Martin F. Sherman

Health care workers' ability and willingness to report to duty during catastrophic disasters.

Catastrophic disasters create surge capacity needs for health care systems. This is especially true in the urban setting because the high population density and reliance on complex urban infrastructures (e.g., mass transit systems and high rise buildings) could adversely affect the ability to meet surge capacity needs. To better understand responsiveness in this setting, we conducted a survey of health care workers (HCWs) (N=6,428) from 47 health care facilities in New York City and the surrounding metropolitan region to determine their ability and willingness to report to work during various catastrophic events. A range of facility types and sizes were represented in the sample. Results indicate that HCWs were most able to report to work for a mass casualty incident (MCI) (83%), environmental disaster (81%), and chemical event (71%) and least able to report during a smallpox epidemic (69%), radiological event (64%), sudden acute respiratory distress syndrome (SARS) outbreak (64%), or severe snow storm (49%). In terms of willingness, HCWs were most willing to report during a snow storm (80%), MCI (86%), and environmental disaster (84%) and least willing during a SARS outbreak (48%), radiological event (57%), smallpox epidemic (61%), and chemical event (68%). Barriers to ability included transportation problems, child care, eldercare, and pet care obligations. Barriers to willingness included fear and concern for family and self and personal health problems. The findings were consistent for all types of facilities. Importantly, many of the barriers identified are amenable to interventions.

Disgust sensitivity as a function of the Big Five and gender

Abstract Relationships among disgust sensitivity, the Big Five, and gender were explored using a sample of 132 men and women undergraduates. Results indicated that disgust sensitivity does vary according to gender, which is consistent with previous research, with women reporting greater sensitivity to disgust stimuli than do men. The data also supported the hypothesized positive relationship between neuroticism and disgust sensitivity as well as a negative relationship between openness to experience and disgust sensitivity. In addition, positive relationships were found between two other Big Five factors (Agreeableness and Conscientiousness) and disgust sensitivity. These results suggest that a better understanding of the disgust sensitive individual may come about by studying accompanying personality characteristics.

Using the five-factor model to identify a new personality disorder domain: the case for experiential permeability.

Two studies were conducted to demonstrate that maladaptive aspects of high and low Openness to Experience were related to characterological impairment and that this aspect of personality may define a new domain of personality dysfunction. The 55-item Experiential Permeability Inventory (EPI; containing 4 scales) was developed and demonstrated to have acceptable psychometric properties. Evidence of convergent, discriminant, and incremental validity was provided. These studies provide a methodological framework for identifying and developing aspects of personality dysfunction that can expand the comprehensiveness of the current set of Axis II disorders. Theoretical implications of the EPI are discussed.

Alcohol expectancies and changes in beer consumption of first-year college students

The present study used a prospective design to evaluate the relationship between alcohol expectancies and the progression of beer consumption of first-year college students over a 2-month period. One hundred and fifty-four first-year undergraduate students completed the Alcohol Expectancy Questionnaire (AEQ; Brown, Goldman, Inn, & Anderson, 1980) and a measure of precollege drinking during their first week of college, and completed a retrospective diary account of alcohol consumption also during the first week and at 1-month and 2-month follow-up. Beer was consumed considerably more frequently than other alcoholic beverages and was used as the dependent measure. The results showed that each AEQ subscale was positively correlated with beer consumption at almost all time points, and the magnitude of these correlations was generally higher for male subjects. Furthermore, the expectancies that alcohol increases social assertiveness and that alcohol is associated with global, positive changes were positively correlated with increases in beer consumption from Session 1 to Session 2 and from Session 1 to Session 3 for male, but not female, subjects. The findings extend previous research by demonstrating that certain alcohol expectancies are related to progressive increases over time in the amount of beer consumed.

Relationship between alcohol expectancies and length of abstinence among Alcoholics Anonymous members.

Previous research has demonstrated a consistent relationship between alcohol expectancies (i.e., cognitive expectancies concerning the reinforcing effects of alcohol) and alcohol consumption patterns. To date, no study has examined the expectancies of recovering alcoholics who have attained extended abstinence. One hundred and fourteen Alcoholics Anonymous members were examined. Significant negative correlations were found between the recovering alcoholics length of sobriety and many of the alcohol expectancy scales. In addition, 11 items from the Customary Drinking Record-Revised and 2 items from the Demographic Data Sheet were factor analyzed resulting in the retention of two factors, Quality of Life and Desire to Drink. These factors seemed to be tapping important dimensions in the alcoholics recovery. Two alcohol expectancy scales were found to be significantly predictive of the Desire to Drink and Quality of Life factors that were used as criteria in multiple regression equations.

