The application of communication accommodation theory to understand receiver reactions in healthcare speaking up interactions

Speaking up for patient safety is a well-documented, complex communication interaction, which is challenging both to teach and to implement into practice. In this study we used Communication Accommodation Theory to explore receivers’ perceptions and their self-reported behaviors during an actual speaking up interaction in a health context. Intergroup dynamics were evident across interactions. Where seniority of the participants was salient, the within-profession interactions had more influence on the receiver’s initial reactions and overall evaluation of the message, compared to the between profession interactions. Most of the seniority salient interactions occurred down the hierarchy, where a more senior professional ingroup member delivered the speaking up message to a more junior receiver. These senior speaker interactions elicited fear and impeded the receiver’s voice. We found that nurses/midwives and allied health clinicians reported using different communication behaviors in speaking up interactions. We propose that the term “speaking up” be changed, to emphasize receivers’ reactions when they are spoken up to, to help receivers engage in more mutually beneficial communication strategies

Make it safe at night or teach women to fight? Sexism predicts views on men’s and women’s responsibility to reduce men’s violence toward women

The current study explores associations among sexism, gender, and support for two approaches to reduce men’s violence toward women targeting (a) men’s behavior to reduce male violence toward women and (b) women’s behavior so that they can avoid male violence. The associations between sexism and support for these two interventions were examined in 21,937 participants in the New Zealand Attitudes and Values Survey. For both women and men, hostility toward nontraditional women (hostile sexism) was associated with lower support for targeting men to reduce men’s violence against women. To a lesser degree, stronger attitudes that women who adhere to traditional feminine roles should be rewarded (benevolent sexism) were associated with greater support for targeting men to reduce men’s violence. In contrast, both hostile and benevolent sexism were positively associated with support for targeting women to avoid men’s violence. These complex and nuanced relationships could suggest that sexism perpetuates the idea that women are responsible for keeping themselves safe from men’s violence while excusing men from accountability. This possibility has implications for addressing how society can be best engaged in the campaign against men’s violence toward women

Discrepancies in East Asians' perceived actual and ideal phenotypic facial features

The present study tested for the existence of a phenotypic actual-ideal discrepancy in East Asians’ appraisals of their own faces, in the direction of idealizing a phenotypically “Whiter” face than they perceived themselves to have. The study was conducted in two phases. In the first phase, East Asian participants residing in the U.S. (N = 104; Mage = 18.73) came into the lab to have their photograph taken. They were sent a link to complete the second phase online. Participants were required to recall either their previous day, an experience of racial discrimination, or an experience of racial acceptance. They then selected their actual and ideal face from an array of faces comprising their actual face and eight variants of their face that had been transformed to look phenotypically more “White” or more “East Asian”. A robust actual-ideal discrepancy emerged: participants both idealized a phenotypically “Whiter” face and perceived themselves as having a more phenotypically “East Asian” face than they objectively did. This discrepancy arose irrespective of whether participants were reminded of an incident of racial discrimination or acceptance

Screening of siRNA Nanoparticles for Delivery to Airway Epithelial Cells Using High Content Analysis

Background: Delivery of siRNA to the lungs via inhalation offers a unique opportunity to develop novel methods of treating a range of poorly treated respiratory conditions. However progress has been greatly hindered by safety and delivery issues. This study developed a high-throughput method for screening novel nanotechnologies for pulmonary siRNA delivery Methodology: Following physico-chemical analysis, the ability of PEI-PEG/siRNA nanoparticles to facilitate siRNA delivery was determined using high content analysis (HCA) in Calu-3 cells. Results obtained from HCA were validated using confocal microscopy. Finally, cytotoxicity of the PEI-PEG/siRNA particles was analysed by HCA using the Cellomics® multiparamter cytotoxicity assay. Conclusions: PEI-PEG/siRNA nanoparticles facilitated increased siRNA uptake and luciferase knockdown in Calu-3 cells compared to PEI/siRNA

Weight Stigma in Maternity Care: Women’s Experiences and Care Providers’ Attitudes

