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ABSTRACT The aim of this paper is to discuss issues impacting on consumer workforce participation and challenges that continue to arise for these workers, other service providers, and the mental health system. The literature identifies the following issues as problematic: role confusion and role strain; lack of support, training, and supervision structures; job titles that do not reflect actual work; poor and inconsistent pay; overwork; limited professional development; insufficient organizational adaptation to expedite consumer participation; staff discrimination and stigma; dual relationships; and the need to further evaluate consumer workforce contributions. These factors adversely impact on the emotional well-being of the consumer workforce and might deprive them of the support required for the consumer participation roles to impact on service delivery. The attitudes of mental health professionals have been identified as a significant obstacle to the enhancement of consumer participation and consumer workforce roles, particularly in public mental health services. A more comprehensive understanding of consumer workforce roles, their benefits, and the obstacles to their success should become integral to the education and training provided to the mental health nursing workforce of the future to contribute to the development of a more supportive working environment to facilitate the development of effective consumer roles [ABSTRACT FROM AUTHOR]

Nursing and midwifery are demanding professions. Efforts to understand the health consequences and workforce needs of these professions are urgently needed. Using a novel electronic approach, the Nurses and Midwives e-cohort Study (NMeS) aims to investigate longitudinally Australian and New Zealand nurses' and midwives' work/life balance and health. This paper describes NMeS participation; provides key baseline demographic, workforce and health indicators; compares these baseline descriptions with external norms; and assesses the feasibility of the electronic approach. From 1 April 2006 to 31 March 2008, nurses in Australia and New Zealand, and midwives in Australia were invited to participate. Potential participants were directed to a purpose-built NMeS Internet site, where study information was provided and consent sought. Once obtained, a range of standardized tools combined into one comprehensive electronic questionnaire was elicited. Overall, 7633 (2.3%) eligible nurses and midwives participated (6308 from Australia and 1325 from New Zealand) from a total pool of 334 400. Age, gender, occupational and health profiles were similar between countries and to national figures. However, some differences were noted; for instance, Queensland participants were over-represented, while Victorian and South Australian participants were under-represented, and 28.2% of Australians were in high strain positions compared with 18.8% of New Zealanders. Using an internationally novel web-based approach, a large cohort, which appears generally similar to population norms, has been established. Provided participant retention is adequate, the NMeS will provide insight into understanding the drivers of nurses' and midwives' workforce retention and work-related factors associated with their health. [ABSTRACT FROM AUTHOR]

The present paper investigates issues of job satisfaction and gender. In particular, the finding that women are significantly happier in work than their male counterparts is examined. To shed light on this issue, smaller subgroups of the total sample are analysed and more subjective variables (in addition to more traditional objective variables) are incorporated. It is found that differences in reported job satisfaction are more pronounced when looking at individuals with lower levels of education in lower skilled jobs. The determinants of job satisfaction for men and women in this group are significantly different; this was not found to be the case when looking at higher skilled, higher educated individuals. Women in this latter group exhibit similar (i.e. lower) levels of satisfaction to their male counterparts. It is conjectured that this result is due to differences in expectations of work among men and women and also among women themselves. [ABSTRACT FROM AUTHOR]

This chapter reviews the current theoretical understanding of the development of social justice attitudes and related concepts. [ABSTRACT FROM AUTHOR]

Although economic mobility is an objectively defined term, lay beliefs about mobility—the configuration of ideas and attitudes about economic mobilitythat isnot necessarily grounded in economic data—are often formed in a subjective manner. Drawing on research from the United States and beyond, we propose a novel framework for understanding how people construe, think about, and understand economic mobility. We highlight the importance of systematically examining the type, time frame, trajectory, and target of mobility that people have in mind for understanding when they most and least strongly believe in it. In addition, our framework offers a conceptual roadmap for examining the factors that influence lay beliefs about mobility, including individual differences in these lay beliefs and their important downstream consequences. Finally, we outline several important open questions that are highlighted by our framework as a guide for future research on lay beliefs about economic mobility. [ABSTRACT FROM AUTHOR]

Aim Higher degrees have been proposed as one means whereby general practitioners can continue their professional development and avoid a slow decline into professional isolation and burnout. The United Medical and Dental School of Guy's and St Thomas' Hospitals' MSc in general practice has been available to experienced general practitioners for over a decade. This study reports some of the outcomes of participation for the 76 graduates of the first nine cohorts. Method As part of an ongoing programme of evaluation the graduates were sent a questionnaire which, in addition to seeking information about attainment of intended outcomes, gave respondents the opportunity to write freely about the contribution made by the course to their own professional and personal development. Seventy-one graduates completed the questionnaire, a response rate of 93%. Results and conclusions An increased confidence that arises not only from a broadened knowledge base and increased skills but also from a sense of having been enabled to explore more deeply into their discipline, is the most frequently and highly valued outcome of participation. Graduates appreciated having additional protected time and demonstrated an ability to use it productively. A further significant outcome was the ability of the course to confront those habitual assumptions of doctors which inform their practice in a manner that was both challenging and supportive. Tendencies to professional isolation and burnout appear to have been reversed with a greater sense of connectedness to their discipline. Doctors seeking to diversify their general practice careers beyond the task of providing medical services have found the MSc an important route for change. [ABSTRACT FROM AUTHOR]

A model of the role acquisition process is proposed based on data from 310 first-person written narratives of a single role entrance. Content analysis of data set II (N = 110) of narratives, which included forty-seven different roles, provides support for the model. The model conceptualizes role acquisition as involving a sequence of four stages. characterized as (1) ambivalence. (2) absorption, (3) commitment, and (4) confidence, in which each stage involves a qualitatively different interaction between the person and the role: a different affective orientation on the part of the person toward the role, and a qualitatively different relationship between the person and role partners. Common features and heterogeneous effects of role type, social context, cognitive processes, and other factors at each stage are discussed. [ABSTRACT FROM AUTHOR]

