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Results for “Problem Solving”

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PubMed1996

An evaluation of the problem-solving ability of diplomates from a comprehensive nursing programme.

The aim of this South African study was to obtain a measurement of the problem-solving ability of diplomates from a basic nursing programme with this skill included in its programme objectives. The problem-solving skills of diplomates from this programme were compared with those of first years to determine if there is an improvement in the problem-solving skills. A comparison was also made with a different basic programmes not claiming to teach problem-solving. The research design selected for this study was the ex post facto design. Data were collected using the Triple Jump Method which is an interview technique. The findings suggested that the level of the problem-solving skills of the comprehensive nursing programme diplomate is not satisfactory. There was, however, some improvement in the problem-solving ability from the first to the fourth year. The level of performance of the fourth years was slightly higher than that of the third years of the three-year nursing programme, who were used as the control group. Recommendations on selection teaching and evaluation of students, as well as further research, were made.

Adult↗

PubMed1998

Critical thinking. A framework for problem solving in the occupational setting.

1. Critical thinking is essential in providing quality nursing care. Understanding the process of critical thinking increases the nurse's efficiency in the skill of problem solving. 2. To employ the critical thinking process, the nurse must analyze and criticize a problematic or change situation, reason, make inferences, and reach conclusions. 3. The result of critical thinking is attaining goals, solving problems, and making decisions. 4. Critical thinking is a process and not an outcome.

Clinical Competence↗

PubMedDate not supplied

Collaborative problem-solving in telemedicine and evidence interpretation in a complex clinical case.

This study examined clinical problem-solving processes in the context of a telemedical consultation, in order to verify to what extent the technological environment preserves the characteristics of medical reasoning that are known to occur in more traditional clinical settings. This study also provided an opportunity for examining certain fundamental aspects of medical reasoning about complex cases. Within a case-study design, we used a theoretical framework and qualitative methods originating from cognitive science. Expert physicians used reasoning strategies commensurate with the complexity of the case. The technological context of the telemedical consultation did not overly contrive the interaction, allowing them to use real-time problem-solving processes characterizing medical reasoning in naturalistic settings. The results also suggest that high levels of expertise in the presence of very complex cases may elicit a particular configuration of problem-solving processes, associating certain reasoning patterns that are usually related to non-expert problem-solving with others that are typical of expertise. We believe that the evaluation of image transmission and diagnostic performance in telemedicine, as well as the determination of its indications and technological configurations, may benefit from taking into account, with the help of cognitive methodologies, the interacting problem-solving modalities that may be encountered in this context.

Adult↗

PubMed1998

Family rigidity, adolescent problem-solving deficits, and suicidal ideation: a mediational model.

Family rigidity and adolescent problem-solving deficits have each been linked to adolescent suicidal behaviors. The objective of the present study was to evaluate the hypothesis that family rigidity has primarily an indirect effect on adolescent suicidal ideation through its effect on adolescent problem-solving deficits. College students and their parents completed the Family Adaptability and Cohesion Evaluation Scale II. Students also completed the Problem-Solving Inventory and the Adult Suicidal ideation Questionnaire. Structural equation models confirmed that family rigidity has an indirect effect on adolescent suicidal ideation through its effect on adolescent problem-solving deficits. Directions for treatment efforts are discussed.

Adaptation, Psychological↗

PubMedDate not supplied

Adult age differences in monitoring of practical problem-solving performance.

A scale measuring practical problem-solving ability in adulthood was developed in a preliminary study and demonstrated to have satisfactory psychometric properties for research purposes: there was satisfactory internal consistency, discriminant validity, and there were significant relationships between performance and a measure of subjective experience. The purpose of the main investigation was to examine performance awareness on this measure of practical problem-solving ability. Younger (19-40 years) and older (59-84 years) subjects estimated performance either before and after taking the test (prediction/postdiction condition) or only after exposure to the materials (postdiction only). When the unsigned discrepancies between actual and expected performances were considered, there were no age differences in performance awareness of either time of estimation, but neither age group demonstrated improved accuracy from prediction to postdiction. When the directions of estimation errors were considered, older adults were significantly more likely to overestimate performance at both times of estimation compared to younger adults, who underestimated performance. Importantly, the same pattern of results was obtained with subjects who estimated only after taking the test and those who made predictions and postdictions.

Adult↗

PubMed1982

Training counseling and problem-solving skills with university students.

Often nonprofessionals lack specific instruction in relevant counseling and problem-solving skills. The effects of training procedures on counseling and problem-solving behaviors were examined experimentally with university students. The procedures involved the use of behavioral specifications, rationales, situational examples, study guides, and practice plus feedback on performance. Following training, the average percentage of occurrence of counseling and problem-solving behaviors increased to 89%. Generalization data in sessions with actual clients and expert ratings of the overall quality of counseling provided evidence of generalization to other settings and other evaluative dimensions of counseling and problem-solving performance.

Adult↗

PubMed1992

Problem solving to prevent work injuries in supported employment.

