Using the Nurse Coaching Process to Support Bereaved Staff During the COVID-19 Crisis.

Nurses are confronting a number of negative mental health consequences owing to high burdens of grief during COVID-19. Despite increased vaccination efforts and lower hospitalization and mortality rates, the long-term effects of mass bereavement are certain to impact nurses for years to come. The nurse coaching process is an evidence-based strategy that nurse leaders can use to assist staff in mitigating negative mental health outcomes associated with bereavement. The End-of-Life Nursing Education Consortium brought together a team of palliative nursing experts early in the pandemic to create resources to support nurses across settings and promote nurse well-being. This article shares a timely resource for health systems and nursing administration that leverages the nurse coaching process to support bereaved staff in a safe and therapeutic environment.

Primary Palliative Care Clinical Implications: Oncology Nursing During the COVID-19 Pandemic.

The COVID-19 pandemic continues to affect the health and well-being of individuals and communities worldwide. Patients with cancer are particularly vulnerable to experiencing serious health-related suffering from COVID-19. This requires oncology nurses in inpatient and clinic settings to ensure the delivery of primary palliative care while considering the far-reaching implications of this public health crisis. With palliative care skills fully integrated into oncology nursing practice, health organizations and cancer centers will be better equipped to meet the holistic needs of patients with cancer and their families receiving care for serious illness, including improved attention to physical, psychosocial, cultural, spiritual, and ethical considerations.

First- and second-born adolescents' decision-making autonomy throughout adolescence.

First- and second-born adolescents' and their parents' perceptions of adolescents' decision-making autonomy were compared from ages 12 to 19 in a longitudinal sample of 145 predominantly White, middle class families. Utilizing a multivariate, multilevel modeling approach, differences in perceptions of adolescents' autonomy between parents and each adolescent, as well as by social-cognitive domain were examined. The present study found that when comparing parents' perceptions of their children at the same age, second-borns were granted more autonomy regarding conventional issues than first-borns during early adolescence, but by later adolescence first-borns were granted more autonomy regarding prudential issues than second-borns. However, comparisons between adolescents' and siblings' perceptions showed no differences. Potential reasons for, and implications of, differences in perceptions of adolescent autonomy are discussed.

Domain differentiated disclosure to mothers and siblings and associations with sibling relationship quality and youth emotional adjustment.

Disclosure, or revealing personal information to others, is important for the development and maintenance of close relationships (Jourard, 1971; Rotenberg, 1995). More recently within developmental psychology, however, the focus has been the study of adolescent disclosure to parents as a means of information management regarding their daily activities. This research assumes that a) disclosure between multiple adolescents and parents within the same family are similar, and b) only information transmitted from adolescents to parents is important for adolescent well-being. Thus, this article presents the findings of 2 within-family studies to investigate differences in the amount and social domain (Smetana, 2006; Turiel, 2002) of youth disclosure to mothers versus siblings, and the influence of disclosure to siblings on relationship quality and youth emotional adjustment. Study 1 utilized 101 sibling dyads with youth ranging in age from 11-21 years, but all siblings living together. Study 2 investigated a sample of 58 sibling dyads in which all first-borns were first-year college students and all second-borns were in high school. All participants completed questionnaire measures to assess study variables. Findings revealed that while youth disclosed more to mothers than siblings, this difference disappears by emerging adulthood, particularly depending on the domain of the issue. Additionally, while greater disclosure among siblings was positive for the quality of the relationship, sibling disclosure was differentially associated with emotional adjustment depending on whether youth were the disclosers or being disclosed to, the domain of the issues disclosed, and the gender composition of the dyad.

Body Talk: Siblings' Use of Positive and Negative Body Self-Disclosure and Associations with Sibling Relationship Quality and Body-Esteem.

