Measuring quality of nursing home service: residents' perspective

An inventory was developed to measure residents' perceptions of the quality of nursing home service. The content domain and dimensions of the inventory were derived from actual comments of nursing home residents. Independent studies employing a multiple-facility sample of 103 residents and 194 residents from a single institution supported a four-factor structure of the quality of nursing home service--Staff and Environmental Responsiveness, Dependability and Trust, Food-related Services and Resources, and Personal Control. The data provide preliminary support for the measure's reliability and validity so it may be used to study the antecedents and consequences of quality in nursing home service from the residents' perspective.     

Measuring general practitioner psychology: the personal construct perspective

After the transplantation of bone marrow, patients with leukemia are easily infected by kinds of microorganism and die. In this paper, F-mice with the 60Co-gamma irradiation (maximum lethal dose) were transplanted bone marrow, then control the microorganism in the environment. Morever the laminar flow wards for the leukemia patient of bone marrow transplantation were designed according to the data combined with the clinic condition. There is no any infection in twelve patients with bone marrow transplantation from 1989 to 1993.     

Measuring the unmeasurable: a caring science perspective on patient classification

The histone H3 (sH3) promoter of Atlantic salmon (Salmo salar) was cloned via polymerase chain reaction using primers designed from the rainbow trout (Oncorhynchus mykiss) promoter sequence. A comparison of the nucleotide sequence with the equivalent sequences from rainbow trout and sockeye salmon (Oncorhynchus nerka) revealed a high degree of conservation. In vivo expression analysis of the sH3 promoter was carried out in both rainbow trout and zebrafish (Danio rerio) embryos. A direct comparison of the sH3 promoter with the viral RSV promoter in rainbow trout resulted in stronger expression of the sH3 promoter. Furthermore, lacZ expression directed by the sH3 promoter was ubiquitous in several different cell types in developing zebrafish embryos. These results suggest that the sH3 promoter will be useful in transgenic studies in Atlantic salmon.     

An expanded perspective on children's mental health.

Comments on three articles (see records 2005-11115-003, 2005-11115-004, and 2005-11115-005) on the status of children's mental health services in the United States, which appeared in the September 2005 issue of the American Psychologist. The current authors suggest that, although this series of articles provides important information, the articles fall short in meeting the mark of comprehensively describing the solutions necessary to effectively address the crisis facing children's mental health in this country. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Promoting health and preventing disease: an international perspective on youth health promotion

PURPOSE: To advocate strategies to promote the health of young people that include action to create supportive social and economic conditions, alongside more traditional actions to strengthen individual capacity to protect health. METHODS: Analysis of different strategies for youth health promotion from different countries, including education, public policies, laws, and regulations that protect young people from exploitation and physical harm, and enhance their capacity to make healthy lifestyle choices. RESULTS: Access to education and the promotion of basic literacy are, in their own right, important public health goals. Beyond this, efforts to promote health through schools should focus on the creation of an integrated and mutually reinforcing set of experiences for young people, including classroom health education, the creation of a safe and healthy physical environment, and provision of appropriate school health services. The creation of supportive social and economic conditions are also essential, and require political action through the development of public policy. Such policies include restricting access to tobacco, alcohol, and illicit drugs, improving access to essential health services; and regulation of economic exploitation of young people. CONCLUSIONS: Health promotion is inherently political. Health professionals have to find ways to become more effective political advocates for young people. This should be reflected in the education of health professionals and educators, and in the work of agencies and professional associations.     

Measuring desire for control of health care processes.

Conducted 3 known-groups studies with 418 Ss to obtain discriminant validity information among potential self-report measures (a health opinion survey, a situation-specific desire for control scale, and a generalized desire for control scale) of the construct desire for control over health care processes. In Study 1, types of preparation for childbirth were investigated, and in Studies 2 and 3, choice of a place to die and signing a living will were examined. Results indicate that none of the measures adequately distinguished Ss who had signed a living will (or intended to) from Ss who did not intend to sign one. The best discriminator of a choice of a place to die (hospital vs home or hospice) and of type of preparation for childbirth (Lamaze vs other types of classes vs no classes) was the Information subscale of the health opinion survey. The generalized and specific desire for control scales did not significantly help to discriminate among these groups. Correlations of these measures with demographic variables are discussed. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ethics in reproductive health care: a midwifery perspective

To monitor personal exposure to biologically effective solar-UV radiation, Bacillus subtilis spores on a membrane filter and UV-coloring labels were incorporated into a monitoring badge. The samples were covered with one of three types of filter sheet, dependent on the season, to reduce the amounts of exposure to measurable levels. Five fifth- or sixth-grade classes of primary schools, each consisting of 30-40 children, were chosen in northern (Sapporo), central (Tsukuba and Tokyo), and southern (Miyazaki and Naha) cities in Japan. In all four season, each child wore a badge on an upper arm for the entire waking hours, changing it daily, for a week. Upon collection of the badges, the survival of spores and the extent of coloration of the label were determined. The results were used to estimate the amount of daily exposure to biologically effective UV radiation, expressed as the value of spore inactivation dose. Unexpectedly, the average amounts of exposure were not directly correlated with the outdoor UV irradiance: in the two southern cities, despite high outdoor irradiance from spring to autumn, the average amounts of exposure were less than 3.1% of the average irradiance. Highly concentrated exposures occurred in two central cities on three days when extensive outdoor exercise took place. These results contradict the simple notion that children's exposure is in proportion to the outdoor UV irradiance, and support the view that the extent of solar-UV exposure is primarily determined by life-style rather than living location.     

Adolescent health care: A public policy perspective.

Focuses on the importance of psychosocial and behavioral components of health care in the area of adolescent health care. The authors contend that it will ultimately be as a direct result of psychology's tangible (and visual) successes in areas such as adolescent health that will lead to psychological services becoming fully accepted within the overall health care system. The underlying policy notion is that if psychology addresses society's perceived needs, society (i.e., the nation's public policy/political leadership) will strive to meet the mental health profession's needs. The majority of problems adolescents face, regardless of apparent physical symptomatology, are essentially behavioral (psychosocial) in nature. The symptom distress model provides for a school-based integration of psychological knowledge with clinical and educational expertise. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Managed mental health care: The client's perspective.

Changes in psychotherapy services have been the focus of controversy between psychologists and the managed-care industry, yet too seldom have client preferences been directly heard in that debate. This study investigated consumer attitudes about the central elements of psychotherapy service delivery by 3 participant groups: self-pay clients, managed-care clients, and adults without therapy experience. Important differences of opinion were found among participant groups, yet results revealed that all 5 elements investigated were considered essential. Autonomy in treatment decision-making was ranked most important, followed by choice of therapist, copayment amount, limits to confidentiality, and ease of access to care. (PsycINFO Database Record (c) 2010 APA, all rights reserved)