Background: Though growing numbers of peer support workers are employed in the UK National Health Service (NHS), conflicts persist between core values of peer support and values which exert power within these services. Objectives: To explore what NHS mental health professionals value about the peer support worker role. Design: Five professionals from different professions and mental health settings were interviewed twice. The first interviews explored their experiences of working with peers. Transcripts were analysed using discourse analysis and psychosocial theory. Second interviews allowed participants to respond to the analysis and influence subsequent analysis. Results: Mental health professionals valued peers for the deeply empathic, relational approach they brought, based in their subjective experience. Peer work was also valued for the affect‐focused quality of this work, and the challenge peers pose to existing values in mental health services. The values of peer support troubled dominant ways of working based in forms of knowledge that favour objectivity and hence encountered challenges. Conclusions: Peers fulfil the role of amplifying the status of diverse forms of knowledge, values and related ways of working that have become marginalized in NHS mental health services. It is important that peers are not seen as an isolated solution to the marginalization of these forms of knowledge and values, but that their way of working becomes reflected in other roles whilst evoking change throughout these services. Patient or Public Contribution: Patient and Public Involvement groups were consulted both in the design and analysis stages of the study. [ABSTRACT FROM AUTHOR]

Much research addresses the proposition that identifying with a group shapes individuals' behaviour. Typically, such research employs experimental or survey methods, measuring or manipulating social identification and relating this to various outcome variables. Although shedding much light on the processes involved in the identity–behaviour relationship, such research tends to overlook the various constraints that limit individuals' abilities to act in accordance with their identities. Using interview data gathered in north India, we explore the factors affecting the enactment of a religious identity. More specifically, using data gathered at a religious mass gathering, we compare and contrast participants' reports of identity enactment when they are at the event and when they are in their home villages. These two contexts differ in terms of their social organization, especially the degree to which they are marked by the presence of a shared identity. Exploring participants' accounts of such differences in social organization, we consider the social processes that constrain or facilitate identity enactment. In so doing, our analysis contributes to a richer analysis of the identity–behaviour relationship. [ABSTRACT FROM AUTHOR]

In the last 25 years Americans have changed many of the beliefs they hold about racial equality. Schuman, Steeh, and Bobo (1985) have noted that Americans seem to have become increasingly supportive of racial integration during the 1970s and early 1980s, but that their support of specific policies to bring about integration has been ambiguous. Rokeach and Ball-Rokeach (1988) have observed that the priority that Americans assign to equality as a terminal value fell throughout the 1970s. We argue that to more fully understand beliefs about race that seem paradoxical it is important to understand the way that beliefs are conceptualized and measured. This is especially true if one wishes to use attitudes or values as indicators of future behavior. We conclude that the concept of values developed by Rokeach (1973) offers a better basis for gauging public sentiment toward social policies and toward day-to-day living in an integrated society. [ABSTRACT FROM AUTHOR]

No public policy issue has been as difficult as high-level nuclear waste. Debates continue regarding Yucca Mountain as a disposal site, and -- more generally -- the appropriateness of geologic disposal and the need to act quickly. Previous research has focused on possible social, political, and economic consequences of a facility in Nevada. Impacts have been predicted to be potentially large and to emanate mainly from stigmatization of the region due to increased perceptions of risk. Analogous impacts from leaving waste at power plants have been either ignored or assumed to be negligible. This paper presents survey results on attitudes of residents in three counties where nuclear waste is currently stored. Topics include perceived risk, knowledge of nuclear waste and radiation, and impacts on jobs, tourism, and housing values from leaving waste on site. Results are similar to what has been reported for Nevada; the public is concerned about possible adverse effects from on-site storage of waste. [ABSTRACT FROM AUTHOR]

Researchers (e.g., Ironson, 1982; Tfenopyr, 1990) have suggested that item bias investigators equate subgroups on external criteria such as job performance rather than total test scores before considering subgroup passing rates on test items. In a study comparing these two approaches to studies of item bias, we found little evidence of bias using total test score as the estimate of overall examinee ability, but nearly all items were biased in comparisons of white and African-American subgroups on Numerical, Verbal, and Mechanical Reasoning tests and in male-female comparisons on a Mechanical Reasoning test when job performance was used to select ‘equally able‘ examinees. However, the use of job performance as the ability index is analogous to performance-based approaches to test bias (Hartigan & Wigdor, 1989; Thorndike, 1971) and directly equivalent to the Darlington (1971) and Cole (1973) test bias definition, the logical inconsistencies of which have been previously described (Hunter & Schmidt, 1976; Peterson & Novick, 1976), We conclude that performance matching as a basis of forming ‘equal ability’ groups is inappropriate. [ABSTRACT FROM AUTHOR]

Few studies have yet examined the importance of referent others. One reason for avoiding this topic may be ignorance of appropriate methods for analyzing data. This paper reports two comparative studies of referent others for adolescents. (One study compared four Western countries, the other a Western country with the major ethnic groups in Malaysia.) Data were analyzed by means of the unfolding method. Adolescents were found to rank parents first in importance, followed by friends, adults, and then siblings. Parents were perceived as less similar to friends than they were to siblings or adults. Rankings of referent others varied more by question content than by nationality. Techniques and advantages of the unfolding method are spelled out. [ABSTRACT FROM AUTHOR]

An adaptation of Fazio's (1986, 1989) attitude process theory is offered as a potentially valuable model for the psychology of religion. The concept of attitude is defined within this model as an association between an object and an evaluation of that object. Attitudes are characterized either as automatic activations that are spontaneous, inescapable, and lacking reflection or as controlled activations that require attention and are reflective and active in nature. I suggest that this distinction has important implications for the study of religious attitudes. The model as a whole is presented, an application to the psychology of religion is discussed, and potential benefits of adopting an attitude process approach to the psychology of religion are identified. [ABSTRACT FROM AUTHOR]

Remembering that one intends to do something is distinguished from remembering what one intends to do, and crucial design requirements for research on the former are elucidated. All of the few published studies on remembering intentions are classified into four possible research paradigms and are reviewed for design adequacy in the light of these crucial requirements. It is concluded that the best, but perhaps most difficult to implement, studies in the domain are those conducted under laboratory control in which one must remember to perform a single, repeated or multiple instances of natural-seeming behavior that one perceives to be entirely irrelevant to the purposes of the study in which one is engaged. [ABSTRACT FROM AUTHOR]

