Senior nursing students\u27 knowledge, attitudes, and confidence with end-of-life care

Background: Advance directives allow patients to put in writing the type of health care they want if they are unable to make decisions due to their medical condition. Purpose: The purpose of this study was to determine if there were differences in senior nursing students’ knowledge, attitudes, and confidence based on when the information is positioned in the curriculum. Theoretical: Social cognitive learning theory and Zimmerman’s self-regulation model provided the theoretical framework. Methods: This study reflected a non-experimental, exploratory design, with a convenience sample of senior nursing students from 2 different nursing programs in central Illinois. One program offers advance directive education in the first year and the other program offers the information in the second year. A total of 131 students participated in the study that used subscales of the Knowledge, Attitudinal, Experiential Survey on Advance Directives. Results: The group that received the information the second year rated themselves as having more confidence with advance directives. However, both groups scored low in the area of knowledge of advance directives, the Patient Self-Determination Act, and Illinois law. Students who reported higher knowledge levels had higher attitudes about end-of-life care. There was no difference in attitudes between the two groups. Conclusion: The results of this study highlight the need to review nursing curricula specifically relating to end-of-life care content and its placement in the curriculum

Desarrollo de estudio de caso

El presente trabajo es el resultado de la reflexión, sistematización, comprensión y análisis de un estudio de caso. Su finalidad es analizar las vivencias del consultante, mi experiencia como psicoterapeuta en formación, y la forma de relación e interacción que se dio entre consultante y psicoterapeuta. Es un trabajo en el que el “ser y estar” con el Otro es el eje principal. Una de las principales herramientas utilizadas durante el proceso fue el autoconocimiento. Se toma en cuenta el contexto sociocultural, así como el proceso de derivación, motivo de consulta, objetivos terapéuticos, evolución del caso y los cambios que se generaron en el consultante durante el proceso, se describen las vivencias y significados de la consultante, a partir de distintas dimensiones (cognitiva, emocional y sociocultural), así como a través de los relatos o narraciones que presenta el consultante. Además se analiza la secuencia de interacción-intervención realizada durante las sesiones, mediante la exposición de viñetas de las sesiones que den cuenta de este proceso y se reflexiona sobre los cambios pretendidos y los logrados

Transgressivity in Key Functional Traits Rather Than Phenotypic Plasticity Promotes Stress Tolerance in A Hybrid Cordgrass

Hybridization might promote offspring fitness via a greater tolerance to environmental stressors due to heterosis and higher levels of phenotypic plasticity. Thus, analyzing the phenotypic expression of hybrids provides an opportunity to elucidate further plant responses to environmental stress. In the case of coastal salt marshes, sea level rise subjects hybrids, and their parents, to longer tidal submergence and higher salinity. We analyzed the phenotypic expression patterns in the hybrid Spartina densiflora x foliosa relative to its parental species, native S. foliosa, and invasive S. densiflora, from the San Francisco Estuary when exposed to contrasting salinities and inundations in a mesocosm experiment. 37% of the recorded traits displayed no variability among parents and hybrids, 3% showed an additive inheritance, 37% showed mid-parent heterosis, 18% showed best-parent heterosis, and 5% presented worst-parent heterosis. Transgressivity, rather than phenotypic plasticity, in key functional traits of the hybrid, such as tiller height, conveyed greater stress tolerance to the hybrid when compared to the tolerance of its parents. As parental trait variability increased, phenotypic transgressivity of the hybrid increased and it was more important in response to inundation than salinity. Increases in salinity and inundation associated with sea level rise will amplify the superiority of the hybrid over its parental species. These results provide evidence of transgressive traits as an underlying source of adaptive variation that can facilitate plant invasions. The adaptive evolutionary process of hybridization is thought to support an increased invasiveness of plant species and their rapid evolution

Road to 2020 Census

The U.S. Constitution requires that each decade, we take a count–or a census of America’s population. The 2020 Census will count every person living in the Nation once, only once, and in the right place. In 2020, the Census Bureau is implementing innovations to make it easier than ever to respond to the census. For the first time, the public will be able to participate in the census online, by phone, or on paper. We are also building a more accurate address list and automating our field operationsall while keeping information safe and confidential. Come and learn what your community needs to do now to get ready. This session will provide an early overview of 2020 Census innovations, timeline, critical Geographic program deadlines, and Community Partnership and Engagement program outreach plans

