Top 10 reasons to take your graduate program in psychiatric nursing online

1. Removing barriers to graduate psychiatric nursing education is possible by delivering courses via the Internet. 2. The Internet is full of valuable resources for graduate psychiatric nursing education. 3. Successful online learning environments involve a paradigm shift on the part of faculty from traditional teaching to facilitating the learning of adult students. 4. Increasing the number of advanced practice psychiatric nurses through Web-based education will transform the delivery of mental health care.     

The Maltreatment of Children: A Review of Theories and Research

This article reviews the literature pertaining to the causes of child maltreatment. The review discusses 68 articles from various disciplines and organizes them into four predominant theories; psychodynamic, social learning, social psychological, and sociological. Research evidence supporting each of the theories is described and critiqued.     

Alcohol and substance use disorders as predictors of child to adult sexual revictimization in a sample of community women

Alcohol- and substance-related diagnoses were examined as factors in child to adult sexual revictimization. Three hundred community women completed interviews and self-report instruments to obtain information regarding victimization and to diagnose substance use disorders (alcohol and substance abuse/dependence). Childhood sexual abuse (CSA) survivors were more likely than nonvictims to meet criteria for both substance use disorders and to report rape (e.g., unwanted intercourse due to threat or use of force, or due to the inability to consent due to the respondent's alcohol or drug use) and coerced intercourse (e.g., unwanted intercourse due to verbal coercion or misuse of authority by the perpetrator) by acquaintances, strangers, and husbands. In general, both CSA and substance use disorders were predictive of adult sexual victimization, but there were no significant interactions between these factors. Overall, substance use disorders were related to rape for all women; this relationship was not unique to CSA survivors. Alcohol- and substance-related diagnoses predicted rape by all three types of perpetrators, but CSA was predictive of rape only by acquaintances and strangers and not husbands. In contrast, CSA predicted coerced intercourse by all three perpetrators, while alcohol- and substance-related diagnoses predicted coerced intercourse by acquaintances and strangers, but not husbands. Results highlight the need to continue the study of revictimization of CSA survivors, including examination of both rape and sexually coercive experiences by different types of perpetrators. Findings support continued research of substance use disorders as risk factors for sexual victimization among all women.     

Use of a values history in approaching medical advance directives with psychiatric patients

The Patient Self-Determination Act became federal law in 1990. However, many psychiatric facilities are just beginning to actively address the issue of medical advance directives. The term advance directives, for the purposes of this article, refers exclusively to medical advance directives. Psychiatric advance directives, which are related to issues such as involuntary hospitalization, are beyond the scope of this article.     

Social Amplification of Wildfire Risk: The Role of Social Interactions and Information Sources

Wildfire is a persistent and growing threat across much of the western United States. Understanding how people living in fire‐prone areas perceive this threat is essential to the design of effective risk management policies. Drawing on the social amplification of risk framework, we develop a conceptual model of wildfire risk perceptions that incorporates the social processes that likely shape how individuals in fire‐prone areas come to understand this risk, highlighting the role of information sources and social interactions. We classify information sources as expert or nonexpert, and group social interactions according to two dimensions: formal versus informal, and generic versus fire‐specific. Using survey data from two Colorado counties, we empirically examine how information sources and social interactions relate to the perceived probability and perceived consequences of a wildfire. Our results suggest that social amplification processes play a role in shaping how individuals in this area perceive wildfire risk. A key finding is that both “vertical” (i.e., expert information sources and formal social interactions) and “horizontal” (i.e., nonexpert information and informal interactions) interactions are associated with perceived risk of experiencing a wildfire. We also find evidence of perceived “risk interdependency”—that is, homeowners’ perceptions of risk are higher when vegetation on neighboring properties is perceived to be dense. Incorporating social amplification processes into community‐based wildfire education programs and evaluating these programs’ effectiveness constitutes an area for future inquiry.     

Stress management for pregnant adolescents and adolescent mothers: A pilot study

A five week stress management program for pregnant adolescents and adolescent mothers emphasizing deep muscle relaxation and cognitive control methods was pilot tested with 23 experimental and 12 control subjects. The experimental group demonstrated a significantly greater reduction in cognitive and affective manifestations of stress and an increased belief in their ability to deal with stress. While the differences between the groups did not reach statistical significance with respect to changes in overall stress levels or use of specific coping strategies, a consistent trend was demonstrated in the data for more positive changes in the experimental group. Recommendations were made for an expanded program, the inclusion of incentives, and the program's inclusion in the school schedule.     

The abortion issue and Title VII employment discrimination: The microcosm of the law

This paper presents a discussion of a 1989 United States federal appeals court ruling in the case of Doe v. First National Bank. The case is the first ruling on the federal appellate level involving a claim of Title VII employment discrimination based upon alleged employer knowledge of and animus towards an employee who had undergone an abortion. Doe raises the ethical questions of how a highly charged, national social issue can be reduced to interpersonal dealings between a supervisor and her subordinate in the workplace. The facts of the case are presented in a chronological manner, followed by a discussion of both the court rulings in the case and the utility of employing this case as an excellent tool in the teaching of business ethics and society.