Summary This paper has described a factor analysis of supervisory behavior ratings using a procedure of standardizing both by variable and by subject, in order to eliminate a component of correlation due to differences in subjective means and standard deviation. The results show that: 1. The procedure results in a large reduction in the relative size of the first principle component. 2. The procedure results in a systematic reduction in the correlations between the primary vectors of the oblique factor solution. 3. The procedure results in a more clearly defined simple structure resulting from the oblique rotation. It seems likely that these results are due primarily to the elimination of the component of a variance attributable to the differences between subjective means. It also seems likely that some of the difference between the two solutions has resulted by giving less weight to the extreme responding, nondiscriminating subjects. Both of these adjustments are judged to be desirable in helping the researcher understand the true organization of reports of individual perceptions of behavior and attitudes where the universe concerned is homogeneous with retudes where the universe concerned is homogeneous with respect to some valuative or other over-all response tendency. [ABSTRACT FROM AUTHOR]

In this article, the author responded to the article "The Promotion of Prejudice," by Elizabeth Alfert. Assuming that Alfert has read the references cited in her own article, she must have known that this statement was untrue before she wrote the article for this journal. In the context of the entire outline of the article, a failure to include a discussion of racial differences in intelligence would have been a glaring omission. Alfert's recent activities thus merely add further documentation to the already ample evidence of an entrenched dogmatism among some persons in the social sciences concerning the causes of the observed average difference of about one standard deviation in intelligence test scores between American Negroes and other groups in our population, mainly whites and Orientals. Those, including myself, who question the unproved hypothesis that all races and population groups are identical with respect to the genetic factors involved in the development of mental abilities are reviled and vilified by many of those who promulgate this doctrine and who, like Alfert, are apparently extremely intolerant of any open-minded and scientific approach to the study of this question.

In an earlier investigation, the present writers reported that aggressive responses are generalized relatively easily from the hostility instigator to other disliked people. These findings can be used to buttress the scapegoat theory of prejudice particular minority groups, such as Negroes or Jews, are the target for displaced hostility, it is suggested, not because they have some physical similarity to the hostility instigator, but because they are disliked. In essence, this hypothesis maintains that the actual frustrator and the minority group are equated, since both arouse unpleasant feelings, so that responses elicited by one can be generalized to the other. The present study was undertaken to throw further light on this presumed process. For one thing, hostility generalization was assessed in the earlier study by means of questionnaire ratings of a peer, and there is a question whether stronger and more direct aggression would show similar effects. The present report also seeks to account for the generalization of aggression.

No theory of time perception is generally accepted at present, despite numerous experimental investigations and proposed theories in the area. Although the theories of time perception are many and varied, most of them can be classified in two categories first, physiological cues and second, filling of the interval. Immediately apparent is the omission of any motivational category for theories of time perception. Indeed, the failure, except for sporadic attempts, to study the relation of principles of motivation to the perception of time presents itself as one reason for the incomplete theoretical structure of time perception. For example, consider the theories of time perception, which depend upon an analysis of the filling of the interval. In addition to these suggestions from everyday experience that time perception is influenced by the motivational condition of the perceiver, the current shift in emphasis toward the projective characteristics of the process of perception also stresses the importance of investigating the motivational aspects of time perception.

Ethnic identity (EI) is influenced by many factors, but few studies have examined the relative contribution of parenting style and other factors to EI. We addressed this gap by examining the effects of family and community factors on the EI of ethnic minority students enrolled in graduate psychology programs in the United States. The results suggest that family, peers, and experiences of discrimination significantly influence EI. Familial cultural socialization was the strongest contributor to EI. La identidad étnica (EI, por sus siglas en inglés) recibe influencia de muchos factores, pero pocos estudios han examinado la contribución relativa del estilo parental y otros factores a la EI. Abordamos este vacío examinando los efectos de los factores de familia y comunidad en la EI de estudiantes de minorías étnicas matriculados en programas de psicología de posgrado en los Estados Unidos. Los resultados sugieren que la familia, los compañeros y las experiencias de discriminación influyen en la EI de forma significativa. La socialización cultural familiar fue el factor que ejerció la mayor influencia sobre la EI. [ABSTRACT FROM AUTHOR]

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Aim: Low participation in cancer clinical trials by culturally and linguistically diverse (CALD) patients limits access to cutting‐edge treatments and generalizability of results. This is the first study exploring trials knowledge/attitudes and their association with trial participation in Vietnamese‐ and Anglo‐Australian cancer patients. Methods: Eligible patients diagnosed with cancer in the past 10 years were invited to complete a self‐report questionnaire comprising validated measures of: trials knowledge and attitudes, preferred information amount, preferred decision‐making involvement, health literacy, and past and future (i.e. hypothetical) trial participation. Multivariable linear regression evaluated correlates of trials knowledge/attitudes. Multinomial logistic regression estimated the relationship between trials knowledge/attitudes and possible future trial participation. Results: Vietnamese‐Australian participants (n = 50) had more negative attitudes regarding trials than Anglo‐Australians (n = 100; B = −9.28; 95% confidence interval [CI], −17.60 to −0.97; P = 0.029), but similar knowledge (B = −0.91; 95% CI, −2.27 to 0.44; P = 0.18). Future trial participation was associated with positive attitudes (odds ratio [OR] = 1.08; 95% CI, 1.04–1.12; P < 0.001) and greater knowledge (OR = 1.30; 95% CI, 1.04–1.62; P = 0.02), but not Vietnamese background (OR = 0.95; 95% CI, 0.27–3.32; P = 0.93). Conclusion: Despite poorer attitudes regarding trials in Vietnamese‐Australians, Vietnamese background was not associated with less likely future trial participation, suggesting low trial participation by CALD patients may be more due to opportunity barriers. Improving knowledge and attitudes may increase trial participation generally. [ABSTRACT FROM AUTHOR]

In the month approaching the 2014 Scottish Independence referendum, we tested the Identity‐Deprivation‐Efficacy‐Action‐Subjective Well‐Being model using an electorally representative survey of Scottish adults (N = 1,156) to predict voting for independence and subjective well‐being. Based on social identity theory, we hypothesized for voting intention that the effects of collective relative deprivation, group identification, and collective efficacy, but not personal relative deprivation (PRD), should be fully mediated by social change ideology. Well‐being was predicted to be associated with PRD (negatively) and group identification (positively and, indirectly, negatively). Unaffected by demographic variables and differences in political interest, nested structural equation model tests supported the model, accounting for 82% of the variance in voting intention and 31% of the variance in subjective well‐being. However, effects involving efficacy depended on its temporal framing. We consider different ways that social identification can simultaneously enhance and diminish well‐being and we discuss ramifications of the model for collective mobilization and separatist nationalism. Findings also suggest new directions for research on social identity, collective efficacy, and collective action. [ABSTRACT FROM AUTHOR]

