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An Ecological Validation of Nurse Training in Behaviour Therapy

Published online by Cambridge University Press:  16 June 2009

Derek Milne
Derek Milne
Affiliation:
Department of Psychology, Stanley Royd Hospital, Wakefield, West Yorkshire, WF1 4DQ
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Extract

Behavioural ecology is a perspective within applied behaviour analysis which focuses on the complex relationship between interacting parts of a system, and particularly on the untargeted “side-effects” of interventions. This article considers two ecological effects of a large-scale nurse training venture in which 65 qualified psychiatric nurses received a one week in-service training in behaviour therapy. The effects of this training on two untargeted parameters, the nurses' clinical case notes (response generalization; N = 73) and ward teaching (generalization across subjects; N = 50) were evaluated via a combination of time-series and control group designs. The results indicated that the case notes became significantly more descriptive and less subjective, and that the learners developed significantly superior skills and knowledge in behaviour therapy as a consequence of the in-service training. These findings are discussed in terms of nurse training and behavioural ecology. The implication is that evaluations to date have generally been ecologically invalid, and that research on this topic would benefit from a more complex, naturalistic perspective.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 13 , Issue 1 , January 1985 , pp. 14 - 28
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

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References

Baer, D. M. (1974). A note on the absence of a Santa Claus in any known ecosystem: a rejoinder to Willems. Journal of Applied Behaviour Analysis 7, 167–170.Google Scholar
Baer, D. M., Wolf, M. M., and Risley, T. R. (1968). Some current dimensions of applied behaviour analysis. Journal of Applied Behaviour Analysis 1, 91–97.Google Scholar
Berger, M. (1979). Behaviour modification in education and professional practice: the dangers of a mindless technology. Bulletin of the British Psychological Society 32, 418–419.Google Scholar
Berne, R. and Fordyce, W. C. (1973). Behaviour Modification and the Nursing Process. London: Mosby.Google Scholar
Bernstein, G. S. (1982). Training behaviour change agents: a conceptual review. Behaviour Therapy 13, 1–23.Google Scholar
Bouchard, M. A.Wright, J., Mathieu, M., Laloude, F., Bergeron, G. and Tompin, J. (1980). Structured learning in teaching therapists social skills: training, maintenance, and impact on client outcome. Journal of Consulting and Clinical Psychology 48, 491–502.CrossRefGoogle ScholarPubMed
Briggs, A. (Chairman) (1972). Report of the Committee on Nursing. London: H.M.S.O.Google Scholar
Caine, T. M. and Smail, D. J. (1968). Attitudes of psychiatric nurses to their role in treatment. British Journal of Medical Psychology 41, 193–197.Google Scholar
Campbell, D. E., Steenbarger, B. N., Smith, T. W. and Stucky, R. J. (1982). An ecological systems approach to evaluation. Evaluation Review 6, 625–648.Google Scholar
Drabman, R. S., Hammer, D. and Rosenbaum, M. A. (1979). Assessing generalization with children: the generalization map. Behavioural Assessment 1, 203–219.Google Scholar
Fisher, E. B., Winkler, R. C., Krasner, L., Kagal, J., Battalio, R. C. and Basmann, R. L. (1978). Economic perspectives in behaviour therapy: complex interdependencies in token economies. Behaviour Therapy 9, 391–403.Google Scholar
Fretwell, J. E. (1982). Ward Teaching and Learning London: Royal College of Nursing.Google Scholar
Geddes, J. D. C. (1969). Telling isn't teaching—and listening isn't learning. Nursing Times, 65, 116–117.Google ScholarPubMed
General Nursing Council (1969). Syllabus of Subjects for Examination and Record of Practical Instruction and Experience for the Certificate of General Nursing. London: The General Nursing Council for England and Wales.Google Scholar
Hall, J. N. (1974). Nurses' attitudes and specialised treatment settings: an exploratory study. British Journal of Social and Clinical Psychology 13, 333–334.Google Scholar
Hall, J. N. and Baker, R. (1973). Token economy systems: breakdown and control. Behaviour Research and Therapy 11, 253–263.Google Scholar
