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PubMedDate not supplied

Role socialization of graduating student nurses: impact of a nursing practicum on professional role conception.

This study examined graduating student nurse role conception changes that occurred during a concentrated clinical preceptorial. A Nursing Role Conceptions Questionnaire was administered to nursing students before (n = 44) and immediately after (n = 41) a 4-week Nursing Practicum; to the students' staff nurse clinical teaching associates (n = 34); and to nursing program faculty (n = 18). Respondent perceptions of ideal nursing behaviors and actual nursing behaviors within three major nursing roles (professional, service, and bureaucratic) were identified and differences between ideal and actual scores (role discrepancy) were calculated. Findings showed that student role orientation in selected areas changed from a faculty role orientation to a staff nurse role orientation over the 4-week period. The Practicum seemed to effectively facilitate role socialization of graduating student nurses into the work setting, easing the necessary transition from education to practice.

Education, Nursing↗
PubMed2002

One role or two? The function of psychological separation in role conflict.

Student athletes vary in how much they view their academic and athletic role identities as separate from and interfering with each other. The authors investigated the relation of these perceptions to psychological well-being in 200 intercollegiate athletes. Measures included role separation, interference, identity, and well-being. Correlations indicated that interference related negatively to well-being, whereas viewing the roles as distinct related positively to well-being. Regression analyses of demographic and role identity variables also showed a positive association between role separation and well-being, and a significant Separation x Interference interaction. Specifically, role interference was negatively related to well-being for those who viewed the two roles as distinct but unrelated for those who did not. The buffering effects of role separation are discussed.

Adolescent↗
PubMed1982

Role ambiguity, role conflict, and job satisfaction of dietitians.

The purpose of this research was to study the relationship between role ambiguity and conflict and job satisfaction as perceived by dietitians in the United States. Role ambiguity scores for all dietitians were consistently low. Generalist dietitians, however, scored significantly higher in role ambiguity than dietitians who were heads of departments and dietitians who were in the other/private practice group. Role conflict scores were considerably higher for all dietitian groups than scores for role ambiguity. Yet, for most groups, role conflict scores were only slightly higher than mid-point. Generalist dietitians scored significantly higher in role conflict than did six other groups of dietitians. There were no significant correlations between role ambiguity or conflict and job satisfaction.

Conflict, Psychological↗
PubMed1998

The role of blood stem cells in hematopoietic cell renewal.

It has been the purpose of this keynote address to review available evidence for the notion that the stem and progenitor cells circulating in the peripheral blood play a decisive role in the homeostasis of blood cell formation distributed throughout dozens of bone marrow units in the skeleton. Furthermore, if this notion is correct, one could speculate that the quantity and quality of stem and progenitor cells in the blood should reflect the functional state of the hematopoietic stem cell system throughout the skeletal bone marrow and provide a new tool for the evaluation of alteration in blood cell production. On this basis, the following questions are considered: A) What do we know about the quality and quantity of blood stem cells in steady-state conditions? B) In what way do blood stem cells respond to perturbations of the "steady-state" of blood cell formation? C) Which role do blood stem cells play during hemopoietic development assuming that the establishment of bone marrow hemopoiesis requires the "seeding" of blood stem cells into an appropriate cellular environment? D) What is the role of blood stem cells in hemopoietic regeneration after partial body irradiation with a small volume of marrow (and hence stem cells) protected? and E) What are the mechanisms and/or kinetics of hemopoietic recovery if stem cells introduced into the circulation were collected from exogenous (autologous or allogeneic) sources? In this review presentation, experimental work of our group and of other members of the scientific community is summarized. It becomes obvious that blood stem and progenitor cells play a key role in hematopoietic homeostasis. Furthermore, their physiology and pathophysiology deserve rigorous experimental studies in order to develop a novel tool in the diagnosis and prognosis of neoplastic and non-neoplastic disorders of blood cell formation.

Animals↗
PubMed1991

Nursing education and definition of the professional nurse role. Expectations and knowledge of the nurse role.

