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PubMed2000

Sexual behaviour and negotiation of the male condom by female students of the University of Ibadan, Nigeria.

This study explored the sexual behaviour of unmarried female students of the University of Ibadan, Nigeria, and assessed the extent to which those who were sexually active negotiated and used the male condom. Four focus group discussions were conducted followed by a survey of 354 students. The results show that the mean age of the students was 22.5 years 55.1% had had sexual intercourse; the mean age at first intercourse was 16.5 years. The number of lifetime sexual partners ranged from 1 to 20 with a mean of 3.4; 75% of those who had had sex reported ever using condom; 16.9% and 39% used it during their first and last sexual episodes respectively; only 34.3% used it consistently. Seventy-three per cent had ever negotiated condom use with a partner, but only 41% did so during their last sexual encounter. A significant association was found between condom negotiation and number of sexual partners: Students with fewer life time partners (3.2) had less frequently negotiated condom use than those with more partners (4.3) (P<0.05). Condom negotiators also scored significantly higher (4.6) on a 6-point AIDS Knowledge Score than those who had never done so (4.0) (P<0.05). About a quarter (26.7%) had ever bought a condom, while 38.5% had ever carried it. We conclude that although many female students had sometimes used a condom only a few used it consistently and are therefore at risk of the unintended outcomes of unprotected sex. We propose appropriate interventions to address the problem.

Journal Article↗

PubMed2007

Negotiations within the family over the supply of parental care.

Adults provisioning dependent young are in conflict with their partners, who would prefer a greater level of effort, and with their offspring, who would prefer a greater supply of food. To what extent, then should adults negotiate their provisioning behaviour with other family members? We used experimental manipulations of brood size, and targeted playback of begging calls to determine the extent to which adult great tits Parus major adjust their provisioning rates in response to the behaviour of their partner and their brood. We found that males and females behaved similarly, both responding more to each other's behaviour than to chick calling. We also found that the degree to which adults negotiated their provisioning rates with each other varied between years. A review of the literature suggests that the extent of negotiation over provisioning is likely to vary not only between species of diverse taxa, but also between and within (this study) populations of the same species. We suggest that provisioning behaviour lies on a 'negotiation continuum', which describes the extent to which parents respond to the actions of other family members. We argue that an individual's location on the 'negotiation continuum' is determined partly by the extent to which it can physically respond to the behaviour shown by other members of the family and partly by the quality of information on offer.

Acoustic Stimulation↗

PubMed1991

Should opiate addicts be involved in controlling their own detoxification? A comparison of fixed versus negotiable schedules.

This study compares the responses of opiate addicts at a London drug treatment centre to two outpatient methadone-based detoxification programmes. These involved either a fixed (non-negotiable) dose reduction schedule or a flexible, negotiable withdrawal schedule. In the negotiable condition, subjects were less likely to complete the detoxification programme and the mean reduction in dose achieved by the subjects in the negotiable condition was less than that in the fixed group. There was no difference between groups in programme retention at 6 weeks though subjects who remained in treatment in the negotiable group tended to extend their detoxification period beyond this point. The overall response of subjects in both groups was unsatisfactory. Only 13% of the subjects initially allocated to detoxification or 28% of those who actually started detoxification completed treatment; urine screening showed that heroin abuse was a continuing problem during treatment. The implications of these results for detoxification and drug treatment services are discussed.

Adult↗

PubMed1989

The importance of relationships in hospital negotiation strategies.

Negotiation is one important way for hospital executives to manage conflict and to accomplish new projects. Because of the rapidly changing nature of the health care environment, as well as conflicts and politics within their organizations, managers need to negotiate effectively with a wide range of other parties. Hospital managers should consider the relative importance of both the substantive and relationship outcomes of any negotiation. These two factors, when viewed both in terms of the priorities of the hospital executive and the other party may guide the executive's anticipation of negotiation scenarios and selection of appropriate negotiation strategies.