Although there have been many empirical studies of terrorism within the psychology literature, relatively few studies have theorized terrorism from the perspective of collective action theory. The present study aimed to understand factors that predict support for Islamist terrorism by using the Encapsulate Model of Social Identity in Collective Action (EMSICA) perspective. To extend previous studies, we added perception of threat and intergroup contact to the model. A correlational study using 66 terrorism detainees in Indonesia as participants found solid support for our expanded EMSICA. The models extending EMSICA with perception of threat and quantity of contact as predictors had improved fit indices and explained more variance in the dependent variable support for Islamist terrorism, as compared to the standard model. Social identity had a significant direct effect on support for Islamist terrorism and mediated the effect of intergroup contact, perception of threat, perceived injustice, and group efficacy on support for Islamist terrorism. [ABSTRACT FROM AUTHOR]

Eric Vogelstein has defended Don Marquis' 'future‐like‐ours' argument for the immorality of abortion against what is known as the Identity Objection, which contends that for a fetus to have a future like ours, it must be numerically identical to an entity like us that possesses valuable experiences some time in the future. On psychological accounts of personal identity, there is no identity relationship between the fetus and the entity with valuable experiences that it will become. Vogelstein maintains that a non‐sentient fetus nonetheless has a future like ours because it is numerically identical with a future organism that has a mind that bears valuable experiences. Skott Brill, drawing on Jeff McMahan's embodied mind account, denies that human organisms directly have experiences, claiming that they only have experiences derivatively by virtue of their thinking part, and the loss of a future like ours is not transferred to the organism. I show that on McMahan's account, a strong case can be made for the organism having experiences directly, and the subject having these experiences derivatively. This negates Brill's reasoning, although it does imply that non‐sentient fetuses do not have a future like ours in quite the same way as we do. I conclude that this is not problematic for Marquis' argument. [ABSTRACT FROM AUTHOR]

This article elucidates the challenges parents face when they lose the care of their children and their experiences of family counselling as a support service in Norway. A qualitative study following five mothers and one father whose children were in care was conducted through two focus groups and six individual interviews. The study found that the parents struggled to understand why their children had been placed in care and felt disempowered by the Child Protection Services (CPS). This situation led to complicated relationships with the CPS. We drew upon positioning theory and Goffman's theories about stigma and identity in this study, and these theories are explicitly used in discussing our analytic results. The study reveals the challenges encountered by CPS due to their dual role: On the one hand, they remove the children, and on the other, they offer support. The parents in this study also received assistance from the Family Counselling Services. Important results of this study are the parents' experiences of the two systems and, in particular, the different positions the systems seemed to place them in. [ABSTRACT FROM AUTHOR]

Since its original formulation, Tajfel's Social Identity Theory (SIT) has broadened considerably from its original focus on intergroup relations and is now applied to a wide range of phenomena. Indeed, the 'social identity approach' has become one of the most widely used perspectives in contemporary social psychology. In this article, I examine the popularity of Tajfel's writings on social identity and intergroup relations, especially over the last thirty years when they started to become more generally used. I offer a critical appraisal of the original SIT, both as a theory of intergroup relations and as a theory of identity, concluding that its real value lies in its success in offering an over‐arching perspective on the importance of groups in social life and its ability to stimulate new areas of research. I then widen the discussion to consider how the social identity perspective has been used in a number of other fields of enquiry. [ABSTRACT FROM AUTHOR]

The article offers information on the prognostic tools to guide clinicians in acute risk stratification of adult mild traumatic brain injury patients (mTBI). It mentions that demographic and injury characteristics were based on participants' self-report obtained by trained research coordinators and a review of the electronic medical record; and also mention data-driven strategies are needed to provide clinical decision support for mTBI risk stratification.

The current study builds on links between academic social identification and learning behaviours and extends these models by also considering the level of compatibility between the student identity and the pre‐existing self‐concept. This is a crucial extension, in the context of broadening access to higher education and fostering belonging and learning in nontraditional students. Further, where previous work focused on learning behaviours that enhance performance (often learning approaches), we also consider performance‐undermining behaviours (self‐handicapping and procrastination). These effects are explored in survey responses from an undergraduate student sample (N = 121) from UK and broader European samples. Participants were predominantly female (69%) and native English speakers (87%). Three models of the relationships between these variables were tested using Mplus. Results indicate that performance‐undermining behaviours are predicted by identity incompatibility, but not identification level; deep learning approaches are predicted by identification level, but not identity incompatibility. This provides first evidence that identity incompatibility is not just a moderator of the identification‐learning relationships but, in fact, a separate identity process for consideration. We also present initial evidence for a mediation model, where in the identity variables are related to procrastination and self‐handicapping via learning approaches. [ABSTRACT FROM AUTHOR]

Badea, Jetten, Iyer, and Er‐Rafiy proposed a model that specifies immigrants' experienced rejection by majority and minority groups and social identification with these groups as predictors of their acculturation attitudes. The present research tested an extended version of this model by assessing (i) both positive and negative contact experiences with majority and minority groups, (ii) social identification with these groups and religious groups, and (iii) acculturation attitudes. We surveyed individuals with Greek (N = 186) and Turkish (N = 138) migration background living in Germany. The proposed model yielded a good fit with the empirical data and showed that positive and negative contact with majority and minority groups predicted minority members' acculturation attitudes, mediated via identification with the majority, minority, and religious group. Our findings support the extended model and contribute to a broader understanding of contact–identification–acculturation links in the context of migration. [ABSTRACT FROM AUTHOR]

