Should I and Can I?: a mixed methods study of clinician beliefs and attitudes in the management of lifestyle risk factors in primary health care

Background
Primary health care (PHC) clinicians have an important role to play in addressing lifestyle risk factors for chronic diseases. However they intervene only rarely, despite the opportunities that arise within their routine clinical practice. Beliefs and attitudes have been shown to be associated with risk factor management practices, but little is known about this for PHC clinicians working outside general practice. The aim of this study was to explore the beliefs and attitudes of PHC clinicians about incorporating lifestyle risk factor management into their routine care and to examine whether these varied according to their self reported level of risk factor management.

Methods
A cross sectional survey was undertaken with PHC clinicians (n = 59) in three community health teams. Clinicians' beliefs and attitudes were also explored through qualitative interviews with a purposeful sample of 22 clinicians from the teams. Mixed methods analysis was used to compare beliefs and attitudes for those with high and low levels of self reported risk factor management.

Results
Role congruence, perceived client acceptability, beliefs about capabilities, perceived effectiveness and clinicians' own lifestyle were key themes related to risk factor management practices. Those reporting high levels of risk factor screening and intervention had different beliefs and attitudes to those PHC clinicians who reported lower levels.

Conclusion
PHC clinicians' level of involvement in risk factor management reflects their beliefs and attitudes about it. This provides insights into ways of intervening to improve the integration of behavioural risk factor management into routine practice.

Teachers' beliefs about the possibilities and limitations of digital games in classrooms

Teachers' beliefs about what it is (or is not) possible to achieve with digital games in educational contexts will inevitably influence the decisions that they make about how, when, and for what specific purposes they will bring these games into their classrooms. They play a crucial role in both shaping and responding to the complex contextual factors which influence how games are understood and experienced in educational settings. Throughout this article the authors draw upon data collected for a large-scale, mixed-methods research project focusing on literacy, learning and teaching with digital games in Australian classrooms, to focus explicitly on the attitudes, understandings and expectations held about digital games by diverse teachers at the beginning of the project. They seek to identify the beliefs about games that motivated teachers' participation in a digital games research project while focusing, as well, on concerns that teachers express about risks or limitations of such a project. The authors' aim is to develop a detailed picture of the mindsets that teachers bring to games-based learning environments, and the relevance of these mindsets to broader debates about the relationship between games, learning and school.

Measurement of positive irrational beliefs (positive cognitive illusions)

The role of positive irrational beliefs (positive cognitive illusions) in mental health has been debated over several decades. The measurement of such beliefs has usually been through inferential assessment, which has been heavily criticised. This paper sought to establish a measure for the direct assessment of such beliefs and to assess their relationship to subjective wellbeing (SWB). Over two studies this new measure was found to have a factor structure consistent with its design, assessing self-enhancing beliefs, beliefs rejecting imperfection, overly optimistic beliefs, and irrational beliefs of control. When combined, these beliefs account for 17.6 % of the variance with SWB. This is driven largely by a higher order factor, which demonstrates a positive relationship to SWB. However, individually the different types of irrational beliefs demonstrate a variety of relationships with SWB. It is therefore concluded that positive irrational beliefs, when directly assessed, provide a greater depth of information than they do when assessed inferentially.

Do individual perceptions of group cohesion reflect shared beliefs? An empirical analysis

This study's primary purpose was to examine the degree to which individual perceptions of cohesiveness reflect shared beliefs in sport teams. The secondary purposes were to examine how the type of cohesion, the task interactive nature of the group, and the absolute level of cohesion relate to the index of agreement. Teams (n = 192 containing 2,107 athletes) were tested on the Group Environment Questionnaire. Index of agreement values were greater for the group integration (GI) manifestations of cohesiveness (GI-task, rwg(j) = .721; GI-social,rwg(j) = .694) than for the individual attractions to the group (ATG) manifestations (ATG-task, rwg(j) = .621; ATG-social, rwg(j) = .563). No differences were found for interactive versus coactive/independent sport teams. A positive relationship was observed between the absolute level of cohesiveness and the index of agreement. Results were discussed in terms of their implication for the aggregation of individual perceptions of cohesion to represent the group construct.

