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Biomedical subjects

S Flagler

Publications and source records attributed to S Flagler.

5 recordsLinked to original sources

A framework for the psychological aspects of pregnancy.

During pregnancy, a woman reformulates and alters her existing identity to develop a maternal identity and role. A framework for this process of maternal identity formation is described. Key aspects of the framework are the self-system (ideal, actual, and body image selves) and the maternal tasks of pregnancy. Nursing diagnoses, goals, and interventions are identified related to the self-system and tasks of pregnancy. Clinical application of the framework can provide nurses with assurance that the psychological aspects of pregnancy are addressed when planning, implementing, and evaluating the care of prenatal clients.

Body Image

Semantic differentials and the process of developing one to measure maternal role competence.

The semantic differential (SD) technique is seen increasingly in studies by nurse investigators. A better understanding of this technique will assist in the appraisal of findings based on SD data. In taking a semantic differential the respondent describes the meaning of a given concept or stimulus by marking a series of bipolar adjective pair scales. Scoring and analysis can proceed in various ways but should not violate the semantic differential's multidimensional nature. The evaluative, potency, and activity dimensions commonly seen in the technique are described. How to construct an SD is explained. The ease with which an SD can be completed makes this technique suitable for clinical populations. The process of developing an SD to measure maternal role competence provides an example of using the technique in a new area of investigation. Factor analysis of the SD to measure the concept myself as a mother revealed that the adjective pairs did not cluster according to the typical SD dimensions. Alternative dimensions are described. These new dimensions gain support from their correlation with other measures of maternal role. The SD provides a promising technique for the measurement of maternal role competence.

Adult

Clinical teaching is more than evaluation alone!

Gaining self-confidence as a nurse is an essential aspect of the nursing student's professional development. The purpose of this study was to determine clinical instruction behaviors that students perceived as important in promoting their self-confidence. One hundred thirty-nine baccalaureate students rated 16 clinical teaching behaviors as to the degree each helped or hindered their self-confidence as nurses. Factor analysis of these behaviors revealed five dimensions of clinical teaching that characterized the instructor as: resource, evaluator, encourager, promoter of patient care, and benevolent presence. Behaviors contributing to the dimensions of clinical instruction other than evaluation were rated by students as helpful in the development of their self confidence as nurses. Students' responses to open-ended questions provided further evidence of the importance of the nonevaluation dimensions. Focusing on evaluation to the exclusion of other aspects of clinical teaching may impede nursing students' professional development.

Behavior

Relationships between stated feelings and measures of maternal adjustment.

Nurses need to identify those women who are experiencing difficulties with maternal-role transition. A study was conducted in which the relationships between women's self-reported feelings during the postpartum period and scores from observational and paper-and-pencil measures of maternal adjustment were explored. The results indicated that self-descriptions of negative physical feelings were related to scores indicating less mothering capability. Self-descriptions of negative emotional feelings were related to poorer relationships with husbands, less life satisfaction, and less support for the maternal role.

Adaptation, Psychological