The aim of nursing education is a development of the nursing profession. One way to promote development is to clarify the professional role. The role definition for nursing is mostly transmitted through tacit knowledge. We consider that the professional development of the nursing profession in Sweden requires a clear and well-defined nurse role. Stated goals of professional programmes for nursing do not include the entire body of tacit knowledge. The overall development requires recognition of a professional status together with a clear and well-defined role. We have found a significant change in the distribution of role-conceptions which occurred after the nurses had experienced their first year as registered nurses, and which did not occur during the educational process. This indicates that the conceptions of the need for a more clearly defined nursing role are assimilated during work experience. This confirms the necessity and importance of role modelling, role repetition and interactions with a professional group as part of the educational process.

Adult↗
PubMed1996

The clinical role of the nurse teacher: an exploratory study of the nurse teacher's present and ideal role in the clinical area.

This paper describes a study which aimed to explore the present and ideal role of the nurse teacher in the clinical area from the perspective of: nurse teachers; ward sisters/charge nurses; staff nurses and students nurses undertaking the 'traditional' and Project 2000 programmes of training. The study adopted a qualitative design. Findings from this study demonstrate that the clinical role of the nurse teacher lacks clarity, however, clear criteria emerged as to how trained nurses and student nurses perceived the ideal role. Nurse teachers' role in assuring the quality of the clinical learning environment emerged as a major area of criticism. It was suggested that, if nurse teachers adopted a clinical role that was primarily concerned with supporting clinically based nurses in their teaching role, this served to assure the quality of students' clinical learning experience. In conclusion, it is suggested that for nurse teachers to meet the needs of trained nurses and student nurses in the clinical area, the role must be diverse and flexible. Attempts to prescribe a unimodel approach to deliver the service should be avoided. Rather, the role must be negotiated between teachers, clinical nurses and students, and constructed in a way that best meets the needs of all parties concerned.

Faculty, Nursing↗
PubMed1988

The expanded role nurse. Part II. Role implementation strategies.

This is the second article of a two-part series describing implementation of Expanded Role Nurse positions at University Hospital, London, Ontario. In Part II, the author discusses sources of role stress and strain and presents strategies to prevent or minimize role problems. Role stress results when the role incumbent is unable to meet the expectations of the social structure. Goal attainment is impaired and role relationships are disrupted. Strategies to prevent role problems should be identified and implemented during role development.

Communication↗
PubMed1995

Gender, multiple roles, role meaning, and mental health.

This paper examines gender differences in the consequences of combining spouse, parent, and worker roles for mental health. I suggest that work and family roles have different meanings for males and females, and that differences in the meaning of these roles may be partially responsible for why the mental health advantages of holding multiple roles are fewer for women than for men. Based on qualitative analyses of follow-up, in-depth interviews with 40 employed married parents who participated in a community panel study of mental health, I find that sex differences in the perceived relationship between work and family roles may help account for sex differences in distress by contributing to male-female differences in both the extent and nature of work-parent conflicts, attributions of responsibility for marital problems, feelings of guilt, and self-evaluations as parents and spouses. By identifying gender differences in the meaning of roles among individuals who have the same multiple role configuration, and suggesting how these differences can help explain sex differences in well-being; this research may expand existing theories about the mental health consequences of multiple role involvements.

Adult↗
PubMedDate not supplied

Nurses' perceptions of their role and role conflicts.

Nurses' perceptions of their professional role and their experience of role conflict were explored in a sample of certified general rehabilitation nurses. Nonnurse healthcare professionals who are on the same teams as the participating nurses also were assessed for their expectations of the nurse's role. The level of locus of control was identified among the various professions. The major finding of the study was that the rehabilitation nurses shared a consistent view of their professional role and of how they believed other professionals saw this role. The results showed that the nonnurse professionals were to some extent unaware of the expectations that the nurses held for the nursing role. There was no appreciable difference in the level of locus of control among team members, a situation which may have a leveling effect on the team dynamics. These findings have implications for professional role clarity, the promotion of locus of control, and interdisciplinary team dynamics.

Attitude of Health Personnel↗
PubMedDate not supplied

Client-Oriented Role Evaluation (CORE): the development of a clinical rehabilitation instrument to assess role change associated with disability.