A problem-solving strategy was used to teach three groups of 3 individuals in supported employment how to prevent work-related injuries. The problem-solving strategy was taught in two training phases. The first training phase involved the use of cue cards, and the second involved the withdrawal of the cue cards. Interviews and staged generalization assessments in the participants' natural work environments were conducted before, during, and up to 12 weeks after training. In these assessments, situations were presented that were either similar or dissimilar to situations presented in training. Results of both the interviews and staged assessments indicated that the participants' newly acquired problem-solving skills generalized to similar and dissimilar situations.

Cues↗

PubMed1989

Perceived problem-solving skills and drinking patterns among college students.

The cognitive social-learning-theory literature on alcohol abuse points to failure to generate appropriate alternative behaviors to drinking as a major predictor of relapse to drinking. Viewing drinking as a continuous variable, ranging from abstinence to abuse, it should be possible to demonstrate a relationship between problem-solving abilities and drinking patterns. The hypothesis that individuals' perceived problem-solving skills are related to their pattern of alcohol use was examined. It was expected that poorer perceived problem-solving skills would be related to maladaptive use of alcohol in response to problem situations. 192 students in Introductory Psychology at a midsized southern university participated. Each subject completed questionnaires assessing frequency and quantity of alcohol use, and stimuli associated with the onset of drinking. The Problem-solving Inventory was used to measure perceived problem-solving skills. Drinking pattern variables were formed by factor analysis. Canonical correlation analysis of the data supported the hypotheses. Students with lower confidence in problem-solving capabilities reported greater use of alcohol to cope with negative emotions and to escape from responsibilities than students with high confidence in their abilities. Amount of alcohol consumed was not related to problem-solving skills.

Adaptation, Psychological↗

PubMed1979

The effects of EMG feedback training during problem solving: a case study.

The present case study investigated the effects of competing task demands on biofeedback training to reduce frontalis muscle tension. Baseline levels of frontalis muscle tension were recorded for relaxation and problem solving. The subject was trained to decrease muscle tension with biofeedback for the problem-solving task alone. The results indicated that EMG training during problem-solving was successfully accomplished. Frontalis muscle tension during relaxation baseline did not change as a result of reductions in muscle tension during problem-solving feedback training. This suggests that the decrease of muscle tension cannot be attributed to reductions in overall muscle tension levels. Instead, training was specific to the problem-solving feedback phases. Additionally, it was found that accuracy in problem-solving did not decline as a result of simultaneous feedback training. Thus EMG biofeedback training can be accomplished and exercised without disruption of ongoing mental activity.

Adult↗

PubMed1989

The relation between stressful life events and adjustment in elementary school children: the role of social support and social problem-solving skills.

This study investigated the relation between stressful life events and adjustment in elementary school children, with particular emphasis on the potential main and stress-buffering effects of social support and social problem-solving skills. Third through fifth graders (N = 361) completed social support and social problem-solving measures. Their parents provided ratings of stress in the child's environment and ratings of the child's behavioral adjustment. Teachers provided ratings of the children's behavioral and academic adjustment. Hierarchical multiple regressions revealed significant stress-buffering effects for social support and problem-solving skills on teacher-rated behavior problems, that is, higher levels of social support and problem-solving skills moderated the relation between stressful life events and behavior problems. A similar stress-buffering effect was found for problem-solving skills on grade-point average and parent-rated behavior problems. In terms of children's competent behaviors, analyses supported a main effect model of social support and problem-solving. Possible processes accounting for the main and stress-buffering effects are discussed.

Achievement↗

PubMed1996

The relationship between resource constraints and physician problem solving. Implications for improving the process of care.

OBJECTIVES: Research suggests that physicians will engage in more vigilant problem-solving under conditions of resource constraints than under conditions of resource slack. Increased vigilance related to physicians' clinical strategies enhances care by disposing physicians toward more optimal care choices. The authors examine whether pressures for clinical resource constraints encourage increased and sustained vigilance in problem-solving among cardiologists treating acute myocardial infarction. METHODS: The physician problem-solving process is reconstructed from the medical records of all eligible cases of acute myocardial infarction treated by the physician sample set over a 6-year period. The sample period encompasses phases of both resource slack and resource constraints. The Herfindahl index is used to measure the relative amount of vigilant problem-solving activity exhibited in each of five major tactical areas of the physician care strategies in each year of the study. RESULTS: The results support the hypothesis that resource constraints initially promote a shift to increased vigilance in physician problem-solving. Only one of the five major tactical areas, however, is characterized by sustained vigilance over time. The other areas are, instead, associated with a substantial reduction in vigilant activity after the initial peak period. CONCLUSIONS: The results suggest that resource constraints do set the stage for improved clinical decision-making. Sustained vigilance, however, appears to apply only to those portions of the care strategy for which the physician can draw a clear link between optimizing clinical activity and reducing resource consumption. For those portions of the care strategy for which the physician cannot establish a clear link, ongoing pressures to conserve resources results in reduced vigilance and a potential reduction in quality of clinical decision-making.