Communication↗

PubMed2000

The sexual negotiation behavior of HIV-positive gay and bisexual men.

This study describes the sexual negotiation practices of 256 HIV-positive gay and bisexual men enrolled in a sexual risk reduction intervention. Negotiation behavior was associated with sexual risk practices. Men who abstained from anal sex and those who had unprotected anal sex had the lowest negotiation scores. Negotiations occurred most often with steady partners and least often with anonymous partners. A logistic regression to predict high versus low frequency negotiators revealed the significance of self-efficacy for condom use and number of months HIV-positive. Findings are discussed in terms of the development of sexual risk reduction interventions for HIV-positive gay and bisexual men.

Adult↗

PubMed1984

Developing and negotiating transfer agreements in allied health.

The Kentucky Council on Higher Education has developed a statewide articulated system for allied health education. The articulated system permits entry and exit of prepared professionals at a variety of levels. The six disciplinary clusters included in the system are clinical laboratory sciences, dental auxiliaries, dietetics/nutrition, rehabilitation therapies, radiological sciences, and respiratory therapy. Competency-based education was used as the theoretical framework for developing and negotiating transfer agreements. Types of agreements included the block credit transfer agreement and the course specific transfer agreement. Agreements were negotiated between education systems and between specific programs/institutions. To date, approximately 30 transfer agreements have been negotiated. The process for negotiating transfer agreements included the following sequence: identify programs, develop a theoretical articulation model, rank order transfer agreements, determine the type of agreement, review respective curricula, determine the existing amount of transferable coursework, draft a pre-articulation agreement, schedule a meeting between faculty and administrators to discuss the agreement, and secure authorizing signatures on the final transfer agreement. Facilitators and barriers to negotiating agreements are discussed and recommendations offered for others who may be interested in developing transfer agreements.

Allied Health Personnel↗

PubMed1998

The role of the psychologist in crisis/hostage negotiations.

Over the past three decades, there has been a noted increase in hostage and barricade incidents involving perpetrators with a variety of emotional, economic, and political motives. A hostage incident may be defined as an incident in which (a) perpetrator(s) hold(s) one or more persons against their will in a location known to police. A barricade incident, on the other hand, is an incident without hostages in which a perpetrator is barricaded, also in a location known to police and refusing to surrender. Approximately 25 years ago, a theory of crisis/hostage negotiations was developed which has been continuously refined in field applications. This article will define the goal of crisis/hostage negotiation, review the history of hostage taking from biblical times to the present, review the utilization of psychologists and other mental health consultants by police crisis/hostage negotiation teams, and discuss the four roles and related functions of psychologists on crisis/hostage negotiation teams.

Consultants↗

PubMed2006

Shaping understanding of HIV through negotiation and conflict resolution during peer group discussion.

High-risk behavior in youths related to HIV transmission continues to occur despite large-scale efforts to disseminate information about safe sexual practices through education. Our study examined the relationships among knowledge, decision-making strategies, and risk assessment about HIV by youths during peer group focused discussions. Two focus groups with first-year college students were conducted, with a series of questions about risk for HIV transmission as prompts. All group interactions were recorded, transcribed and analyzed using methods of discourse analysis to characterize a detailed description of the interactions. The results indicated that youths negotiated their perspectives with the use of justification and elaboration to support alternative opinions and positions. They used concrete experiential examples to further explain and illustrate their positions, Opposing views or arguments met with requests for clarification and further negotiation. This cycle of clarification-negotiation shaped their understanding of HIV-related concepts. The use of strategies, such as justification of alternative positions and the use of examples as support for arguments to clarify and negotiate various perspectives, could be used as a tool for designing educational programs to improve understanding of health related issues, such as HIV transmission and prevention.

Adult↗

PubMed1997

Negotiating managed care and capitated contracts to minimize risks.

