A Patient-centered Approach to Breaking Bad News: Communication Guidelines for Health Care Providers

This investigation takes a patient-centered approach to examining strategies physicians use to deliver bad news to patients. Qualitative data were obtained from 68 patients who had received a message they perceived as negative information from a health care provider. Through grounded theory methodology, patient accounts were examined to reveal four provider strategies for breaking bad news. This investigation underscores the importance of using effective communication strategies to achieve patient satisfaction and compliance.     

Citation Patterns of the Faculty of the Anthropology Department at the University of Notre Dame

This guide provides both an overview of the federal agencies administering Title VII of the Civil Service Reform Act of 1978, and an annotated bibliography of selected federal and commercial publications on decisional materials relating to Title VII. Included are sources for administrative agency rulings and arbitration awards issued since the implementation of Title VII in January 1979, as well as citators, digests, indexes, online data bases and reporter services covering these decisional materials.     

Family Communication Patterns and Difficult Family Conversations

Difficult conversations among family members can impact the health and structure of familial relationships. The reported study investigated potential antecedents and outcomes of difficult family conversations. Perceived consequences of, reasons behind, responses to, and results of difficult conversations were considered, and the family communication patterns (FCP) framework guided the examination. Although the majority of respondents feared negative consequences prior to conversations, most reported positive results. The type of response received from conversational partners was associated with the eventual result. Counter to predictions, data analysis found no relationships among the family communication styles proposed by FCP and the antecedents and outcomes of difficult family conversations. These results suggest that the need for engaging in difficult conversations may outweigh family communicative norms and potential family consequences. Practical implications of the findings, including how therapists or counselors might communicate the benefits of discussing difficult topics generally and of avoiding negative reactions during such conversations, are considered.     

Integrating an Informationist Into Graduate Education: Case Study With Preliminary Results

An informationist taught, consulted, and mentored graduate students enrolled in a graduate research project course in Health Informatics. An observational cohort study was conducted to determine the effect of an early (first term) and continued (subsequent term) exposure of course-integrated instruction, individual consultations, information resource mentoring, and educational collaboration partnership on the development of information literacy, research skills, and integrative competencies in graduate students. Student progress was assessed by survey, class performance, and faculty feedback. The course-integrated lectures, consultations, mentoring, and educational partnership between the informationist and academic advisors increased the students’ course performance, information literacy, and research skills in graduate students.     

Teaching Interpersonal Psychotherapy (IPT) in an MSW Clinical Course

Interpersonal Psychotherapy (IPT) is a relatively brief psychodynamic intervention of approximately 12 sessions focusing on how current interpersonal relationships have contributed to a person’s mental health symptoms. Areas targeted for work involve significant role transitions, grief and loss, and interpersonal disputes. IPT is an evidence-based treatment for depression, bulimia nervosa, and binge eating disorders. Despite these advantages, social work students rarely receive instruction on the delivery of IPT in their graduate programs. The purpose of this project, therefore, was to begin to address this gap by implementing an IPT component in a clinical practice course and testing student knowledge pre- and post-test. An example of sample assignments involving application of IPT to student fieldwork is provided. The sample in this study involved a small number of students enrolled in a clinical course taught in the first semester of the second year of training. Students improved their knowledge score at a statistically significant level. Implications of the study are explored, with the main conclusion being that more clinical majors in MSW programs be exposed to IPT.     

Language,literacy, attentional behaviors,and instructional quality predictors of written composition for first graders

We had two primary purposes in the present study: (1) to examine unique child-level predictors of written composition which included language skills, literacy skills (e.g., reading and spelling), and attentiveness and (2) to examine whether instructional quality (quality in responsiveness and individualization, and quality in spelling and writing instruction) is uniquely related to written composition for first-grade children (N = 527). Children's written composition was evaluated on substantive quality (ideas, organization, word choice, and sentence flow) and writing conventions (spelling, mechanics, and handwriting). Results revealed that for the substantive quality of writing, children's grammatical knowledge, reading comprehension, letter writing automaticity, and attentiveness were uniquely related. Teachers’ responsiveness was also uniquely related to the substantive quality of written composition after accounting for child predictors and other instructional quality variables. For the writing conventions outcome, children's spelling and attentiveness were uniquely related, but instructional quality was not. These results suggest the importance of paying attention to multiple component skills such as language, literacy, and behavioral factors as well as teachers’ responsiveness for writing development.     

Using psychological constructs from the MUSIC Model of Motivation to predict students’ science identification and career goals: results from the U.S. and Iceland

ABSTRACT

We investigated students’ perceptions related to psychological constructs in their science classes and the influence of these perceptions on their science identification and science career goals. Participants included 575 middle school students from two countries (334 students in the U.S. and 241 students in Iceland). Students completed a self-report questionnaire that included items from several measures. We conducted correlational analyses, confirmatory factor analyses, and structural equation modelling to test our hypotheses. Students’ class perceptions (i.e. empowerment, usefulness, success, interest, and caring) were significantly correlated with their science identification, which was correlated positively with their science career goals. Combining students’ science class perceptions, science identification, and career goals into one model, we documented that the U.S. and Icelandic samples fit the data reasonably well. However, not all of the hypothesised paths were statistically significant. For example, only students’ perceptions of usefulness (for the U.S. and Icelandic students) and success (for the U.S. students only) significantly predicted students’ career goals in the full model. Theoretically, our findings are consistent with results from samples of university engineering students, yet different in some ways. Our results provide evidence for the theoretical relationships between students’ perceptions of science classes and their career goals.     

Partner Knowledge Awareness in Knowledge Communication: Learning by Adapting to the Partner

Awareness of the knowledge of learning partners is not always sufficiently available in collaborative learning scenarios. To compensate, the authors propose to provide collaborators with partner knowledge awareness by means of a visualization tool. Partner knowledge awareness can be used to adapt messages toward the partner. This study investigated the cognitive consequences of message adaptation on producers. The authors chose a simulated collaboration scenario in order to dissociate the producer effect from recipient and collaboration effects. Results on 42 participants that had been randomly assigned to either the partner knowledge awareness condition (partner and own knowledge visualized) or the control condition (only own knowledge visualized) are reported here. Participants in the partner knowledge awareness condition adapted their contributions according to the visualized partner's knowledge and benefited with regard to the acquisition of elaborated knowledge.     

Measuring Beliefs in Centimeters: Private Knowledge Biases Preschoolers' and Adults' Representation of Others' Beliefs

A novel task, using a continuous spatial layout, was created to investigate the degree to which (in centimeters) 3‐year‐old children's (N = 63), 5‐year‐old children's (N = 60), and adults' (N = 60) own privileged knowledge of the location of an object biased their representation of a protagonist's false belief about the object's location. At all ages, participants' knowledge of the object's actual location biased their search estimates, independent of the attentional or memory demands of the task. Children's degree of bias correlated with their performance on a classic change‐of‐location false belief task, controlling for age. This task is a novel tool for providing a quantitative measurement of the degree to which self‐knowledge can bias estimates of others' beliefs.