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Developing assertiveness during employment interviews with young adults who stutter.

Assertiveness training procedures have been demonstrated to be effective in working with a variety of clinical populations. Persons who stutter represent a group for whom assertiveness skills may be particularly useful. The present study evaluated the effectiveness of an assertiveness training program that included instruction, modeling, behavior rehearsal, feedback, social reinforcement, and homework. Dependent variables included putting the employer at ease, corrective feedback for interrupting, responding to pejorative statements, and acknowledging positive employer behaviors. The results indicated substantial increases in the target behaviors as well as improvements in subjective ratings of baseline and posttraining interviews. A collateral benefit was a sizable posttraining decrease in the amount of stuttering. These results are discussed with reference to future research isolating the influence of assertiveness skills on stuttering.

Adolescent↗

Thoughts from abroad.

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Computer Communication Networks↗

Obesity and myocardial infarction--vulnerability related to occupational level and marital status. A 23-year follow-up of an urban male Swedish population.

BACKGROUND: People, who are single, have a blue-collar job or low income have an increased cardiovascular risk. This study on myocardial infarction sought to explore whether the socio-economic pattern of disease has any relationship with obesity. METHODS: In the cohort are 20,099 middle-aged men of whom 9,150 were manual and 9,190 nonmanual workers and 1,759 were self-employed. A total of 4,081 were single, 16,018 cohabiting. The body mass index (BMI) cut-off values for overweight and obesity were 25-30 and >/=30 kg m-2, respectively. Local and national registers were used to monitor incidence of events over 18 years. RESULTS: Obesity was associated with an increased incidence of coronary events and deaths in each occupational group. Being single significantly increased the risk associated with obesity. After stratification for civil status the risk associated with obesity was limited to those who were single and who either had a blue-collar job or were self-employed. The multivariate-adjusted relative risk (RR) of coronary events and deaths in obese manual workers who were single was 1.91 (95% confidence interval: 1.21-3.02) and 2.54 (1.74-3.69), respectively, times higher than it was amongst those who were cohabiting. Amongst those who were self-employed, the corresponding age-adjusted RRs were 4.79 (1.69-13.57) and 3.80 (1.62-8.93). CONCLUSIONS: Adjusted for lifestyle and biological risk factors, the increased risk of coronary events and death for obese men with manual jobs was applicable only to those who were single. It is concluded that being single significantly increases the cardiovascular risk associated with obesity.

Adult↗

The recruitment of newly qualified nurses to their local hospital: can improvements be made?

AIM: This project aimed to improve the recruitment of locally qualifying student nurses. BACKGROUND: Newly qualified nurses are an important resource, but the recruitment rate of locally qualifying nurses appeared to be low in one acute hospital NHS Trust. A collaborative working party was established, to address this situation. METHOD: A survey approach was used to collect data from one group of qualifying students prior to a new strategy for recruitment being implemented. Two subsequent groups of qualifying students were surveyed to evaluate the new strategy, and again 6 months post-employment. FINDINGS: After implementation of the new strategy, recruitment rose from 22% to 82%, with 41% of respondents stating that it had influenced their decision to stay in the Trust. Reasons given for recruitment to the Trust included convenience, familiarity, loyalty, enjoyment of clinical placements and perceived supportiveness of the Trust. CONCLUSIONS: Recruitment of qualifying students to their local Trust can be approached more effectively and good results obtained. The benefits of working collaboratively in relation to recruitment issues are also highlighted.

Humans↗

The relationship between shoulder torques and the perception of muscular effort in loaded reaches.

The objective of this study was to define the quantitative relationship between external dynamic shoulder torques and calibrated perceived muscular effort levels for load delivery tasks, for application in job analyses. Subjects performed a series of loaded reaches and, following each exertion, rated their perceived shoulder muscular effort. Motion and task physical requirements data were processed with a biomechanical upper extremity model to calculate external dynamic shoulder torques. Calculated torque values were then statistically compared to reported calibrated perceived muscular effort scores. Individual subject torque profiles were significantly positively correlated with perceived effort scores (r2 = 0.45-0.77), with good population agreement (r2 = 0.50). The accuracy of the general regression model improved (r2 = 0.72) with inclusion of factors specific to task geometry and individual subjects. This suggests two major conclusions: 1) that the perception of muscular shoulder effort integrates several factors and this interplay should be considered when evaluating tasks for their impact on the shoulder region; 2) the torque/perception relationship may be usefully leveraged in job design and analysis.

Biomechanical Phenomena↗

Self-efficacy and job-seeking activities in unemployed ethnic youth.

The authors examined variables predicting the self-efficacy and the job-seeking activities of 103 unemployed ethnic youth from diverse cultural backgrounds. Whereas self-esteem and acceptance by the host culture were significant predictors of self-efficacy, the major predictors of job seeking were (a) the extent to which the ethnic youth felt accepted by members of the dominant culture and (b) the difference between their cultural backgrounds and the dominant host culture. Implications of these findings for enhancing the employment of ethnic youth are discussed.

Adult↗

The Young Gerontological Nurse Clinician Program: an innovative geropsychiatric nursing recruitment strategy.

Historically, graduate nurses are not attracted to older adults or geriatric care. Innovative strategies, such as the Young Gerontological Nurse Clinician Program (YGNCP) initiated by the John A. Hartford Center for Geriatric Nursing Excellence at the University of Iowa, are needed to promote geriatric nursing as a challenging and rewarding practice focus. The YGNCP, which provides early, positive, self-directed experiences for nursing students under the direction and supervision of faculty and expert clinical mentors, shows excellent potential for recruiting nurses to clinical and leadership positions in geriatric and geropsychiatric care.

Aged↗