BACKGROUND: Successful negotiation of managed care contracts requires understanding of your managed care organization. Larger physician panels, increased medical costs, and insufficient health care premium rate increases have recently created losses for many managed care organizations. METHODS: By negotiating managed care and capitation contracts, managed care organizations can effectively transfer risk to the medical providers, thereby controlling their medical costs. The medical providers are then forced to either reduce medical costs, or accept reimbursement far less than under a traditional fee-for-service agreement. RESULTS: A number of strategies can be employed to minimize the risks physicians face in negotiating managed care contracts: (1) stop-loss protection insurance to pay excess medical costs, (2) defined limits for risks and profits, (3) reimbursement increases for excess referrals, (4) inclusion of contract cancellation clauses for cause and for no cause, (5) contract renewal that allows for rate escalators, and (6) inclusion of incentives for such items as reduced hospital stays and reductions in drug prescription costs. CONCLUSIONS: Physicians must understand and, when possible, limit the risks they assume. They must have a good information system and must know their costs. Once a managed care contract is negotiated, providers should be vigilant in finding better ways to practice effective medicine and control costs.

Capitation Fee↗

PubMed2004

The interpersonal effects of emotions in negotiations: a motivated information processing approach.

Three experiments tested a motivated information processing account of the interpersonal effects of anger and happiness in negotiations. In Experiment 1, participants received information about the opponent's emotion (anger, happiness, or none) in a computer-mediated negotiation. As predicted, they conceded more to an angry opponent than to a happy one (controls falling in between), but only when they had a low (rather than a high) need for cognitive closure. Experiment 2 similarly showed that participants were only affected by the other's emotion under low rather than high time pressure, because time pressure reduced their degree of information processing. Finally, Experiment 3 showed that negotiators were only influenced by their opponent's emotion if they had low (rather than high) power. These results support the motivated information processing model by showing that negotiators are only affected by their opponent's emotions if they are motivated to consider them.

Adult↗

PubMed2006

Negotiation from a near and distant time perspective.

Across 3 experiments, the authors examined the effects of temporal distance on negotiation behavior. They found that greater temporal distance from negotiation decreased preference for piecemeal, single-issue consideration over integrative, multi-issue consideration (Experiment 1). They also found that greater temporal distance from an event being negotiated increased interest in conceding on the lowest priority issue and decreased interest in conceding on the highest priority issue (Experiment 2). Lastly, they found increased temporal distance from an event being negotiated produced a greater proportion of multi-issue offers, a greater likelihood of conceding on the lowest priority issue in exchange for a concession on the highest priority issue, and greater individual and joint outcomes (Experiment 3). Implications for conflict resolution and construal level theory are discussed.

Affect↗

PubMed2003

Negotiated care: a model for nursing work in the renal setting.

AIM: This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. METHODS: Materials from several streams of literature are used to conceptualize the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualized by viewing the renal setting as a specialized social context constituted by a dominant professional discourse and a contrasting client discourse. DISCUSSION: While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. CONCLUSION: Within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanize contemporary medical technologies by responding to clients' experiences of illness and therapy.

Humans↗

PubMed2004

Delayed application of condoms, withdrawal and negotiation of safer sex among heterosexual young adults.

The aim of this study was to examine delayed application of condoms and withdrawal among heterosexual young adults. Seven focus group discussions were conducted with heterosexual men and women aged 18-25 in Melbourne, Australia. The data revealed that delayed application of condoms and withdrawal are widespread. Delayed application of condoms can be divided into two categories--condom use 'after limited unprotected penetration' and condom use 'for ejaculation only'. The data reveal parallels between withdrawal and condom use 'for ejaculation only'. These two behaviours share the goal of avoiding unprotected ejaculation inside a partner, while allowing some unprotected intercourse. They are both more likely to occur in regular relationships than casual encounters, both are likely to be negotiated and both occur when there is no perceived risk of STI infection. In contrast, condom use 'after limited unprotected penetration' was likely to occur in casual encounters, and was likely to be unplanned and not negotiated. There is a need to ensure that heterosexual young adults use condoms and use them correctly. There is also a need to ensure that heterosexual young adults have the required skills to negotiate sexual activity and to negotiate condom use.