BACKGROUND: School nurses and personnel play a vital role in promoting the human papillomavirus (HPV) vaccine. The purpose of this study was to identify factors associated with school nurses' and personnel's professional practice to provide parents with HPV vaccine information and to encourage parents to vaccinate their child against HPV. METHODS: School nurses and personnel from Ohio and Missouri completed a survey to assess their professional practice in providing HPV vaccine information and encouraging parents to vaccinate their child against HPV. Independent variables included demographics, HPV knowledge/attitudes, perceptions of their as an opinion leader for the HPV vaccine, self‐efficacy to provide vaccine education, and perception of school district support. RESULTS: Providing parents with HPV vaccine information was predicted by age, role within the school, grade‐serving, knowledge, perceptions, self‐efficacy, and district support; accounting for 38% of the variance (p < .000, R2 = .38). Encouraging parents to vaccinate their child against HPV was predicted by perception, self‐efficacy, and grade‐serving; accounting for 39% of the variance (p < .000, R2 = .39). CONCLUSIONS: To enhance school nurses' and personnel's professional practice, interventions should focus on nurses' and personnel's perception of their role as opinion leaders and self‐efficacy to provide HPV education and vaccine recommendation. [ABSTRACT FROM AUTHOR]

Objective: While prior experience, favourable location and anticipation of high quality care are known to influence patient choice to attend a private ED, it is likely that decision‐making is also influenced by other persons. In particular, patients arriving by ambulance are under the care of paramedics, whose values towards healthcare and rationale for choosing one ED over another have not been studied. This study aimed to describe reasons why paramedics choose to bring patients to a private ED. Methods: Exploratory, qualitative study using semi‐structured, face‐to‐face interviews with paramedics bringing patients to a private ED from the community. Two primary questions reinforced by structured prompts were asked: 'Why did you choose to come to this emergency department?' and 'What are your general expectations of this emergency department visit?' Interviews were audio recorded, transcribed verbatim and analysed thematically. Results: Fifty paramedics were interviewed with 48 interviews able to be transcribed and used in analysis. Four factors were identified to increase the likelihood of a private ED destination: specific direction, institutional allegiance, hospital logistics and systems and receiving hospital service ethos. Conclusions: Paramedics take into consideration when possible patient's wishes and are more likely to bring a patient to a private ED if they have specific direction from the patient or the patient's family or GP. The likelihood of presenting to a private ED is increased if the patient has an allegiance with the facility and the paramedics perceive favourably the hospital logistics and systems as well as service ethos. [ABSTRACT FROM AUTHOR]

A cross‐sectional study was conducted with 605 practitioners of Brazilian Jiu Jitsu (BJJ) to test the hypothesis that high arousal rituals promote social cohesion, primarily through identity fusion. BJJ promotion rituals are rare, highly emotional ritual events that often feature gruelling belt‐whipping gauntlets. We used the variation in such experiences to examine whether more gruelling rituals were associated with identity fusion and pro‐group behaviour. We found no differences between those who had undergone belt‐whipping and those who had not and no evidence of a correlation between pain and social cohesion. However, across the full sample we found that positive, but not negative, affective experiences of promotional rituals were associated with identity fusion and that this mediated pro‐group action. These findings provide new evidence concerning the social functions of collective rituals and highlight the importance of addressing the potentially diverging subjective experiences of painful rituals. [ABSTRACT FROM AUTHOR]

Mental health professionals (MHPs) are in a central position to provide support for mental health service users (MHSUs) in regard to parental needs, from preconception to caring for children. This study aims to examine whether mental health nurses and psychiatrists regard the issue of having children and being a parent as relevant to be considered in a clinical setting, how they describe the MHPs' roles and responsibilities in this regard, and to what extent they feel willing and able to fulfil these demands. A qualitative approach was undertaken by conducting four focus groups with 30 MHPs (15 nurses and 15 psychiatrists) within an inpatient mental health service in south Germany. We found that MHPs generally acknowledged the importance of parenting issues for psychiatric treatment. However, they assessed the talks between MHPs and MHSUs about parenting as less relevant in routine practice; the issue of the desire for children in particular was seen as generally not important. Addressing parenthood issues was restricted to mainly two areas: clarifying children's situations during inpatient treatment and considering medication issues among (potentially) pregnant service users. MHPs' focus on the adult service user, privacy, and historical issues were the main arguments against addressing parenthood issues. [ABSTRACT FROM AUTHOR]

Background: Uncertainty is a ubiquitous and dynamic presence throughout healthcare systems and encounters, affecting the quality and safety of care. Although previous research has attempted to categorize varieties of uncertainty, it is not clear if these classifications are applicable across various healthcare settings. Objective: The purpose of this review was to examine the applicability of the issues of uncertainty delineated in an established taxonomy across diverse healthcare domains, professions, and countries and to consider the complexity of these issues. Methods: Drawing on empirical research from three databases, we conducted a scoping review of the literature to identify types of uncertainty experienced by healthcare professionals. A framework synthesis design was employed to review and synthesize the literature across multiple healthcare settings. Results: The search identified 2285 articles, of which 94 met the inclusion criteria. Findings from included studies suggested professional uncertainty in healthcare is complex and pervasive. On the basis of our inability to categorize some studies in the issues of uncertainty outlined in the existing taxonomy, we proposed a revised model of uncertainty for healthcare professionals. Conclusions: The revised model of uncertainty, the model of uncertainty in complex healthcare settings (MUCH‐S), is applicable to various healthcare ecosystems and proposes a reflexive archetype that recognizes different issues of uncertainty while establishing that these are often interrelated in healthcare systems. This review offers healthcare professionals greater levels of understanding of this complex phenomenon and may support more informed and reflective decision‐making, assisting them to better navigate uncertainties experienced in healthcare workplaces. [ABSTRACT FROM AUTHOR]

The Mandala Model of Self (MMS) refers to the well‐functioning self leading to ultimate happiness in various cultures. This research provides the first empirical examination of the role of MMS in mental health in Confucian societies. The MMS Scale (MMSS) was developed, and its psychometric properties are described. A correlational study demonstrated that the MMSS, along with its two factors—socialized reflexivity and self‐exertion—validly measures certain mental health constructs. A quasi‐experimental study reliably distinguished persons engaged in the cultivation of the Mandala self from those who had not. Finally, a study with adolescents demonstrated that the scores of the MMSS are a better predictor of resilience than is extroversion or neuroticism. The present research provides empirical support for the theory underlying the MMS and its key contribution to mental health. [ABSTRACT FROM AUTHOR]