The sibling relationship has been deemed the quintessential "love-hate relationship." Sibling relationships have also been found to have both positive and negative impacts on the adjustment of youth. Unlike previous research, however, the present study examined the associations between siblings' positive and negative body-related disclosures with relationship quality and body-esteem. Additionally, ordinal position, individual sex, and sibling sex composition were tested as moderators. Participants included 101 predominantly White and middle class adolescent sibling dyads (54 % female adolescents, with relatively equal sibling gender compositions). Older siblings were, on average, 16.46 (SD = 1.35) years old with younger siblings an average of 13.67 (SD = 1.56) years. Adolescents completed questionnaires and data were analyzed using Actor-Partner Interdependence Modeling, which focused on disclosure to and from dyad members. In general, sibling body-related disclosure was positive for the quality of the sibling relationship, regardless of the valance of disclosure. Also, adolescents' body esteem was greater when adolescents reported disclosing (i.e., actor-effects) about positive or negative body issues to their siblings (particularly for females). Conversely, when adolescents received positive or negative body-related disclosures from their siblings (i.e., partner-effects), adolescents reported lower levels of body esteem (particularly for girls and younger siblings). Thus, the impact of body-related disclosure on adolescents' feelings of body esteem appear to be associated more with whether they are the discloser or the one being disclosed to, while the impact on the quality of the relationship has simply more to do with whether or not they are generally disclosing to one another.

Relational aggression and psychological control in the sibling relationship: mediators of the association between maternal psychological control and adolescents' emotional adjustment.

The association between mothers' psychological control and their children's emotional adjustment problems is well documented. However, processes that may explain this association are not well understood. The present study tested the idea that relational aggression and psychological control within the context of the sibling relationship may help to account for the relation between mothers' psychological control and adolescents' internalizing symptoms. Older (M = 16.46, SD = 1.35 years) and younger (M = 13.67, SD = 1.56 years) siblings from 101 dyads rated the psychological control they received from mothers and siblings, and the relational aggression they received from siblings. Despite some similarities between psychological control and relational aggression, confirmatory factor analyses provided evidence that the two sibling processes are distinct. Maternal psychological control was related to psychological control and relational aggression within the sibling relationship, which were related to adolescents' anxiety and depressed mood. In addition, sibling relational aggression was a more powerful mediator of the relationship between maternal psychological control and adolescent adjustment than sibling psychological control.

Do differences make the heart grow fonder? Associations between differential peer experiences on adolescent sibling conflict and relationship quality.

Though it is known that different familial relationships influence one another (e.g., Yu & Gamble, 2008) the influence of outside relationships (i.e., peers) on family dynamics (i.e., sibling relationships) is less clear. Thus, the authors examined the association differential peer experiences had on the conflict frequency, conflict intensity, and relationship quality of the sibling relationship. A 1-year longitudinal design measured first-born siblings in Grades 8, 10, and 12 along with their second-born siblings. In the first year, participants were brought to the university to complete questionnaires and in the following year, siblings again participated by completing online questionnaires at home. Results partially confirmed the study hypotheses that adolescents would show greater sibling conflict and poorer relationship quality with greater peer group differences, revealing that when peer group differences between siblings were greater, the youngest siblings reported more intense sibling conflicts (pe = -.10 p < .05), the oldest siblings reported greater relationship positivity (pe = .13 p < .05), and the oldest second-borns reported greater relationship negativity (pe = -.12 p < .10). These findings underscore the importance of investigating siblings' differential experiences beyond familial influence to focus on outside sources to better understand developmental fluctuations in siblings' relationships.

Differential associations between domains of sibling conflict and adolescent emotional adjustment.

Issues of equality and fairness and invasion of the personal domain, 2 previously identified topic areas of adolescent sibling conflict (N. Campione-Barr & J. G. Smetana, 2010), were examined in 145 dyads (Mfirst-born = 14.97, SD = 1.69 years; Msecond-born = 12.20, SD = 1.90 years) for their differential effects on youths' emotional adjustment over 1 year. The impact of internalizing symptoms on later sibling conflicts also was tested. Invasion of the personal domain conflicts were associated with higher levels of anxiety and lower self-esteem 1 year later, whereas Equality and Fairness issues were associated with greater depressed mood. Conversely, greater internalizing symptomatology and lower self-esteem predicted more of both types of conflict. Moderating influences of gender and ordinal position were also examined.