ABSTRACT
The purpose of this study was to analyze written communications among nurses providing care to battered women and their children in a community shelter setting over a 1-year period of time. Interviews were conducted with the nurses to study the perceived effectiveness of the manual used to update daily shelter health operations, clients of concern, follow-up recommendations, or other ongoing issues. The unit of analysis was each entry recorded in the manual. The Communications Process Model guided the study (Budd, Thorp, & Donohew, 1967). Communications were transcribed and analyzed for categories of meaning from the data utilizing the Ethnograph software (Seidel & Clark, 1983). When content analysis was applied, 10 distinct categories emerged: (a) injury assessment, (b) acute condition assessment, (c) chronic condition assessment, (d) pregnancy assessment, (e) emergency assessment, (f) nursing care and procedures, (g) teaching and counseling, (h) community referrals and resources, (i) housekeeping, and (j) health program issues. From the categories, 3 primary themes were identified: nursing assessments, nursing interventions, and health program operations. The nurses were positive about using the manual for various communications. Nurses who consider working in shelter settings may find descriptions of the realities of practice and application of a working tool for communications useful. Shelter administrators and board members need to recognize the importance of having nurses on staff to address inevitable injuries and health concerns of battered women and their children. Researchers are encouraged to develop models that relate to care of clients and caregivers in this challenging practice setting.
Subject(s)
Battered Women , Community Health Nursing/organization & administration , Interprofessional Relations , Women's Health Services/organization & administration , Female , Humans , Midwestern United States , Nursing Assessment , Nursing Records , PregnancyABSTRACT
Young drivers are significantly overrepresented among all drivers involved in traffic accidents and fatalities. Excessive risk taking by young drivers appears to be largely responsible for this disproportionate involvement. This excessive risk taking could be due to being more willing to take risks than older drivers are, failing to perceive hazardous situations as being as dangerous as older drivers do or both causes. This paper reports the results of a study which attempted to determine whether misperception of risk could be an explanation for the high rates of traffic accidents among youth by testing whether young drivers perceive driving to be less hazardous than do older drivers. Three different methods of estimating the risk of accident involvement were used to compare risk estimates of young and older drivers. The methods included general questions about accident involvement, rating the riskiness of ten specific driving situations illustrated in still photographs, and rating the riskiness of fifteen videotaped driving situations. Young drivers perceived their own chances of an accident to be significantly lower than those of both their peers and older male drivers, while older male drivers saw their chances of accident involvement as comparable to those of their male peers and less than those of young male drivers. These findings lend support to the thesis that young male drivers are overrepresented in traffic accidents at least in part because they fail to perceive specific driving situations as being as risky as older drivers perceive them.
Subject(s)
Accidents, Traffic , Adolescent Behavior , Perception , Adolescent , Adult , Age Factors , Attitude , Automobile Driving , Humans , Male , Middle Aged , Risk , Risk-TakingABSTRACT
Does the use of a safety belt increase or decrease the perception of the risk of an accident? Young and older male drivers were asked to drive an urban route and rate their perceptions of the risk of an accident. On the first driving trip all subjects were unbelted, while on the second driving trip half of the subjects wore a safety belt while half did not. Results indicated that young male drivers decrease their perception of the risk of an accident as they become familiar with a driving route if they are NOT wearing a safety belt. Young male drivers asked to wear a safety belt sustained their perception of the risk of an accident as they became familiar with the test route. Older drivers' perception of the risk of an accident was not affected by familiarity or safety belt usage.
