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Biomedical subjects

L Rew

Publications and source records attributed to L Rew.

At least 19 recordsLinked to original sources

A comparative study among college students of sexual abuse in childhood.

A disproportionate random sample (200 women, 400 men) of students attending a major university was invited to participate in a mailed survey to study differences in self-efficacy, coping, and well-being between men and women who were sexually abused in childhood and those who were not. A total of 271 students (111 women, 160 men) responded by returning the completed survey. Fifty percent of the women and 22% of the men in the sample reported one or more unwanted sexual experiences in childhood. Multivariate analysis of variance (MANOVA) techniques to analyze differences in self-efficacy, coping (confrontive, emotive, palliative), and well-being between women and men who reported childhood sexual abuse and those who did not showed significant interaction effects by sex for abuse (F = 2.609, P = .025, df 5,263) and significant effects by sex (F = 3.356, P = .006), but no significant differences for abuse alone. Univariate F tests were significant (F = 5.386, P = .021) for palliative coping with abused men reporting the highest scores, abused and nonabused women having the highest scores on emotive coping (F = 9.049, P = .003), and nonabused men and women having highest scores on well-being (F = 7.276, P = .007). A second MANOVA was performed on data from 245 students (nonabused and those who reported contact sexual abuse). Significant interaction effects by sex for abuse (F = 2.259, P = 0.49, df 5,237) and main effects for abuse (F = 3.225, P = .008) were found. Although abused men scored lowest on well-being, both abused men and abused women scored higher on emotive coping and lower on well-being than nonabused subjects. These are new findings with implications for developing and testing nursing interventions for this vulnerable group of young adults.

Adaptation, Psychological

Intuitive skills in crisis management.

This article is a synthesis of nursing and management research findings on intuition and explains why intuition is particularly useful in crisis management. Drawing on applications from organizational psychology, it includes ways to enhance the nurse's ability to exercise and develop intuitive skills. The authors assert that the highly complex, rapidly changing, and often unpredictable circumstances that require crisis management in nursing are best met through applying the complementary cognitive skills of analytic reasoning and intuition.

Clinical Competence

Childhood sexual abuse: toward a self-care framework for nursing intervention and research.

The study of childhood sexual abuse is not limited to a single professional domain. Nurses, physicians, sociologists, psychologists, criminologists, and other professionals have studied various factors associated with this increasing problem. Multiple approaches to the study of this phenomenon have led to confusion and misunderstanding about the initial and long-term effects of sexual abuse. This article provides a self-care framework based on previous research from several domains and offers suggestions for nursing interventions and further research.

Child

Correlates of health-promoting lifestyle and sexual satisfaction in a group of men.

The purpose of this exploratory, correlational survey was to determine predictors of a health-promoting lifestyle and sexual satisfaction among a group of healthy men. A second purpose was to determine the relationship between these outcome variables within this population. A total of 136 survey packets was mailed to members of two social groups, and 41 completed surveys were returned (33%). Step-wise multiple regression analysis and Pearson product-moment correlations were used to analyze the data. Significant predictors of health-promoting lifestyle were body image, education, and self-esteem (p less than .0001); level of education was the only significant predictor of sexual satisfaction (p = .0223); and the relationship between health-promoting behaviors and sexual satisfaction was significant (r = -.3783, p = .008). Findings have implications for theory development and nursing practice in the area of sexual health.

Adult

Childhood sexual exploitation: long-term effects among a group of nursing students.

The purpose of this preliminary study was to examine differences in levels of self-esteem and depression between students who reported incidents of sexual exploitation in childhood and those who did not. A nonprobability sample of 55 nursing students enrolled in a university-based program completed the Childhood Sexual Experiences Survey, Rosenberg's Self-Esteem Scale, and Beck Depression Inventory. Results showed significant differences between groups in self-esteem (F = 4.387, p = 0.041) and in depression (F = 8.015, p = 0.007). Subjects who reported incidents of childhood sexual exploitation had lower levels of self-esteem and higher levels of depression than the comparison group. Results support previous research and have implications for long-term effects of sexual exploitation in this special population of young adults.

Adult

Long-term effects of childhood sexual exploitation.

In this article two conceptual frameworks for understanding the effects of childhood sexual exploitation are presented: the traumagenic dynamics model and the model of information processing. Various research studies of the long-term effects of this problem are reviewed and summarized. Results of these studies show that survivors of childhood sexual exploitation experience a variety of long-term effects, including low self-esteem, posttraumatic stress disorder, depression, suicidal attempts, and drug and alcohol abuse. Implications for nursing practice and research are suggested.

Adult

Construct validity in instrument development: a vital link between nursing practice, research, and theory.

Construct validity provides a vital linkage between nursing practice, research, and theory. Seventeen articles published in Advances in Nursing Science that met the criterion of reporting instrument development or modification were examined for evidence of these linkages. All were based on theoretical constructs; nursing problems were identified in 15, and 14 provided evidence of construct validity. Factor analysis was the primary method of construct validity reported. Implications for nursing practice were limited, suggestions for research focused on further instrument development, and only half reported implications for theory development. The findings indicate the need to strengthen links between practice, research, and theory.

Humans

Intuition: a neglected hallmark of nursing knowledge.

Intuition as a hallmark of nursing knowledge was traced through an analysis of literature published in the American Journal of Nursing between 1900 and 1985. Three questions were addressed: Does the concept appear in the literature; if so, what are its attributes; and how did they evolve through time? Titles of articles (n = 14,971) were examined and from this population only 51 were found to contain intuition or related terms. From analysis of the paucity of literature containing the concept it is concluded that intuition as an essential component of complex decision making is neglected in the professional literature.

Creativity

Intuition: concept analysis of a group phenomenon.

Intuition as a group phenomenon is clarified through the process of concept analysis using the analytical process outlined by Walker and Avant. Intuition as a respectable characteristic of creative and powerful groups is based on uses of the concept; identification of attributes, antecedents, and consequences; construction of various cases; and identification of empirical referents. Suggestions for applications in nursing education, nursing administration, and professional organizations follow.

Cognition