Adolescent↗

PubMed1999

Negotiation strategies for men and women.

The ability to negotiate plays a key role in one's professional and personal life. If men and women want to negotiate successfully, they must know the steps of negotiation plus the sex differences when approaching the negotiation process.

Female↗

PubMed2002

Acute care nurse practitioner collaborative practice negotiation.

Acute care nurse practitioner (ACNP) roles are increasing in number and scope with expanding opportunities available for collaborative practice. Negotiating for these positions is challenging, but manageable with knowledge about essential components of collaborative practice negotiation. Understanding the process of self-assessment and needs assessment will enable the ACNP to approach the task better equipped. Interview preparation is the key to presenting an employer with a professional, organized portfolio. The ACNP can achieve the goal of negotiating a collaborative practice partnership by demonstrating dependability, honesty, and sound nursing and medical practice. Continuity and detail are the means by which the ACNP enhances quality care in collaborating in patient care management. This article explores the process of negotiating a collaborative practice role and provides examples from physician and ACNP collaborative practice experiences.

Cooperative Behavior↗

PubMed1991

A study of role negotiation between nurses and the parents of hospitalized children.

The role of the parent of a hospitalized child has changed considerably over the past 30 years. Where parents were previously expected to had responsibility for care over to their child's nurses, there is now an expectation that parents will be extensively involved in the care of their hospitalized children. The negotiation of roles between nurses and parents has been advocated by workers concerned about conflicts between nurses and parents. However, it is not known whether such negotiation takes place between nurses and parents. It is clear that power is not evenly distributed between nurses and parents: issues of territory, stress, anxiety, uncertainty, control and conflicts arising from parental competence all place the parent in a weaker position. It is argued that the nurse holds the initiative in the decision about whether negotiation takes place. A small study is described in which nurses were invited to describes their response to their perception that a parent wanted to increase or decrease her or his involvement in her or his child's care. The critical incident technique (Flanagan 1954) was used to collect data. Nurses' responses were categorized into categories of 'encouragement', 'explanation/advice' and 'negotiation'. Responses were then placed in more specific subcategories. The inter-rater reliability of the categorization was measured. Owing to the limitations of the study, the results can only be regarded as suggestive. Nevertheless, significant association was found between the category of response and the grade of staff, with a stratified pattern of category of response demonstrated. The implications of the study for future research are discussed.

Attitude of Health Personnel↗

PubMed1998

"All the sheeps are dead. He murdered them": sibling pretense, negotiation, internal state language, and relationship quality.

Pretend play enactment, negotiation, internal state language, and sibling relationship quality were examined in 40 kindergarten-aged children with either an older (M age = 7.10 years) or younger (M age = 3.6 years) sibling. Dyads were identified as engaging in frequent (n = 20) or infrequent (n = 20) pretend play. Results indicated that frequent pretend play dyads engaged in more high-level negotiation, whereas infrequent pretend dyads preferred low-level negotiation strategies. Frequent pretend dyads were more likely to use internal state language, especially during high-level negotiation. Friendly sibling relationship quality was negatively related to pretend enactment, whereas conflict was negatively associated with internal state language. Discussion focuses on the sibling relationship as a context in which to investigate the links between aspects of pretend play, sibling relationship quality, and social understanding.

Child↗

PubMedDate not supplied

[Preventing damage to workers' health: redesigning jobs through day-to-day negotiation].

This paper reflects on prevention of harm to workers' health by redesigning jobs. Assuming redesign as the process of negotiating organizational choices, the author discusses the characteristics of routine negotiation at the workplace, illustrated by daily negotiations in work process organization at a Brazilian food-processing factory. Finally, the author discusses both the range and limits of such negotiations in the prevention of harm to workers' health.

Accidents, Occupational↗