Teacher beliefs in ‘testing’ times: a lesson from Singapore

International benchmarking and national testing of students at all levels of schooling have provoked teachers to critically reflect on their place in this endeavour. Many of the curriculum and pedagogical approaches associated with this type of assessment and accountability conflict with long-held beliefs about the role of teachers and the work of schooling. Singapore is recognised for significant achievement in the international schooling arena and also has a long history of national testing. This study draws specifically on positioning theory to investigate teacher beliefs and positioning in these times. A large qualitative research project located in Singapore sought the ways experienced teachers positioned themselves and their work as they negotiated multiple and sometimes conflicting discourses of teaching. A rigorous process was used to elicit teacher beliefs and resultant teacher positions.

Family presence during management of acute deterioration: clinician attitudes, beliefs and perceptions of current practices

BACKGROUND: The nature of acute clinical deterioration has changed over the last three decades with a decrease in in-hospital cardiac arrests and an increase in acute clinical deterioration. Despite this change, research related to family presence continues to focus on care during resuscitation rather than during acute deterioration. AIM: To explore healthcare clinician attitudes, beliefs and perceptions of current practices surrounding family presence during episodes of acute deterioration in adult Emergency Department patients. METHODS: Clinicians (n=156) from a single study site in Melbourne, Australia completed a 17-item survey. RESULTS: Participants disagreed that family members would interrupt (59.0%) or interfere (61.5%) with patient care if present during episodes of patient deterioration. Most (77.6%) participants stated that they included family during episodes of patient deterioration. Females, nurses and Australians/New Zealanders had a more positive attitude towards including family during episodes of patient deterioration when compared to males, doctors and clinicians of other ethnicities. Nurses with post-graduate qualifications and those with more years of experience had a more positive attitude towards including family during episodes of patient deterioration than nurses without post-graduation qualification and with less years of experience. CONCLUSIONS: Clinicians had predominantly positive attitudes towards including family during episodes of patient deterioration and perceived it to be a common day-to-day practice. Gender, profession, country of birth, education level and years of experience all impacted on clinician attitudes, beliefs and perceptions of family presence during acute deterioration.

'All intelligent subjects' – Presenting scientific collecting and identity at the Hawke's Bay Philosophical Institute Museum, 1865-1899

This paper traces a shift in New Zealand’s Scientific Heritage, and the performance and presentation of scientific knowledge and identity through collecting and museum practice – based on a case study of the Hawke’s Bay Philosophical Institute Museum, during the period 1865 -1899. Two very well-known figures of New Zealand science, Museums and collecting were central in Hawke’s Bay: William Colenso FLS FRS; and Augustus Hamilton, who later became Director of the Colonial Museum in Wellington. Through them, can be traced how scientific collections and identities evolved, from the work of gentlemen of science to that of a newly professionalised vocation, realised within the spaces of Museums.

Complexities of active learning implementation in higher education in Aceh: beliefs and cultures

 This research explores the discourses embedded in the beliefs the teacher educators hold and practices of active learning in higher education in Aceh, Indonesia

Relationship obsessive-compulsive disorder: interference, symptoms, and maladaptive beliefs

BACKGROUND: Obsessive preoccupation, doubts, and compulsive behaviors focusing on one's romantic relationship and partner are receiving increasing clinical, theoretical, and empirical attention. Commonly referred to as relationship obsessive-compulsive disorder (ROCD), such symptoms have been linked with decreased relational and sexual functioning and lower mood, even after controlling for other obsessive-compulsive disorder (OCD) symptoms. To date, however, these symptoms have been studied in community samples alone. In the present study, we compared levels of interference, OCD, and mood symptoms between clinical participants with ROCD, OCD, and community controls. We also examined group differences in maladaptive beliefs previously linked with OCD and ROCD.

METHOD: Participants included 22 ROCD clients, 22 OCD clients, and 28 community controls. The Mini International Neuropsychiatric Interview was used to attain clinical diagnoses of OCD and ROCD. The Yale-Brown Obsessive-Compulsive Scale was used to evaluate primary-symptoms severity. All participants completed measures of symptoms and dysfunctional beliefs.

RESULTS: ROCD clients reported more severe ROCD symptoms than the OCD and control groups. ROCD and OCD clients did not differ in severity of their -primary-symptoms. ROCD clients scored higher than the other groups on maladaptive OCD-related and relationship-related beliefs. Finally, ROCD clients showed more severe depression symptoms than community controls.

CONCLUSION: ROCD is a disabling presentation of OCD that warrants research attention. Maladaptive OCD-related and relationship-related beliefs may be implicated in the development and maintenance of ROCD.