This paper describes the development of an instrument, the Client-Oriented Role Evaluation (CORE), to help meet the needs of rehabilitation clients and clinicians in their joint efforts to define realistic and meaningful therapeutic goals. The CORE is based on a model that captures the relationship among identity, roles, constituent occupations, and personal and environmental determinants. The model encourages a comprehensive approach to examining role change and role loss that occurs with disability. The instrument consists of a series of steps in which role changes are identified, role values are assigned, and satisfaction with role performance is rated at different points in time across the rehabilitation process. A description of the CORE development is presented along with preliminary data from clients involved in a chronic pain rehabilitation program.

Adult↗
PubMed2006

Sex, gender role orientation, gender role attitudes and suicidal thoughts in three generations. A general population study.

BACKGROUND: Suicide and other suicidal behaviours are markedly (though differently) patterned by gender. The increase in young male suicide rates in many countries has heightened interest in whether suicidal behaviours and ideation (thoughts) are related to masculinity. Relatively little research has explored the relationship between gender role attitudes and orientation and suicidal behaviours and ideation. Most research in this area has been conducted with young people. OBJECTIVE: We investigated whether gender role orientation (masculinity and femininity scores) and gender role attitudes were related to the reporting of serious suicidal thoughts in three generations (early adulthood, and early and late middle age) in a community sample. METHODS: Subjects (653 men and women aged around 23 years, 754 aged around 43 years, 722 aged around 63 years) completed home interviews with nurses as part of an ongoing longitudinal community-based study of social factors and health. These included measures of suicidal ideation (thoughts), attitudes to traditional gender roles, and a validated measure of gender role orientation (masculinity and femininity scores). RESULTS: The prevalence of serious suicidal thoughts was higher in early adulthood (10% men, 15% women) than in early (4% men, 8% women) and late (6% men, 5% women) middle age. In early adulthood only sex was significantly related to suicidal thoughts, with women at higher risk (adjusted OR 1.74, 95% CI 1.01-3.00). In early middle age masculinity scores were negatively related to suicidal thoughts (adjusted OR for each unit increase in score 0.65: 95% CI 0.46-0.93), and more traditional views on gender roles were positively associated with suicidal thoughts (adjusted OR 1.48: 95% CI 1.07-2.04). In late middle age trends were in the same direction as in early middle age, but were not statistically significant. Femininity scores were unrelated to serious suicidal thoughts at any age. CONCLUSION: The high rates of suicidal thoughts amongst men and women in early adulthood point to the importance of understanding mental health problems at this age. The results raise a number of questions and suggest that suicide researchers should pay more attention to gender roles and attitudes in older adults.

Adult↗
PubMed2002

Role occupancy, role quality, and psychological distress in Chinese women.

This study explored the associations between role occupancy, role quality, and psychological distress in 897 Chinese women in Hong Kong. Results showed that employed as compared to nonemployed women reported a lower level of psychological distress. Never married as compared to married women, and mothers as compared to childless women, did not differ in their levels of psychological symptoms. Correlation results indicated that a net gain of rewards over concerns about social roles was negatively related to psychological distress. The number of social roles was related to the balance between rewards and concerns between social roles, but had no significant association with mental health status of women. Results of the hierarchical regression analyses showed that good mother role quality and the occupancy of the paid worker role were significant predictors of a low level of psychological distress. Findings based on a subsample of employed mothers failed to support the compensatory and spillover hypotheses. Limitations and implications for future studies were discussed.

Adaptation, Psychological↗
PubMed1983

Role perception and role enactment of the nurse and their determinants in a teaching hospital in Nigeria.

This study was conducted to compare nurses' perception of their role with the perception which physicians and patients have of the role of nurses in a teaching hospital incorporating a school of nursing and midwifery; to explore the underlying reasons for the discrepancies found; to examine the effects of discrepancies in role perception on the effectiveness of patient care and to discuss the findings in the light of nursing education curricula in Nigeria. Questionnaires, listing ten technical/instrumental and expressive/humanitarian nursing functions were administered to three groups of respondents (nurses, physicians and patients). They were requested to select any five statements that best described what nurses did, and to rank them according to how often the functions described were seen being practised. A second questionnaire, administered only to the nurse respondents, elicited a number of background parameters related to nursing career. The results from the first questionnaire show that nurses did not seem to agree with patients and physicians on the perception and enactment of their role. Nurses saw their role as equally technical/instrumental and expressive/humanitarian, whereas patients and physicians saw it as more expressive/humanitarian, the patients being particularly more inclined to this perception. Most significant was the disagreement between patients and nurses. Nurses whose perception of their role agreed most closely with that of physicians and patients, were found to be older, and to have had longer experience. A significant proportion of them had only basic nursing qualifications, and they perceived their functions to be more appreciated by patients.

