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J Wold

Publications and source records attributed to J Wold.

12 recordsLinked to original sources
PubMed2005

Addressing the challenges of the global nursing community.

AIM: To describe both the initial and the subsequent impact of the 2001 Global Nursing Partnerships Conference: 'Strategies for a Sustainable Workforce', the first ever forum of its type, on the key challenges facing the global nursing community. DESIGN: Identification of short- and long-term outcomes through descriptive review of immediate post-conference evaluations and follow-up questionnaires sent out 13 months later to nursing leaders in the participating countries. METHODS: Content analysis of quantitative data from 61 immediate post-conference evaluations and 13 follow-up questionnaires, as well as qualitative data from participant comments on the evaluation forms and questionnaires. FINDINGS: Analysis indicated conference participants viewed the conference as a beneficial forum to collaboratively examine nursing workforce issues and trends, develop country-specific nursing action plans, establish and strengthen national and international partnerships, and build stronger international nursing bodies. CONCLUSION: The Global Nursing Partnerships Conference was an international success--addressing the unique challenges facing nursing leaders in developed and developing countries and the needs of nurses throughout the world.

Congresses as Topic↗
PubMed2001

Cultural sensitivity and day care workers. Examination of a worksite based cardiovascular disease prevention project.

Reaching workers in small worksites presents economic and access barriers for occupational health nurses. Some barriers can be overcome through strategies based on cultural sensitivity. Day care centers employ young, low income, mostly minority women in settings with few workers onsite at any one center. These settings were used to develop a culturally sensitive approach tested through onsite cardiovascular screening, informal interviews, and discussion of behavior change for better health. The study examined both the impact of the Healthier People Health Risk Appraisal (HPHRA) as a culturally appropriate recruitment strategy to involve a group of child day care workers in a cardiovascular disease (CVD) screening and risk reduction program and the effect of that program on observable CVD measures. Faculty and students from an institution of higher education forged a trust relationship with day care providers at nine day care centers in a large metropolitan area. Cardiovascular health was the impetus for the project because minority populations in the southeastern United States have high heart attack and stroke mortality and morbidity rates. Participation rates in the project increased from 26% of the day care workers in the first year of the project to 73% when long term relationships were built on culturally appropriate strategies. The project's culturally sensitive educational intervention focused on individual risks and lifestyle. Statistical analysis of outcomes of the intervention and personal interviews demonstrated the improvement of cardiovascular status in the day care workers. This psychosocial approach can provide the foundation for culturally sensitive care in larger occupational and community settings.

Adult↗
PubMed1988

Perceptual distraction in schizophrenia.

The purpose of this project was to determine whether a distractibility deficit at the stimulus-identification level could be identified in schizophrenics after distractor and non-distractor conditions had been matched for difficulty (N = 110). Process schizophrenics, reactive schizophrenics, and psychiatric controls were asked to identify tachistoscopically presented stimuli shown with and without distractors. The distractor and non-distractor tasks were matched for difficulty beforehand by manipulating presentation intervals. The schizophrenics did not show more deficit under the distractor conditions than did the nonschizophrenic patients. Moreover, compared to psychiatric controls, the schizophrenics' performances were no more deficient under distractor conditions than under non-distractor conditions, even before the tasks were matched for difficulty. These findings suggest that perceptual distractibility at the stimulus identification level is no more pronounced in schizophrenics than in nonschizophrenics, especially after difficulty is controlled.

Adult↗
PubMed1987

Performance asymptotes in schizophrenia: a further test of the Broen-Storms theory.

Broen and Storms have developed a theory that attributes schizophrenic cognitive deficit to the combination of high drive levels and low response strength ceiling. The authors tested four hypotheses drawn from the theory in a multiple-choice paired associates learning study (N = 90). The hypotheses were that schizophrenics would demonstrate faster acquisition of reinforced (dominant) responses, lower peak performances, and greater declines in post-peak performance than would two comparison groups. They also hypothesized that all three groups would manifest declines in number of dominant responses after peak performance levels were reached. None of the hypotheses was supported. These results, and the majority of the earlier research on the Broen-Storms hypothesis, cast doubt on the utility of the theory.

