Relationships among social support, professional empowerment, and nursing career development of male nurses: a cross-sectional analysis.

The purpose of this study is to explore the relationships among social support, professional empowerment, and nursing career development and to identify the significant factors that affect nursing career development among male nurses. A cross-sectional survey design was used with 314 male nurses in Taiwan. Social support and professional empowerment were significantly and positively correlated with nursing career development among male nurses. Social support, professional empowerment, salary, type of institution, type of clinical level, and nursing discipline were identified as factors that significantly influenced nursing career development. Together, they accounted for 55.9% of the total variation. Professional empowerment was the most critical predictor of nursing career development and accounted for 47.7% of the variation. Nursing managers should follow male nurses' empowerment with interest and specifically address professional empowerment to promote male nurses' career development.

Causes of depression: perceptions among people recovering from depression.

AIM: This paper is a report of a study to explore perceptions of the causes of depression among Taiwanese people recovering from depression. BACKGROUND: Depression is a leading worldwide cause of disability. The prevalence of depression in general, and the incidence of suicide in particular, are causing concern in Taiwan. The suicide rate here has doubled in the last decade and the use of psychotic drugs has also increased. People's perceptions of their condition determine when and how they access and utilize services. METHOD: A purposive sample of 40 participants (21 women and 19 men) recovering from depression after discharge from four hospitals in Taipei was recruited. In-depth, qualitative interviews using a narrative style were carried out in 2003. The tape-recorded interviews were transcribed and analysed for themes. FINDINGS: Participants perceived the causes of their depression as being mainly social and cultural in origin. The main identified causes were: stress in marital relationships; conflict in extended families; changes in life circumstances and early life experiences. Women participants viewed their depression as being caused by their 'dominant' (traditional) husbands, who still thought that women should stay at home to take care of their children and the housekeeping and who refused to share these roles. Women also felt socially isolated when joining their extended marital families. CONCLUSION: These findings have implications for community nurses' education and practice in relation to depression. Uncovering and addressing conflict and stress in marital relationships and in extended families is challenging, especially for nurses who traditionally work within medical models of care delivery.

The coping experiences of carers who live with someone who has schizophrenia.

AIMS AND OBJECTIVES: The purpose of this study was to understand the coping experiences of carers living with a schizophrenic family member. Our research may be a valuable reference for mental health professionals seeking to improve the quality of care for people with schizophrenia and their carers. DESIGN: We employed a qualitative descriptive phenomenological research methodology to understand the coping experiences of carers living with a schizophrenic family member. METHODS: Purposive sampling and in-depth, face-to-face interviews were used to collect data. When data saturation was reached, the sample size comprised 10 carers (five men and five women). The interview focused on the carer's coping experience. During the process of data collection and data analyis we established epoches (bracketing) and returned to the reality of the carers' experience to keep the data objective. Narratives were analysed according to Colaizzi's seven steps method. RESULTS: The two most commonly used coping mechanisms that emerged from this study were psychological coping strategies (cognitive, behavioural and emotional) and social coping strategies (religious, social and professional support). Furthermore, three factors were found in the study, including low social status, traditional help-seeking behaviours and feelings of shame. CONCLUSION: Findings from this study demonstrate the importance of understanding the coping experiences of carers who have a family member with schizophrenia. Further research is needed to identify more important detailed factors that affect the coping strategies of carers. Relevance to clinical practice. Community mental health care professionals need to improve the quality of care for helping carers living with a family member who has schizophrenia. It is important to develop effective coping intervention strategies that help carers cope with the stress and strain of caring for a family member with schizophrenia.