A study of nurses' judgement of and participation in decision-making for nursing home placement for the elderly

This study investigated the effects of patient variables (physical and cognitive disability, significant others' preference and social support) on nurses' nursing home placement decision-making and explored nurses' participation in the decision-making process.^ The study was conducted in a hospital in Texas. A sample of registered nurses on units that refer patients for nursing home placement were asked to review a series of vignettes describing elderly patients that differed in terms of the study variables and indicate the extent to which they agreed with nursing home placement on a five-point Likert scale. The vignettes were judged to have good content validity by a group of five colleagues (expert consultants) and test-retest reliability based on the Pearson correlation coefficient was satisfactory (average of.75) across all vignettes.^ The study tested the following hypotheses: Nurses have more of a propensity to recommend placement when (1) patients have severe physical disabilities; (2) patients have severe cognitive disabilities; (3) it is the significant others' preference; and (4) patients have no social support nor alternative services. Other hypotheses were that (5) a nurse's characteristics and extent of participation will not have a significant effect on their placement decision; and (6) a patient's social support is the most important, single factor, and the combination of factors of severe physical and cognitive disability, significant others' preference, and no social support nor alternative services will be the most important set of predictors of a nurse's placement decision.^ Analysis of Variance (ANOVA) was used to analyze the relationships implied in the hypothesis. A series of one-way ANOVA (bivariate analyses) of the main effects supported hypotheses one-five.^ Overall, the n-way ANOVA (multivariate analyses) of the main effects confirmed that social support was the most important single factor controlling for other variables. The 4-way interaction model confirmed that the most predictive combination of patient characteristics were severe physical and cognitive disability, no social support and the significant others did not desire placement. These analyses provided an understanding of the importance of the influence of specific patient variables on nurses' recommendations regarding placement. ^

Effects of stereotypic behaviour and chronic mild stress on judgement bias in laboratory mice

Cognitive processes are influenced by underlying affective states, and tests of cognitive bias have recently been developed to assess the valence of affective states in animals. These tests are based on the fact that individuals in a negative affective state interpret ambiguous stimuli more pessimistically than individuals in a more positive state. Using two strains of mice we explored whether unpredictable chronic mild stress (UCMS) can induce a negative judgement bias and whether variation in the expression of stereotypic behaviour is associated with variation in judgement bias. Sixteen female CD-1 and 16 female C57BL/6 mice were trained on a tactile conditional discrimination test with grade of sandpaper as a cue for differential food rewards. Once they had learned the discrimination, half of the mice were subjected to UCMS for three weeks to induce a negative affective state. Although UCMS induced a reduced preference for the higher value reward in the judgement bias test, it did not affect saccharine preference or hypothalamic–pituitary–adrenal (HPA) activity. However, UCMS affected responses to ambiguous (intermediate) cues in the judgement bias test. While control mice showed a graded response to ambiguous cues, UCMS mice of both strains did not discriminate between ambiguous cues and tended to show shorter latencies to the ambiguous cues and the negative reference cue. UCMS also increased bar-mouthing in CD-1, but not in C57BL/6 mice. Furthermore, mice with higher levels of stereotypic behaviour made more optimistic choices in the judgement bias test. However, no such relationship was found for stereotypic bar-mouthing, highlighting the importance of investigating different types of stereotypic behaviour separately.

Fortescutus illustratus, or a commentary on that nervous treatise De laudibus legum Angliæ, written by Sir John Fortescue ... VVhich treatise ... hee purposely wrote to consolidate his princely minde in love and approbation of the good lawes of England and of the laudable customs of this his native country. The heroique design of whole excellent judgement and loyal addiction to his Prince, is humbly endeavoured to be revived, admired, and advanced.

Mode of access: Internet.

A letter to the Right Honourable Lord Holland : on the joint "opinion" of Mr. Baron Alderson and Mr. Justice Patterson, and on the "judgement" of Lord Lyndhurst, in the case of Lady Hewley's trust.

Mode of access: Internet.

Notices of judgement under the Federal food, drug, and cosmetic act ...

Mode of access: Internet.

Book of the Dead of Hunefer (Hw-nfr) sheet 3, Hunefer's judgement

Papyrus, Egypt, New Kingdom; H: 1 ft. 5 23/32 in.; painted papyrus

The juvenile olio, or Mental medley : consisting of original essays, moral and literary, tales, fables, reflections, &c. intended to correct the judgement, to improve the taste, to please the fancy, and to humanize the mind /

"Publications for the instruction and amusement of young people; printed for E. Newbery": [2] p. at end.

A concise treatise on the art of angling : confirmed by actual experience; interspersed with several new and recent discoveries, forming a complete museum for the lovers of that pleasing and rational recreation; to which are added prognostics of the weather independent of the barometer; and a new chapter, containing rules, how best to form a competent judgement of the changes that take place, in that useful instrument /

Mode of access: Internet.

Modified final judgement : hearings before the Subcommittee on Communications of the Committee on Commerce, Science, and Transportation, United States Senate, One Hundredth Congress, first session ... December 10 and 11, 1987.

Includes bibliographical references.