An evolutionary concept analysis of mentoring in nursing.

Despite widespread evidence of the concept of mentoring in nursing, it has been largely undefined, borrowed from other disciplines, viewed as static, and/or confused with related terms. Building on the work of Yoder and using a literature-based method developed by Rodgers, an evolutionary concept analysis is presented to provide an understanding of the meaning of mentoring in nursing, its current status, and the conceptual clarity necessary for additional systematic and rigorous inquiry. A random sample of 82 research abstracts and journal articles, representing 26 per cent of the total population of literature, was used to extract six essential attributes of the concept: a teaching-learning process, a reciprocal role, a career development relationship, a knowledge or competence differential between participants, a duration of several years, and a resonating phenomenon. These attributes form the theoretical definition of mentoring in nursing. Antecedents, consequences, related concepts, and empirical referents are presented. A model case, encompassing all of the critical attributes, depicts the Investigators' mentoring experience. Major changes in mentoring are viewed within the context of nursing as a learned profession, a legitimate academic enterprise, and a clinical science. Implications for further development are posed to further mentoring as a process for the socialization of nurse scholars and scientists and the proliferation of a body of professional knowledge.

HIV transmission: Women's risk from bisexual men.

The purpose of this study was to characterize the risk of human immunodeficiency virus (HIV) infection for men who have sex with men and to identify the risk such men pose to their female sex partners. The subjects were 5480 men who were tested for HIV between January 1987 and December 1991 and who reported having had sex with a man since 1977. Men who identified themselves as bisexual or straight were more likely to use injection drugs, had a substantial HIV seroprevalence, and reported many more female partners than men who identified themselves as gay. Men who identify themselves as bisexual pose the greatest risk to their female partners.

The word-superiority effect and phonological recoding.

Previous work indicates that the locus of the word-superiority effect in letter detection is nonvisual and that letter names, but not letter shapes, are more accessible in words than in nonwords, that is, scrambled collections of letters (e.g., Krueger & Shapiro, 1979; Krueger & Stadtlander, 1991; Massaro, 1979). The nonvisual (verbal or lexical) coding may be phonological, or it may be more abstract. In the present study, a word advantage in the speed of letter detection was found even when the target letter was silent in the six-letter test word (e.g., s in island). Other test words varied in their frequency of occurrence in English and number of syllables (1, 2, or 3). The word advantage was larger for higher frequency words but was not affected by syllable length. The presence of unpronounceable nonwords and silent letters in the words discouraged reliance upon the phonological code but did not thereby eliminate the word advantage. Thus, the word-superiority effect with free viewing is not based entirely upon phonological recoding.

Detection of letter repetition in words and nonwords: the effect of opposite-case distractors.

This study tested whether it is the repetition of the letter's name and not its shape that is detected faster in a word than in a nonword (Krueger, 1989). Ss judged whether the same letter shape or the same letter name was repeated in a 6-letter word or nonword. When the shape was repeated, the word advantage was nearly as large (about 50 ms) when Ss looked for a physical match as when they looked for a name match. When the 2 repeated letters differed in case, however, the word advantage was very large (208 ms) when Ss looked for a name match and were thus rewarded for nonvisual coding, but the advantage vanished ((-35)-ms word deficit) when Ss looked for a physical match and were thus penalized for nonvisual coding. This indicates that letter names are much more accessible in words than in nonwords, and that words are primarily encoded nonvisually.

Determination of HBsAg subtypes in different high risk populations using monoclonal antibodies.

Monoclonal antibodies with restricted specificity were used in a modified commercial enzyme immunoassay for detection of HBsAg to subtype HBsAg in sera from 122 Southeast Asian refugees entering the United States, 62 inmates of a correctional facility, and 19 homosexual men. This method was able to classify HBsAg as aywl-2, ayw3, ayw4, ayr, adw2, adw4, or adr. The HBsAg subtype was identified in 183 (90.1%) of the serum samples, but the serum HBsAg concentration was too low to determine the subtype for the 20 (9.9%) remaining samples. Among the Southeast Asian refugees, aywl-2 was demonstrated in 35 (33.0%) of the subtyped serum samples, the adw2 subtype was identified in 33 (31.1%) sera, adr was detected in 37 (34.9%) sera, and the adw 4 subtype as found in 1 (0.9%). The most common subtypes in Vietnam, Laos, and Cambodia were aywl-2, adw2, and adr, respectively. In prison inmates, the ayw3 subtype accounted for 31 (52.5%) of the subtyped serum samples, an ayw2 variant and the adw2 subtype were each found in 13 (22.0%) sera, and the aywl-2 subtype was detected in 2 (3.4%) sera. Many of these inmates admitted intravenous drug use. Among homosexual men, the adw2 subtype was identified in 16 (88.9%) of the subtyped serum samples and the ayw3 subtype was detected in 2 (11.1%) sera. This subtyping method can distinguish between most of the nine major HBsAg subtypes and can be easily performed with these monoclonal antibodies and commercially available reagents.

Poverty and HIV seropositivity: the poor are more likely to be infected.

We analyzed demographic and behavioral risk factors for HIV seropositivity using data from 3601 clients of the main HIV counseling and testing clinic for high-risk people in Seattle, Washington, USA. Clients with lower income were found to be more likely to be HIV seropositive, before and after controlling for other demographic and risk factors with logistic regression. This result supports the hypothesis that the impoverished are at increased risk for HIV infection due to the physical and social circumstances in which their poverty places them. These may include poor access to risk-reduction information and less support for implementation of risk-reduction strategies.

Detection of intraword and interword letter repetition: a test of the word unitization hypothesis.

Do words, as familiar units or gestalts, tend to swallow up and conceal their letter components (Pillsbury, 1897)? Letters typically are detected faster and more accurately in words than in nonwords (i.e., scrambled collections of letters), and in more frequent words than in less frequent words. However, a word advantage at encoding, where the representation of the string is formed, might compensate for, and thus mask, a word disadvantage at decoding and comparison, where the component letters of the representation are accessed and compared with the target letter. To better reveal any such word disadvantage, a task was used in this study that increased the amount of letter processing. Subjects judged whether a letter was repeated within a six-letter word or a nonword (Experiment 1; intraword letter repetition) or was repeated between two adjacent unrelated six-letter words or nonwords (Experiment 2; interword letter repetition). Contrary to Pillsbury's word unitization hypothesis, both types of letter repetition (intraword and interword) were detected faster and just as accurately with words as with nonwords. In Experiment 2, however, interword letter repetition was detected less accurately on common words (but not on rare words or third-order pseudowords) than on the corresponding nonwords. Thus, although the familiar word does not deny access to its own component letters, it does make their comparison with letters from other words more difficult.

Effect of similarity of surround on target-letter processing.

Embedding a target letter in a similar surround slowed its processing in both a distortion-detection task and an identification task. If the target was not merely similar but also identical to the surround, however, it was processed more rapidly. The present results favor a two-factor (bias, discriminability) model similar to that of Estes (1982), who also found that performance varied nonmonotonically with changes in target--surround similarity. As similarity increases, performance steadily declines because of reduced discriminability but when improves when the surround becomes identical to the target because of bias or criterion adjustment induced by the surround. Evidence is presented that the decrease in discriminability reflects feature-specific lateral inhibition (Bjork & Murray, 1977), whereas the bias factor reflects priming at encoding. As predicted by the noisy-operator theory, performance in the distortion-detection task was faster but less accurate when the target matched a letter in long-term memory than when it did not. The latter results were found when the distortion involved a missing feature but not when it involved an added inappropriate feature, which indicates that internal noise more often deleted than added features (Proctor & Rao, 1983).