Enclosed versus open nursing stations in adult acute care psychiatric settings: does the design affect the therapeutic milieu?

Specific efforts by hospital accreditation organizations encourage renovation of nursing stations, so nurses can better see, attend, and care for their patients. The purpose of this study was to examine the effect of nursing station design on the therapeutic milieu in an adult acute care psychiatric unit. A repeated cross-sectional, pretest-posttest design was used. Data were collected from a convenience sample of 81 patients and 25 nursing staff members who completed the Ward Atmosphere Scale. Pretest data were collected when the unit had an enclosed nursing station, and posttest data were collected after renovations to the unit created an open nursing station. No statistically significant differences were found in patient or staff perceptions of the therapeutic milieu. No increase in aggression toward staff was found, given patients' ease of access to the nursing station. More research is needed about the impact of unit design in acute care psychiatric settings.     

Addressing common forms of child maltreatment: evidence‐informed interventions and gaps in current knowledge

This paper reviews interventions for preventing the occurrence and recurrence of major types of child maltreatment. We begin with an overview of the challenges of establishing evidence‐based interventions to prevent child abuse and neglect in many countries, and underscore the importance of this need with child maltreatment incidence rates in the USA, and how much each type and subtype contribute to child out‐of‐home placement. Next, we identify the well‐supported, supported and promising interventions for each child maltreatment type and subtype, according to their level of research evidence using an evidence‐based clearing house. The paper closes with a discussion of the implications for practice, evaluation, policy and agency management, including intervention knowledge gaps that showcase areas that need additional practice research.     

Music,rowing, and the aesthetics of rhythm

Having “good rhythm” is essential in both music and competitive rowing, but what exactly constitutes “good rhythm,” and how do we achieve it? Although rhythm is often discussed in purely auditory terms, I argue that rhythm is fundamentally a multisensory, kinesthetic phenomenon. By drawing parallels between music and rowing, I illustrate how biological motion principles underlie the parameters of rhythm in both disciplines, and how the cognition and appreciation of rhythm is deeply embodied. I suggest that the two main ways in which rhythms generate pleasure in both music and rowing are by enabling behavioral synchrony between individuals, and by engaging the body in the cognitive process of rhythm perception and prediction. In essence, “good rhythm”—a rhythm that is enjoyed and appreciated—is rhythm that moves.     

The Development and Implementation of a Nursing Clinic on a College Campus

Abstract

“Usefulness of Screening Chest Roentgenograms in Preoperative Patients,” Lloyd Rucker, Elizabeth B. Frye, Myrlene A. Staten. We proposed that clinical criteria could define a group of patients very unlikely to have abnormal preoperative chest roentgenograms. Nine hundred five surgical admissions were screened for the presence of clinical factors we thought would make those patients more likely to have abnormal preoperative chest roentgenograms. Of these, 368 had no risk factors. One patient (0.3%) of the 368 had an abnormal x-ray film, which did not affect the surgery. No material abnormalities were found in the remainder of the group without risk factors. Five hundred four patients had identifiable risk factors. Of these, 114 (22%) were found to have serious abnormalities on preoperative chest roentgenograms. (Journal of the American Medical Association 1983;250:3209–3211)

“Effect of Treatment Regimens for Neisseria Gonorrhoeae on Simultaneous Infection With Chlamydia Trachomatis,” Walter E. Stamm, et al. We evaluated the effect of treatment for gonorrhea on simultaneous Chlamydia trachomatis infection by randomly assigning 293 heterosexual men and 246 heterosexual women with gonorrhea to receive one of the following treatment regimens: (1) 4.8 million units of aqueous procaine penicillin plus 1 g of probenecid, (2) nine tablets of trimethoprim-sulfamethoxazole daily for three days, or (3) 500 mg of tetracycline four times a day for five days. Among the men, gonococcal infection was cured in 99 per cent given penicillin plus probenecid, 96 per cent given trimethoprim-sulfamethoxazole, and 98 per cent given tetracycline. Among the women, only 90 per cent given tetracycline were cured, in contrast to 97 per cent given penicillin plus probenecid and 99 per cent given trimethoprim-sulfamethoxazole.     

Uneasy sanctuary: Homeless campers living on rural public lands*

An ethnographically informed, illustrated discussion based on research conducted by the author. From 1990 through August 1996 the author had informal discussions with over 300 homeless “non‐recreational” campers who were staying on public lands in the Pacific Northwest. The author applies an original preliminary grounded topology generated from these interviews to compare and contrast the ways in which homeless campers describe their lives and represent their personal choices regarding using public lands, and utilizes photographs to illustrate her research findings. The author has identified three major categories of homeless campers: “voluntarily nomadic, “ “economic refugees, “ and “separatists.”     

Back to basics: Re-examination of Demand-Control Theory of occupational stress

The Demand-Control model of occupational stress posits an interaction between job demands and job control predicting psychological strain, but previous research has found such an interaction only rarely or inconsistently. Such research, however, has often failed to measure either demands or strain faithfully to the model's constructs, or has simply failed to test for a statistical interaction. The present study corrected these shortcomings by going back to basics. Using a sample of 115 employees in a manufacturing company, it operationalized the variables more consistently with their original conceptualizations. However, when the hypothesized Demand-Control interaction was then tested, it still failed. Outcomes other than psychological strain (e.g. job dissatisfaction) were related negatively rather than positively to demands. This highlights the difference between psychological strain and dissatisfaction and casts doubt on models positing dissatisfaction as an intervening variable between stressors and strains.     

Spillover Between Marital Quality and Job Satisfaction: Long‐Term Patterns and Gender Differences

We used data from a 12‐year panel survey of a nationally representative sample of married individuals (not couples) and structural equation modeling to investigate the process of spillover between marital quality (satisfaction and discord) and job satisfaction among married individuals. We considered three questions: whether job satisfaction and marital quality are related over the long term, whether influence flows primarily from work to family or if there is a pattern of mutual effects between job satisfaction and marital quality, and whether job satisfaction and marital quality are related in similar ways for married women and married men over the long term. We found that marital quality and job satisfaction are related over the long term and that marital quality is the more influential of these domains. We found evidence of both positive and negative spillover from marital quality to job satisfaction over the long term. Specifically, increases in marital satisfaction were significantly related to increases in job satisfaction, and increases in marital discord were significantly related to declines in job satisfaction. Finally, our results indicated that these processes operate similarly for married women and married men.