Achievement↗
PubMed1981

Separation of brain-damaged from psychiatric patients with ability and personality measures.

Previous research indicates that many brain-damage screening tests lack the ability to separate organic from functional patients at a satisfactory level. However, the Smith Symbol-Digit Modalities Test, the Benton Visual Retention Test, the Background Interference Procedure variation of the Minnesota Percepto-Diagnostic Test, and the MMPI Psychiatric-Organic Scale have shown some promise in earlier studies. Their abilities to separate brain-damaged patients from five functional samples in a psychiatric setting were compared here. The Smith proved capable of discriminating organics from all functional samples both before and after demographic matching. The Benton and the Minnesota Percepto-Diagnostic Test separated our organics from our functional groups before matching, but results with them after matching were unencouraging. The P-O scale separated the organics from four of the five functional samples before matching and two afterward. The combined use of the P-O and Smith provided a higher level of discrimination than that attained with either alone, correctly identifying 90% of the organics and 79% of the functional Ss.

Adult↗
PubMed1981

Logical reasoning deficits in schizophrenia and brain damage.

Von Domarus and Arieti have theorized that failure to reason by conventional logical rules is at the root of schizophrenic thought disorder, but the available research on this view is inconclusive. We compared the performance of schizophrenics (N = 100), brain-damaged patients (N = 50) and psychiatric controls (N = 50) on closely matched measures of Overexpansive and "Von Domarus" (similarity implies identity) syllogistic reasoning errors. Before the samples were matched for education and intelligence, the brain-damaged and schizophrenic patients made more Overexpansive errors than the controls, but the Von Domarus error difference was not significant. After matching, both differences were nonsignificant. The results indicate that inability to use syllogistic reasoning properly is probably not the root cause of schizophrenic thought disorder.

Adult↗
PubMed1981

A test of the Broen-Storms theory of cognitive deficit in schizophrenia.

Broen and Storms have developed a popular behavioristic theory to explain schizophrenic thought disorder. It holds that thought disorder results from schizophrenics' having higher drive levels and lower response-strength ceilings than non-schizophrenics. As a result, the strength of appropriate (usually strong) responses is rivaled by that of inappropriate, ordinarily-weak responses. This, in Broen and Storms' theory, is the cause of disorganized, schizophrenic behavior. We tested several hypotheses derived from Broen and Storms' assumptions that schizophrenics have higher drive and lower response strength ceilings than controls in a paired-associates learning study. We did not find support for our hypotheses that schizophrenics would show better early-trials learning than controls, that a presumably drive-inducing threat of pain would enhance early trials learning in schizophrenics or controls, that either threat of pain or schizophrenia would be associated with a low learning asymptote, or that either the positive or negative effects of pain would be accentuated in schizophrenics. The results did not support the theory.

Attention↗
PubMed1976

A comparison of abstractive and nonabstractive deficits in schizophrenics and psychiatric controls.

Chapman and Chapman (Disordered Thought in Schizophrenia, Appleton-Century-Crofts, New York, 1973) have suggested that findings of abstract thinking deficits in schizophrenia could be functions of control task artifacts. This paper describes two projects in which the abilities of schizophrenics and psychiatric hospital controls who had been closely matched on a wide variety of vocabulary and nonvocabulary control tasks to perform several types of abstract thinking tasks were compared. No differences on the mean scores of the schizophrenic and control patients appeared on four of five measures used. On the fifth, a logical reasoning test, the schizophrenics were inferior to controls. The results suggest that many of the differences reported earlier between schizophrenics and nonschizophrenics on abstraction tasks may result from the heavy reliance of researchers on vocabulary as a control matching test, and its peculiar resistance to deterioration in schizophrenia. The results also suggest that inability to use logic properly may be.

Adult↗