Cardiology↗

PubMed1991

Parent-child problem-solving interactions in families of visually impaired youth.

Investigated problem-solving and conflict-resolution strategies, an important aspect of family functioning, in visually impaired adolescents and their parents. Visually impaired adolescents were compared to adolescents with spina bifida and a control group of adolescents without disabilities. Parent-adolescent dyads participated in a problem-solving discussion of topics reflecting family disagreement. Videotapes of these discussions were rated for patterns of interaction using the Marital Interaction Coding System (MICS-III). Examination of positive and negative reciprocal patterns of interaction using sequential analyses and contrasting frequencies of specific behavioral codes revealed no differences between groups for adolescents, mothers, and fathers on the problem-solving discussion. Results are discussed in terms of (a) the impact of visual impairment on family functioning and (b) the need to identify those subgroups of visually impaired and their families that may be at heightened risk for maladjustment.

Adaptation, Psychological↗

PubMed1991

Interpersonal problem-solving in depressed students.

This study investigated whether depressed students suffer from a deficit in interpersonal problem-solving and attempted to specify the hypothesized deficit using a qualitative analysis of problem-solving strategies. Twenty depressed students were compared with 20 nondepressed controls with respect to the strategies they developed on a Situation Specific Problem-Solving Inventory. Results supported the hypothesis of a problem-solving deficit in depressed students. Although depressed students seemed to have an adequate definition of the problem and the target, they showed a significant lack of action-oriented strategies.

Adult↗

PubMed1983

How we measure problem-solving ability.

A review of some of the more recent literature on problem solving is presented. An attempt is made to identify factors which may lead to discrediting the PMP (Patient Management Problem) as a measure of problem-solving ability. A definition of competence in problem solving is proposed and the question of scoring is discussed. A possible method for future research is suggested.

Australia↗

PubMedDate not supplied

Planfulness and problem solving in older adults.

The applicability of problem solving concepts such as planfulness and depth of search to older adult cognitive behavior was considered. Eighteen males (sixty to eighty-nine years) and eighteen females (sixty to eighty-two years) solved isomorphic inquiry problems involving elimination of number and letter alternatives from a twenty-four item stimulus array. Half of the participants were given planning instructions designed to deepen their search through existing knowledge, while half received no instructions. Analyses of the total number of questions to solution and the percentage reduction in number of alternatives produced by each question revealed no reliable gender-related differences. Planning instructions, however, reduced the number of questions prior to solution and increased the informational value of most inquiries. The results were interpreted in terms of a metacognitive strategy deficiency in later life. Theoretical issues related to the construction and validation of information-processing models that depend on "real-world" knowledge were discussed.

Aged↗

PubMed1992

Social problem solving among popular and unpopular children.

The present study investigated two issues related to children's social status and problem solving: the content of problem-solving measures and judgments of the quality of responses to social problems. Three types of social problem situations were studied: peer entry/initiation, maintaining social interaction, and management of conflict. The quality of children's strategies for solving these problems was rated on two dimensions: effectiveness and social competence. Liked-most children obtained significantly more effective and socially competent ratings than liked-least children for only one of the social problem situations--management of conflict. Significant differences between liked-most and liked-least children were also found between the quality of their best effective and best socially competent solution and their worst socially competent solutions. Results are discussed in terms of the psychometric adequacy of social problem-solving measures and the resultant problems in interpretation.

Child, Preschool↗

PubMed1994

Coalitions and family problem solving with preadolescents in referred, at-risk, and comparison families.

This study tested the hypothesis that the mother-father coalition, parent-child coalitions, and parental warmth expressed toward the child are associated with family problem solving in families with a preadolescent child referred for treatment of behavior problems (n = 30), families with a child at-risk for conduct disorder (n = 68), and a sample of comparison families (n = 90). Referred and at-risk families displayed less effective problem solving. A regression analysis, which controlled for gender of the child, family structure, family income, marital satisfaction, and severity of child problems, showed that strong parental coalitions were linked to low levels of family problem solving in at-risk and referred families. Parent-child coalitions had little apparent impact while parental warmth was highly correlated with better family problem solving. The results may be interpreted as evidence for a tendency for parents in at-risk and referred families to "scapegoat" a preadolescent during family problem-solving sessions. This may undermine progress on family problem solutions and may complicate family-based prevention and treatment programs that use family problem-solving sessions.

Adolescent↗

PubMed1985

[Development of a questionnaire for problem solving].

Presented is the development of a measuring instrument in order to assess the problem solving ability (PLF). The PLF consists of 5 scales: a) experiencing problems, b) problem denial, c) tendency to solve problems in an unconventional way, d) dealing with the problem and e) tendency to conservative problem solving. Test-theoretical analyses are reported as well as, in greater detail, studies for test validation on various populations. High covariations can be shown especially for personality factors.

Adaptation, Psychological↗