Deleuze and psychology: philosophical provocations to psychological practices

An increasing number of scholars, students and practitioners of psychology are becoming intrigued by the ideas of Gilles Deleuze and of Felix Guattari. This book aims to be a critical introduction to these ideas, which have so much to offer psychology in terms of new directions as well as critique.Deleuze was one of the most prominent philosophers of the 20th century and a figure whose ideas are increasingly influential throughout the humanities and social sciences. His work, particularly his collaborations with psychoanalyst Guattari, focused on the articulation of a philosophy of difference. Rejecting mainstream continental philosophy just as much as the orthodox analytical metaphysics of the English-speaking world, Deleuze proposed a positive and passionate alternative, bursting at the seams with new concepts and new transformations.This book overviews the philosophical contribution of Deleuze including the project he developed with Guattari. It goes on to explore the application of these ideas in three major dimensions of psychology: its unit of analysis, its method and its applications to the clinic.

Contemplation as philosophical practice : "reason in the sphere of understanding"

This essay seeks to explore the practice of contemplation as a method to cultivate insight into some of the key concerns of philosophy. In our discussion, philosophical contemplation is understood as a phenomenological method that instigates dynamic patterns of understanding(s) of an issue or object. Seen in this light, contemplation involves the cultivation of certain introspective qualities that are central to widening the parameters of attention. It is the contention of this paper that a contemplative approach to philosophical inquiry generates a basis for multi-dimensional understandings that can facilitate the possibility of “doing conceptual justice to the world in all its variety” (Sanders 207). In line with the idea of philosophy as a way of life, contemplation as philosophical practice envisions philosophy not simply as a system of propositions but also as an existential practice that both offers ways of gathering knowledge and that can provide epistemic justification for multiplicity, diversity, and seemingly contradictory modes of thought. From the beginning it is important to note that we are not positing a philosophy of contemplation but, following Russell (1912) and Sherman (2014), we are exploring a contemplative conception of philosophy that is predicated on the classical understanding of philosophy as a way of life with an integral practice component that instigates a mutually enriching union of theory and praxis.

Existentialist methodology and perspective: writing the first-person

Without proposing anything quite so grandiose as a return to existentialism, in this paper we aim to articulate and minimally defend certain core existentialist insights concerning the first-person perspective, the relationship between theory and practice, and the mode of philosophical presentation conducive to best making those points. We will do this by considering some of the central methodological objections that have been posed around the role of the first-person perspective and “lived experience” in the contemporary literature, before providing some neo-existentialist rejoinders. We will suggest that the dilemma that contemporary philosophy poses to existentialism, vis-à-vis methodology, is that it is: a) committed to lived experience as some sort of given that might be accessed either introspectively or retrospectively (with empirical science posing prima facie obstacles to the veridicality of each); and/or b) it advocates transformative experiences, and the power of philosophy in connection with such experiences, to radically revise our doxastic and inter-connected web of beliefs. In short, the charge is conservatism on the one hand, radicalism on the other. Each of these concerns will be addressed in turn, utilizing ideas from Kierkegaard (as the source for many existentialist themes, methodological concerns, and formal practices) and from the German and French twentieth century versions of existentialism

Points of equilibrium: religious beliefs and economic development policy

Eighty per cent of the world's population professes religious belief. Such beliefs provide precepts on how individuals should conduct their private lives and (often) how society should be organized. Given there are 2.1 billion Christians worldwide and 1.3 billion Muslims, understanding the religious approach to social life based on sacred texts and social teachings of Christianity and Islam has a strong relevance to those interested in implementing international economic development policies. This paper argues that religion can thus play a positive role in development and specifically support development economic policies at the international level. The purpose of this paper is not to present a fully formed development economic policy, but rather to identify teachings of the world's two largest religions – such as preferencing the poor, minimizing inequality and having the economy serve wider realms of society – that directly speak to how sustainable economic development is understood within these faith traditions and how these teachings could scaffold and support and international policy frameworks aimed to achieve sustainable economic development. Copyright © 2016 John Wiley & Sons, Ltd and ERP Environment.

Health beliefs and practices in three generations of Greek Australian women in Melbourne.

This research explores the health beliefs of three generations of Greek Australian women in Melbourne. It describes their experience of illness and wellbeing in the context of a culture-specific understanding of health with strong cultural, religious, and linguistic bases that derive from the community’s Greek heritage.