Adult↗
PubMed1995

Women's employment, marriage, motherhood and mortality: a test of the multiple role and role accumulation hypotheses.

Two contrasting hypotheses on the effects of combining marital, parental and work roles on mortality are analysed in this paper. The 'multiple role' hypothesis suggests that the effects are harmful, but the 'role accumulation' hypothesis argues that the benefits will outweigh the possible harmful effects. This paper uses record linkage data for all 35-64 year-old non-pensioned Finnish women to examine the two hypotheses. Women with all three roles of wife, mother and employee had low mortality. This, however, was a reflection of the main effects of these three variables. Only lone mothers with > 1 child--about 4% of the study population--were characterized as having a somewhat deviant mortality from what was to be expected on the basis of the main effects model. The high mortality in this group was mainly due to causes of death related to accidents and violence and circulatory diseases. Further analysis indicated that the excess mortality among lone mothers with two or more children and the lack of interactions for any other role constellation was similar in all age and educational groups. It is concluded that neither of the hypotheses on multiple roles are very relevant for the analysis of female mortality and that more attention should be devoted to understanding the contribution of possible selection effects leading to marriage and motherhood and the contribution of the 'healthy worker effect' in creating low mortality for the employed.

Adult↗
PubMedDate not supplied

Deconstructing the myth of the advanced practice blended role: support for role divergence.

Since the early 1980s, there has been discussion about combining the clinical nurse specialist (CNS) and nurse practitioner (NP) roles. Examination of recent nursing literature reveals renewed interest in differentiating, rather than combining, these 2 advanced practice roles. Research has shown that although the 2 roles share similarities, these advanced practice pursuits are more different than alike, both philosophically and practically. Despite curricular attempts at "blending" CNS and NP philosophies of nursing care and their distinctive domains of practice in master's level degree programs, the uniqueness of these roles in actual practice demands a continuation of educational differentiation in preparation. Both roles are important and address varied systems requirements. Each role has been shaped by population needs, education, market, and legal forces that transform with time. The differing ideologies of CNS and NP practice lead to diverse patient and system outcomes and reveal different researchable questions.

Curriculum↗
PubMed1990

Role conceptions and professional role discrepancy among baccalaureate nursing students employed as nurse's aides.

It was hypothesized that more experience working as a nurse's aide would be associated with lower professional role conception and higher bureaucratic role conception scores as well as with a higher professional role discrepancy score. Senior baccalaureate nursing students (N = 117) were grouped into four levels according to hours of nurse's aide experience. An instrument designed by this investigator measured role conceptions and role discrepancy. The hypotheses were not supported. The mean professional role conception score of all students who had had nurse's aide experience was higher than that of students without such experience.

Adult↗
PubMed2006

[Relationship between multiple roles and psychological well-being: considering the cognitive relatedness of roles].

The purpose of this study was to examine the relationship between multiple role involvement and psychological well-being. Multiple roles were hypothesized to enhance people's well-being through a buffering effect and through resource appropriation, but were also hypothesized to decrease well-being through resource depletion. This study also examined self-complexity since previous work suggested that cognitive relatedness among roles would have a stronger impact on psychological well-being than mere number of roles. Survey data from 272 college students were used, and the results of multiple regression analysis suggested that having more independent roles activates resource utilization across different roles, which enhances psychological well-being.

Adult↗
PubMed1992

[Socialization of physician's role during the clinical part of medical education. 2: Students' identification with physician's role].

Young doctors find it difficult to cope with the doctor's role. Socialization to the doctors role starts at medical school. In this survey 225 students at the University of Oslo were asked to assess the extent of their identification with the role of doctor when working in the emergency ward and in ordinary hospital wards. The process of identification progressed while the students worked in the emergency ward, but not when they worked in the ordinary wards. To promote adherence to the doctor's role it is necessary to define the roles, responsibilities and duties of the students in ordinary wards, and there should be a progression in what is expected of the students from an early stage to a later stage of the clinical curriculum. The role of the students must become well-defined in the ordinary hospital wards.

Adult↗