stepping.     

Mothering,Fathering, and Externalizing Behavior in Toddler Boys

This study examined the effects of reported maternal and paternal support, psychological control, and spanking on externalizing behavior of toddler boys. Questionnaires were administered to both parents of 104 two‐parent families with a 3‐year‐old son. Both maternal and paternal psychological control was related to boys' externalizing behavior. Interaction effects were found, in that the association between maternal spanking and boys' externalizing behavior was stronger when levels of maternal support were high. High levels of paternal support strengthened the association between maternal support and boys' externalizing behaviors. Results suggest that the associations between specific parenting dimensions and children's externalizing behavior need to be considered within the context of other parenting dimensions that are displayed within the family.     

The Moderating Effects of Pubertal Timing on the Longitudinal Associations Between Parent–Child Relationship Quality and Adolescent Substance Use

This prospective, longitudinal study investigated the moderating role of pubertal timing on reciprocal links between adolescent appraisals of parent–child relationship quality and girls' (N=1,335) and boys' (N=1,203) cigarette and alcohol use across a 12‐month period. Reciprocal effects were found between parent–child relations and on‐time maturing boys and girls' cigarette and alcohol use, after estimating stability in these constructs across time. Parent–child relationship quality was associated with increased alcohol use 12 months later for early maturing girls. Cigarette and alcohol use were associated with increased problems in the parent–child relationship for late maturing girls. No effects were observed for early and late maturing boys in the pathways between parent–child relationship quality and substance use. Pubertal timing moderated the pathway linking parent–child relationship quality with cigarette use 1 year later such that the association was stronger for late maturing girls compared with early and on‐time maturing girls. The findings indicate interplay between the psychosocial aspects of maturation, family relationships, and adolescent substance use and highlight possible gender‐specific influences.     

Collegiate-Based Emergency Medical Service: Impact on Alcohol-Related Emergency Department Transports at a Small Liberal Arts College

Abstract

Objective: The authors examined the impact of a collegiate-based emergency medical service (CBEMS) on the frequency of emergency department (ED) transports. Participants: Students transported to the ED for acute alcohol intoxication during the Fall 2008 and the Fall 2009 semesters (N = 50). Methods: The frequency of students receiving transportation to a hospital ED and the reported blood alcohol content (BAC) levels during the initial operational semester of the CBEMS were compared to those values over the same time period the previous year. Results: More than twice the number of students was transported to the ED following the introduction of CBEMS. There was no change in mean BAC levels. Conclusions: CBEMS could promote a culture conducive to increased reporting behavior, which makes the campus safer. Similar BAC levels suggest that the degree of intoxication was similar for the 2 reporting periods, but students sought emergency assistance more frequently following the inception of CBEMS.     

A Mutual Aid Group Program for Women Who Use Violence

This article presents the development of a group program for women who use violence. A review of the North American literature and research into Quebec practices led the authors to adopt an intersectional feminist analysis of women’s violence and to choose the mutual aid group model. The program’s main objective is to help women find alternatives to the use of violence by working on three main themes: (1) violence, (2) socialization, and (3) life conditions. The program also aims to increase women’s empowerment through concrete experiences of group solidarity, such as by helping one another. Challenges that were encountered in its development and that are anticipated in its evaluation are discussed.