Weight stigma is pervasive in Western society and in healthcare settings, and has a negative impact on victims\u27 psychological and physical health. In the context of an increasing focus on the management of overweight and obese women during and after pregnancy in research and clinical practice, the current studies aimed to examine the presence of weight stigma in maternity care. Addressing previous limitations in the weight stigma literature, this paper quantitatively explores the presence of weight stigma from both patient and care provider perspectives. Study One investigated associations between pre-pregnancy body mass index (BMI) and experiences of maternity care from a state-wide, self-reported survey of 627 Australian women who gave birth in 2009. Study Two involved administration of an online survey to 248 Australian pre-service medical and maternity care providers, to investigate their perceptions of, and attitudes towards, providing care for pregnant patients of differing body sizes. Both studies used linear regression analyses

Ingroup friendship and political mobilization among the disadvantaged

This study investigated the effects of ingroup contact in a large, national sample of Māori (a disadvantaged ethnic group; N = 940) on political attitudes relevant to decreasing ethnic inequality in New Zealand. We tested the role of two mediating mechanisms – ethnic identification and system justification – in explaining the effects of ingroup contact on the dependent variables. Time spent with ingroup friends predicted increased support for the Māori Party and support for symbolic and resource-specific reparative policies benefiting Māori. These effects were partially mediated by increased ethnic identification. Although ingroup contact also reduced levels of system justification among Māori, its effects on policy attitudes and party preference were not mediated by system justification. This suggests that a key antecedent to system-challenging political attitudes is an increased sense of identification with a disadvantaged group arising, in part, from interactions with ingroup friends

The development and validation of an outcome measure for spiritual healing: A mixed methods study

Background: Spiritual healing, probably the oldest documented paramedical intervention, is a neglected area of research. In order to conduct further research into the effects of healing, a valid and reliable outcome measure is needed that captures the experience of individuals receiving healing (healees) and is not burdensome to complete. We aimed to develop such a measure. Methods: A mixed methods design was used. Focus groups and cognitive interviews were used to generate and refine questionnaire items grounded in the experiences and language of healees (Study 1). The resulting questionnaire was tested and its formal psychometric properties were evaluated (Study 2). Participants were recruited from a spiritual healing sanctuary and via individual healers (including registered spiritual healers, Reiki practitioners, healers affiliated with churches). Results: In Study 1, 24 participants took part in 7 focus groups and 6 cognitive interviews. 29 common effects were identified and grouped into 7 discrete dimensions that appeared to characterize potentially sustainable effects reported by participants following their experiences of spiritual healing. In Study 2, 393 participants returned completed baseline questionnaires, 243 of whom completed the questionnaire again 1–6 weeks later. Exploratory factor analysis generated 5 subscales, based on 20 of the items: outlook, energy, health, relationships and emotional balance. These subscales demonstrated acceptable internal consistency, convergent validity and test-retest reliability. Three of the subscales and the whole questionnaire demonstrated good sensitivity to change. Conclusions: We have produced a psychometrically sound healing impact questionnaire that is acceptable to healees, healers and researchers for use in future evaluations of spiritual healing.<br/

Toward a comprehensive understanding of intergroup contact: descriptions and mediators of positive and negative contact among majority and minority groups

Positive contact predicts reduced prejudice, but negative contact may increase prejudice at a stronger rate. The current project builds on this work in four ways: establishing an understanding of contact that is grounded in subjective experience, examining the affective mediators involved in the negative contact–prejudice relationship, extending research on the effects of positive and negative contact to minority groups, and examining the contact asymmetry experimentally. Study 1 introduced anger as a mediator of the relationships between positive and negative contact and prejudice among White Americans (N = 371), using a contact measure that reflected the frequency and intensity of a wide range of experiences. Study 2 found a contact asymmetry among Black and Hispanic Americans (N = 365). Study 3 found initial experimental evidence of a contact asymmetry (N = 309). We conclude by calling for a more nuanced understanding of intergroup contact that recognizes its multifaceted and subjective nature