Background: Social media can support people with communication disability to access information, social participation and support. However, little is known about the experiences of people with traumatic brain injury (TBI) who use social media to determine their needs in relation to social media use. Aims: To determine the views and experiences of adults with TBI and cognitive‐communication disability on using social media, specifically: (1) the nature of their social media experience; (2) barriers and facilitators to successful use; and (3) strategies that enabled their use of social media. Methods & Procedures: Thirteen adults (seven men, six women) with TBI and cognitive‐communication disability were interviewed about their social media experiences, and a content thematic analysis was conducted. Outcomes & Results: Participants used several social media platforms including Facebook, Twitter, Instagram and virtual gaming worlds. All but one participant used social media several times each day and all used social media for social connection. Five major themes emerged from the data: (1) getting started in social media for participation and inclusion; (2) drivers to continued use of social media; (3) manner of using social media; (4) navigating social media; and (5) an evolving sense of social media mastery. In using platforms in a variety of ways, some participants developed an evolving sense of social media mastery. Participants applied caution in using social media, tended to learn through a process of trial and error, and lacked structured supports from family, friends or health professionals. They also reported several challenges that influenced their ability to use social media, but found support from peers in using the social media platforms. This information could be used to inform interventions supporting the use of social media for people with TBI and directions for future research. Conclusions & Implications: Social media offers adults with TBI several opportunities to communicate and for some to develop and strengthen social relationships. However, some adults with TBI also reported the need for more information about how to use social media. Their stories suggested a need to develop a sense of purpose in relation to using social media, and ultimately more routine and purposeful use to develop a sense of social media mastery. Further research is needed to examine the social media data and networks of people with TBI, to verify and expand upon the reported findings, and to inform roles that family, friends and health professionals may play in supporting rehabilitation goals for people with TBI. [ABSTRACT FROM AUTHOR]

The current research seeks to develop an analysis of Ukraine's Euromaidan social movement in psychological terms. Building on the classic understanding of social competition strategies, we argue that Euromaidan protests can be conceived as an attempt of pro‐European Union (EU) Ukrainians to realign the boundaries of the Ukrainian national identity by defeating the alternative pro‐Russia integration project championed by the government. In particular, building on the encapsulated model of social identity in collective action, we suggest that Euromaidan is an emergent opinion‐based group identity, formed in response to injustice through two self‐categorical processes – group‐level self‐investment into the shared entity (i.e., Ukrainian national category) and disidentification from the alternative Russia‐led Customs Union. Using a sample of 3,096 participants surveyed during the protests, we tested our hypotheses with structural equation modelling, where the model accounting for the direct and indirect paths of the self‐categorical processes was expected to explain collective action intentions to a great extent than models applying the social identity and encapsulation models of collective action. We found evidence consistent with the proposal that Euromaidan was a pro‐EU opinion‐based group, formed in response to the government's decision to suspend the EU–Ukraine agreement and around individuals' general perception of unfair government authorities. [ABSTRACT FROM AUTHOR]

In democratic elections, constituents may view unconventional or non‐prototypical candidates as attempting to reshape their national identity in the wrong direction. When a non‐prototypical candidate actually steps into a leadership role, the group's consensual view of their prototype may shift to position this new leader as prototypical. This process should be bound in member consensus, evidenced by the leader's successful election. The current work examines American Republicans (N = 297) and Democrats (N = 322) before and after the 2016 US election. We focus on Republicans' interpretations of their candidate Donald Trump's prototypicality and ability to bolster or subvert their party identity pre‐election. Post‐election, we examine changes to these processes, related in part to Republicans' homogenized view of Trump's prototypicality. In comparison, we examine these processes in the Democratic Party. Results suggest that whereas Democrats increased in their desire to leave their party, Republicans decreased in their desire to leave their party, an effect that is related to increasing perceptions of Trump's prototypicality and representation of the Republican Party. These findings have important implications for how the contexts of elections rapidly shape party identity through the election of leaders such as Trump. [ABSTRACT FROM AUTHOR]

Background: There is increasing recognition that dysphagia has significant implications for a person's psychological well‐being, social participation and quality of life (QOL). However, a paucity of research exists regarding the clinical management of this area. To inform future research and the development of appropriate and beneficial resources and guidelines, a better understanding of the current practice of speech and language therapists (SLTs) in this area would be useful. This information will highlight current challenges to clinical practice and the ongoing development needs of the profession, which are, as of yet, undocumented. Aims: To determine the practices of SLTs when addressing QOL issues in individuals with dysphagia, the beliefs of SLTs regarding the impact of dysphagia on QOL, the current trends in assessing and managing QOL in dysphagia, and if variations in beliefs and practices in this area exist. Methods & Procedures: An anonymous cross‐sectional, non‐experimental survey study was used. The survey consisted of 18 questions exploring participants' beliefs and opinions regarding dysphagia and QOL, current clinical practice in the area, perceived facilitators and barriers, and education, training and development needs. The survey was created on Survey Monkey and disseminated by e‐mail link to SLT professional bodies. Purposive and snowball sampling were used and participants self‐selected based on the information provided alongside the e‐mail link. Inclusion criteria for the study were a qualification in speech and language therapy, proficiency in the English language, and access to a computer with the internet. Outcomes & Results: A total of 148 SLTs working across the UK, Ireland and South Africa completed the survey. Over 90% of respondents believe that dysphagia has a negative impact on QOL, but only 25% are currently satisfied with the amount of clinical time they can dedicate to this area. Staffing, resources, a lack of best‐practice guidelines and disease‐specific QOL assessment tools were cited as contributing factors. A number of facilitators and barriers to best practice were also highlighted. Based on these findings, professional development actions for the future are suggested. Conclusions & Implications: SLTs believe they have an important role to play in supporting QOL issues in dysphagia. However, it is reported that the area is currently under‐developed, under‐resourced and under‐supported. Increased awareness raising of the role of SLT, alongside the development of best‐practice guidelines and disease‐specific QOL assessment tools, will enhance the quality of care that can be offered in this area. [ABSTRACT FROM AUTHOR]