Preparing for Census 2020

The 2020 Census is coming and South Dakota has much to gain. This presentation will provide an overview of 2020 Census timeline and innovations, discuss the opening of an Area Census Office (ACO) in Sioux Falls and highlight Community Partnership and Engagement program outreach plans

Development, factorial structure and reliability of the Multidimensional Scale of Emotional Regulation for Adolescents (MSERA): Preliminary analysis

The evaluation of emotion regulation has been focused on the cognitive component and the emotion dysregulation. However, it is also important to include emotion identification and modulation of the response for the evaluation of the regulatory process. The aim of this study was to develop a multidimensional measure of emotion regulation process in adolescents and to examine its factorial structure and reliability. An instrumental study was performed with 887 Mexican adolescents aged 13 to 18. A preliminary version of the Multidimensional Scale of Emotion Regulation for Adolescents (MSERA) was developed based on focus groups and considering the assumptions of the theoretical models. The exploratory factor analysis yielded 56 items distributed in eight factors: Recognition of positive emotions, Expression of positive emotions, Emotional control, Suppression, Cognitive change, Physical reactions, Recognition of negative emotions and Difficulty to regulate. A confirmatory factor analysis using the Robust Unweighted Least Squares, corroborated the initial solution of eight factors and showed acceptable fit indexes, considering 47 items. Ordinal alpha coefficients obtained for the factors of the final model, indicated a good internal consistency (.85-.95). Results suggest that the MSERA can be used as a valid and reliable measure of emotion regulation in adolescents.Desarrollo, estructura factorial y fiabilidad de la Escala Multidimensional de Regulación Emocional para Adolescentes (MSERA). La evaluación de la regulación emocional se ha enfocado en el componente cognitivo y la desregulación; sin embargo, es importante incluir la identificación emocional y la modulación de respuesta para la evaluación del proceso regulatorio. El objetivo de esta investigación fue desarrollar una medida multidimensional del proceso de regulación emocional en adolescentes y examinar su estructura factorial y fiabilidad. Se realizó un estudio instrumental con 887 adolescentes mexicanos de 13 a 18 años. Se elaboró una versión preliminar de la Escala Multidimensional de Regulación Emocional para Adolescentes (MSERA) basada en los grupos focales y en modelos teóricos. El análisis factorial exploratorio arrojó 56 ítems distribuidos en ocho factores: Expresión de emociones positivas, Control emocional, Supresión, Cambio cognitivo, Reacciones físicas, Reconocimiento de emociones negativas y Dificultad para regular. El análisis factorial confirmatorio con el método de mínimos cuadrados robustos no ponderados, corroboró la solución de ocho factores con 47 ítems, con índices de ajuste aceptables. Las alfas ordinales del modelo final (.85-.95), indicaron buena consistencia interna. Los resultados sugieren que el MSERA se podría utilizar como una medida válida y fiable, de la regulación emocional en adolescentes

Ideas maternas sobre la crianza y educación de hijos e hijas

En este artículo se analiza la importancia de la familia para el desarrollo psicológico de los infantes, ya que les forman en valores, en una visión particular del mundo, les proporciona un sistema de creencias y reglas, todo ello dentro de un patrón cultural determinado. Se destaca la conveniencia de estudiar las ideas y creencias que las parejas tienen acerca de la crianza y de la educación de los hijos e hijas, ya que estas creencias determinan las prácticas de crianza que se tendrán con los infantes. Se analizan las creencias sobre la crianza y educación infantil de mujeres de Sevilla en su tercer trimestre de embarazo, utilizando el Cuestionario de Ideas de Padres y Madres (Moreno,1991,versión abreviada) y se encuentra que la mayoría de las entrevistadas tienen información de la crianza, sin embargo varían en las atribuciones a la conducta infantil, se discute en términos de la influencia de la cultura, nivel educativo, edad, etc. de las madres.This article analyzes the importance of the family in the psychological development of children. Within the family, values, a particular vision of the world, and a system of beliefs and rules are formed; all of this within a determined cultural pattern. The convenience of studying the ideas and beliefs that couples have about raising and educating children is emphasized, given that these beliefs determine the practices of upbringing children. The beliefs on upbringing and the education given to kids are analyzed on pregnant women from Seville in their third trimester of pregnancy. The parent’s ideas survey was used to find out that most of the interviewees had information about raising children. However, there was a variation in the attributes of children’s conduct, which is discussed in terms of the influence of the culture, education level, age, etc. of the mothers