Effectiveness of an emergency preparedness training program for public health nurses in New York City.

A public health workforce that is competent to respond to emergencies is extremely important. We report on the impact of a training program designed to prepare public health nurses to respond appropriately to emergencies. The program focused on the basic public health emergency preparedness competencies and the emergency response role of public health workers employed by the New York City School Department of Health and Mental Hygiene School Health Program. The evaluation methods included pre/post-testing followed by a repeat post-test one month after the program. The program resulted in positive shifts in both knowledge and emergency response attitudes.

The relation between elevation and self-reported prosocial behavior: Incremental validity over the Five-Factor Model of Personality

With the development of the field of positive psychology, new constructs have made their way into the literature. One such construct, elevation, represents a positive moral emotion that is experienced when one witnesses the kind, moral behavior of others (Haidt, 2003). To date, few researchers have examined this construct. The current study examined elevation by locating it in the factor space of the Five-Factor Model of Personality, and determined its relation to the constructs of spiritual transcendence and self-reported prosocial behavior. A total of 188 student participants were recruited. Results indicated that Extraversion, Openness to Experience, Agreeableness, spiritual transcendence, and self-reported prosocial behavior were all positively correlated with elevation. Moreover, the results indicated that elevation provided significant incremental validity in predicting self-reports of prosocial behavior over and above the Five-Factor Model of Personality and spiritual transcendence. Clinical implications, limitations, and suggestions for future research are considered.

Home health care registered nurses and the risk of percutaneous injuries: a pilot study.

BACKGROUND Home health care is the fastest-growing sector in the health care industry, expected to grow 66% over the next 10 years. Yet data on occupational health hazards, including the potential risk of exposure to blood and body fluids, associated with the home care setting remain very limited. As part of a larger study of bloodborne pathogen risk in non-hospital-based registered nurses (RNs), data from 72 home health care nurses were separately analyzed to identify risk of blood/body fluid exposure. METHODS A 152-item self-administered mailed risk assessment questionnaire was completed by RNs employed in home health care agencies in New York State. RESULTS Nine (13%) of the home health care nurses experienced 10 needlesticks in the 12-month period before the study. Only 4 of the needlesticks were formally reported to the nurses employer. The devices most frequently associated with needlesticks were hollow-bore and phlebotomy needles, and included 3 needles with safety features. Exposure was most commonly attributed to patient actions, followed by disposal-related activities. CONCLUSIONS These data suggest that home health care nurses may be at potential occupational risk for bloodborne pathogen exposure. Risk management strategies tailored to the home health care setting may be most effective in reducing this risk.

Relation between Sex-Role Orientation and Marital Satisfaction

This study investigated the reported marital satisfaction of couples as it related to their sex-role orientations. One hundred eighty-five couples living in Columbia, MD, completed Rem Sex-Role Inventories and Locke-Wallace Marital Adjustment Tests. The results suggest that couples in which both partners are androgynous report higher marital satisfaction than both sex-typed (traditional role) couples and incongruent (sex-typed spouse with non-sex-typed spouse) couples. These results were discussed in a framework of cognitive balance.

Clinicians' ,Knowledge, Attitudes, and Concerns Regarding . Bioterrorism After a Brief Educational Program

We conducted this study to determine the knowledge, attitudes, and intended behaviors of New York City clinicians regarding bioterrorism-related diseases after a brief educational program. Data on clinicians’ knowledge and attitudes toward bioterrorism and related diseases were collected using a self-administered questionnaire following a 3.5-hour educational program. Participants (n = 310, 82% response rate) reported increased confidence in recognizing symptoms of bioterrorism-related diseases (89%), in addressing patients’ bioterrorism concerns (83%), and ability to treat bioterrorism victims (75%). Despite a high level of confidence in the efficacy of infection control precautions, participants’ knowledge scores regarding safe work practices suggest that additional education is warranted. Educational programs are useful in enhancing the public health response to bioterrorism and its consequences.