A wide range of ethnic groups make up labour markets in most advanced economies. However, we lack a nuanced understanding of how specific groups experience minority ethnic identity within the workplace. This article addresses how an under‐represented minority ethnic group, British Sri Lankans, experience being assigned a broad Asian panethnic identity in their workplace, which is both positively and negatively stereotyped. Drawing on theories of social identity‐based impression management and self‐stereotyping, we highlight how individuals responded to panethnic stereotypes imposed on them by both claiming and rejecting a broader Asian identity, and at the same time attempting to carve out a more distinctive British Sri Lankan identity. We advance knowledge of the multi‐level nature of ethnic identity, demonstrating ways in which movement between superordinate and subordinate levels of ethnic identity can occur. Counter‐intuitively, we suggest that individuals' positive self‐stereotyping efforts may, over time, contribute to a more constricted career path that may leave them less prepared for senior management positions. Practitioner points: To help facilitate the development of genuinely inclusive organizations and maximize the use of available talent, practitioners need to be vigilant about the prevalence of ethnic group stereotypes in contemporary work settings.Practitioners should not discourage conversations around ethnicity and culture at work, but they should make it clear that the aim is not to encourage the proliferation of group stereotypes. Proliferation of group stereotypes may contribute to unconscious bias. [ABSTRACT FROM AUTHOR]

Mental health policy stipulates seclusion should only be used as an intervention of last resort and for the minimum possible duration. Current evidence details which service users are more likely to be secluded, why they are secluded, and what influences the decision to seclude them. However, very little is known about the decision to release service users from seclusion. An integrative review was undertaken to explore the decision-making processes of mental health professionals which guide the ending of seclusion. The review used a systematic approach to gather and thematically analyse evidence within a framework approach. The twelve articles identified generated one overriding theme, maintaining safety. In addition, several subthemes emerged including the process of risk assessing which was dependent upon interaction and control, mediated by factors external to the service user such as the attitude and experience of staff and the acuity of the environment. Service users were expected to demonstrate compliance with the process ultimately ending in release and reflection. Little evidence exists regarding factors influencing mental health professionals in decisions to release service users from seclusion. There is no evidence-based risk assessment tool, and service users are not routinely involved in the decision to release them. Support from experienced professionals is vital to ensure timely release from seclusion. Greater insight into influences upon decisions to discontinue episodes may support initiatives aimed at reducing durations and use of seclusion. [ABSTRACT FROM AUTHOR]

Generalist health professionals (GHPs) or those healthcare professionals working in nonmental health facilities are increasingly being required to provide care to consumers with a mental illness. The review aimed to synthesize the qualitative research evidence on the meanings and interpretations made by GHPs (nonmental health professional) who interact with consumers with mental illness in nonmental health settings. A systematic review of the qualitative literature was undertaken for the years 1994-2016. The following electronic databases were searched: CINAHL, MEDLINE, PsycINFO, and Sociological Abstracts. Using narrative synthesis methods, the following themes were identified: mental health knowledge (the GHPs' knowledge level about mental illness and how this impacts their experiences and perceptions); GHPs perceive mental illness as a safety risk (GHPs concern over harm to the consumer and themselves); organizational support (the system response from the environmental design, and expert support and care); and emotional consequences of care (the feelings expressed by GHPs based on their experiences and perceptions of consumers). The results suggest that GHPs provide care in a setting which consists of multiple understandings of what care means. Efforts beyond educational initiatives such as organizational and system-level changes will need to be implemented if we are to progress care for this consumer group. [ABSTRACT FROM AUTHOR]

Background: Support from professionals plays an important role in helping people with intellectual disabilities to live an independent life. This research aims to analyse the role played by support professionals based on the perceptions of the professionals and self‐advocates with intellectual disabilities. The research was conducted in Catalonia (Spain). Method: A total of 33 interviews were conducted with front‐line managers and 10 focus groups with 72 self‐advocates. These were recorded and transcribed, and then analysed using thematic content analysis. Results: Self‐advocates particularly value professionals' interpersonal skills and emotional support. Front‐line managers and self‐advocates highlight training actions aimed at enhancing autonomy in the home and propose fostering natural supports and increasing the involvement of people with disabilities. Conclusions: Making progress in the rights of people with intellectual disabilities to an independent life requires requires transforming the support model, promoting decision making among people with intellectual disabilities, and strengthening interpersonal skills linked to emotional support in the training of professionals. [ABSTRACT FROM AUTHOR]

Health professionals fulfil an essential role within the multiagency response to safeguarding concerns. This study explored the experiences, attitudes and perceptions of paediatricians relating to child protection (CP) work. A mixed‐methods approach was adopted, using the explanatory sequential design. The quantitative strand involved a population survey of paediatricians (N = 56). Data were analysed and used to inform a subsequent qualitative strand. Both strands indicated that CP work was perceived as complex, emotive and stressful. Paediatricians perceived themselves to be working within an unstructured system. Despite most reporting to have assessed CP cases, 77.4 per cent (n = 41) had never received training. The majority reported that response pathways and reporting procedures were unclear and that they were not involved in tasks beyond identification. These factors contributed to a lack of confidence and ambivalence towards CP, particularly child sexual abuse. Participants felt reassured by having a designated consultant, however, this role also enabled them to offload responsibility. Overall, CP work was not being fully owned. This study suggests that the lack of mandatory and statutory guidance results in significantly suboptimal practice. Investment in structured training and support systems is recommended to engage professionals. Designated professionals should complement, rather than minimise, the role and responsibility of other professionals. 'This study explored the experiences, attitudes and perceptions of paediatricians relating to child protection work' Key Practitioner Messages: Child protection is the responsibility of every professional working with children.Developing child protection systems requires a strong national commitment reflected in legislation and statutory guidance in order to ensure that they are standardised, robust and sustainable.Engaging professionals in child protection work is essential and calls for structured training programmes, support systems and provisions in law that protect against legal liability.Designated professionals in child protection are essential, however, their role should complement, rather than minimise, the role and responsibility of other professionals.Child sexual abuse requires specialist input. [ABSTRACT FROM AUTHOR]

Since the 2012 FDA approval of HIV Pre‐exposure Prophylaxis (PrEP) as a method to prevent HIV, its uptake among gay and bisexual men has been met with conflict. Drawing on discussions of PrEP from focus groups with gay and bisexual men in New York City (N = 5 groups, n = 32 participants), we sought to make meaning of the moral debate surrounding the implementation of biomedical HIV prevention medications. Grounded in the constructionist perspective on social problems, this case study focuses on the competing claims making activities gay and bisexual men engage in when framing PrEP and PrEP users. As HIV prevention is a communicative endeavour, analysing the micro level social problems work on PrEP provides key insight into the subcultural norms and values that shape sexual health practices and beliefs within gay and bisexual communities. [ABSTRACT FROM AUTHOR]

As women enter the dental profession in increasing numbers in North America and around the world, the questions of how they perceive their environment and what kind of barriers they face are important subjects to be addressed. The aim of this study was to assess and compare women dental students' perceptions of bias in their environment and experiences of sexual misconduct at one dental school in each of four countries. In spring 2017, 1,293 female students at four dental schools in the U.S., Bulgaria, Brazil, and India were invited to participate in a 24-item survey developed by researchers from the four countries; 990 students responded (response rate 76.6%). The overall majority of the respondents reported thinking the admissions process at their school was fair (79.7%); but a fifth of U.S. and Brazilian students perceived their school was not fully embracing of females, with most Bulgarian students agreeing (87.2%) and all Indian students disagreeing. Most respondents overall perceived that male faculty members did not favor male students (79.5%) and did not think there was discrimination against female students by faculty (87.1%), but half of the U.S. respondents reported feeling discriminated against by both male faculty and male students. When the responses "I've been verbally harassed" and "I've been somewhat verbally harassed" were combined, 10.1% of the U.S. respondents reported verbal harassment, compared to 20% of Brazilian, 15% of Bulgarian, and 2% of Indian respondents. When the responses "I've been sexually assaulted" and "I've been somewhat sexually assaulted" were combined, 6% of U.S. respondents reported being sexually assaulted, compared to 6.2% of Brazilian, 2.5% of Bulgarian, and none of the Indian respondents. Almost half (46.9%) of these students overall perceived their school was not or only somewhat vigilant about issues of sexual misconduct, and only 54% said they would feel comfortable or very comfortable reporting misconduct. These results suggest that academic dental institutions in all four countries need improvements to make their environments more equitable and free of bias and sexual misconduct. [ABSTRACT FROM AUTHOR]

Objective: To describe obstetrical providers' delivery preferences and attitudes towards caesarean section without medical indication, including on maternal request, and to examine the association between provider characteristics and preferences/attitudes.Design: Cross-sectional study.Setting: Two public and two private hospitals in Argentina.Population: Obstetrician-gynaecologists and midwives who provide prenatal care and/or labour/delivery services.Methods: Providers in hospitals with at least 1000 births per year completed a self-administered, anonymous survey.Main Outcome Measures: Provider delivery preference for low-risk women, perception of women's preferred delivery method, support for a woman's right to choose her delivery method and willingness to perform caesarean section on maternal request.Results: 168 providers participated (89.8% coverage rate). Providers (93.2%) preferred a vaginal delivery for their patients in the absence of a medical indication for caesarean section. Whereas 74.4% of providers supported their patient's right to choose a delivery method in the absence of a medical indication for caesarean section and 66.7% would perform a caesarean section upon maternal request, only 30.4% would consider a non-medically indicated caesarean section for their own personal delivery or that of their partner. In multivariate adjusted analysis, providers in the private sector [odds ratio (OR) 4.70, 95% CI 1.19-18.62] and obstetrician-gynaecologists (OR 4.37, 95% CI 1.58-12.09) were more willing than either providers working in the public/both settings or midwives to perform a caesarean section on maternal request.Conclusions: Despite the ethical debate surrounding non-medically indicated caesarean sections, we observe very high levels of support, especially by providers in the private sector and obstetrician-gynaecologists, as aligned with the high caesarean section rates in Argentina.Tweetable Abstract: Non-medically indicated c-section? 74% of sampled Argentine OB providers support women's right to choose. [ABSTRACT FROM AUTHOR]

Sport and exercise participation exert a positive effect on numerous aspects of individuals' health. Although sport and exercise leaders have generally been observed to play a key role in shaping group members' behavior, our understanding of their impact on group members' attendance in sport and exercise sessions is limited. To address this, and building on promising findings in other domains, we examined the associations between perceptions of sport and exercise leaders' engagement in social identity leadership, group identification, and attendance. A sample of 583 participants from sports teams (n = 307) and exercise groups (n = 276) completed questionnaires measuring identity leadership, group identification, and attendance. Analyses demonstrated that perceptions of leader engagement in social identity leadership were positively associated with members' group identification, and that this in turn was positively associated with their attendance in either a sports group or an exercise group. Moreover, there was a significant indirect effect for perceptions of leader engagement in identity leadership on group members' attendance through their greater identification with these groups. Findings highlight the importance of considering the impact sport and exercise leaders have on group members' attendance and suggest that leaders who represent, advance, create, and embed a shared sense of identity (ie, a shared sense of “us”) among attendees can promote participation in sport and exercise. [ABSTRACT FROM AUTHOR]

Abstract: Background and Objectives: Despite increasing attention to the use of shared decision making (SDM) in the emergency department (ED), little is known about ED patients’ perspectives regarding this practice. We sought to explore the use of SDM from the perspectives of ED patients, focusing on what affects patients’ desired level of involvement and what barriers and facilitators patients find most relevant to their experience. Methods: We conducted semistructured interviews with a purposive sample of ED patients or their proxies at two sites. An interview guide was developed from existing literature and expert consensus and based on a framework underscoring the importance of both knowledge and power. Interviews were recorded, transcribed, and analyzed in an iterative process by a three‐person coding team. Emergent themes were identified, discussed, and organized. Results: Twenty‐nine patients and proxies participated. The mean age of participants was 56 years (range, 20 to 89 years), and 13 were female. Participants were diverse in regard to race/ethnicity, education, number of previous ED visits, and presence of chronic conditions. All participants wanted some degree of involvement in decision making. Participants who made statements suggesting high self‐efficacy and those who expressed mistrust of the health care system or previous negative experiences wanted a greater degree of involvement. Facilitators to involvement included familiarity with the decision at hand, physicians’ good communication skills, and clearly delineated options. Some participants felt that their own relative lack of knowledge, compared to that of the physicians, made their involvement inappropriate or unwanted. Many participants had no expectation for SDM and although they did want involvement when asked explicitly, they were otherwise likely to defer to physicians without discussion. Many did not recognize opportunities for SDM in their clinical care. Conclusions: This exploration of ED patients’ perceptions of SDM suggests that most patients want some degree of involvement in medical decision making but more proactive engagement of patients by clinicians is often needed. Further research should examine these issues in a larger and more representative population. [ABSTRACT FROM AUTHOR]