Horner, R. D. (1973). Three years of attendant application of behaviour modification. In Advances in Behaviour Therapy. Rubin, R.D. et al. (Eds) New York: Academic Press.Google Scholar
James, D. (1972). Trends in nurse education. Nursing Times. 24 February, Occasional Paper.Google Scholar
Kanfer, F. H. and Saslow, G. (1969). Behavioural diagnosis. In Behaviour Therapy: Appraisal and Status, Franks, C. M. (Ed.) New York: McGraw-Hill.Google Scholar
Kazdin, A. E. and Bootzin, R. R. (1972). The token economy: an evaluative review. Journal of Applied Behaviour Analysis 5, 343–371.Google Scholar
Keefe, F. J.Kopel, S. A. and Gordon, S. B. (1978). A Practical Guide to Behavioural Assessment. New York: Springer.Google Scholar
Keeley, S. M., Shemberg, K. M. and Carbonell, I. (1976). Operant clinical intervention: behaviour management or beyond? Where are the data? Behaviour Therapy 7, 292–305.Google Scholar
Macguire, J. (1969). Threshold to Nursing. London: G. Bell & Sons Ltd.Google Scholar
Marson, S. N. (1982). Ward sister—teacher or facilitator? An investigation into the behavioural characteristics of effective ward teachers. Journal of Advanced Nursing 7, 347–357.Google Scholar
McIntyre, N. and Day, A. J. G. (1972). Can we write better notes? British Journal of Hospital Medicine, 05, 603–611.Google Scholar
Milne, D. L. (1984a). A review of the in-service training of nurses in behaviour therapy. Behavioural Psychotherapy (in press).Google Scholar
Milne, D. L. (1984b). The development and evaluation of a structured learning format introduction to behaviour therapy for psychiatric nurses. British Journal of Clinical Psychology (in press).Google Scholar
Milne, D. L. (1984c). Improving the social validity and implementation of nurse training in behaviour therapy using a patient-centred learning format. British Journal of Clinical Psychology (in press).Google Scholar
Milne, D. L. (1984d). Skill evaluations of nurse training in behaviour therapy. Behavioural Psychotherapy 12, 142–150.Google Scholar
Milne, D. L. (1984e). An observational evaluation of the effects of nurse training in behaviour therapy on unstructured ward activities and interactions. British Journal of Clinical Psychology (in press).Google Scholar
Ministry of Health (1968). Nursing Work in General Hospital Wards. London: H.M.S.O.Google Scholar
Montgomery, J. and McBurney, R. D. (1970). Problems and pitfalls of establishing an operant conditioning-token economy programme. Mental Hygiene 54, 382–387.Google Scholar
Novaco, R. W. and Monahan, J. (1980). Research in community psychology: analysis of work published in the first six years of the American Journal of Community Psychology 8, 131–145.Google Scholar
O'Dell, S. L., Tarler-Benlolo, L. and Flynn, J. M. (1979). An instrument to measure knowledge of behavioural principles as applied to children. Journal of Behaviour Therapy and Experimental Psychiatry 10, 29–34.Google Scholar
Ogier, M. E. (1982). An Ideal Sister? London: Royal College of Nursing.Google Scholar
Raynes, N. V., Pratt, M. W. and Roses, S. (1979). Organisational Structure and the Care of the Mentally Retarded. London: Croom-Helm.Google Scholar
Repucci, N. D. (1977). Implementation issues for the behaviour modifier as institutional change agent. Behaviour Therapy 8, 594–605.Google Scholar
Repucci, N. D. and Saunders, J. T. (1974). Social psychology of behaviour modification. American Psychologist, 09, 649–660.Google Scholar
Richards, C. C. (1975). The politics of a token economy. Psychological Reports 36, 615–621.CrossRefGoogle ScholarPubMed
Rogers-Warren, A. and Warren, S. F. (1977). Ecological Perspectives in Behaviour Analysis. Baltimore: University Park Press.Google Scholar
Sanson-Fisher, B. and Jenkins, H. J. (1978). Interaction patterns between inmates and staff in a maximum security institution for delinquents. Behaviour Therapy 9, 703–716.Google Scholar
Seidman, E. and Rappaport, J. (1974). The educational pyramid: a paradigm for training, research and manpower utilization in community psychology. American Journal of Community Psychology 2, 119–130.Google Scholar
Steger, J. C., Shelton, J. L., Beukelman, D. R. and Fowler, R. S. (1981). Pinpointing: one method of improving staff compliance with rehabilitation regimens. Journal of Behavioural Medicine 4, 53–64.Google Scholar
Stein, T. J. (1975). Some ethical considerations of short-term workshops in the principles and methods of behaviour modification. Journal of Applied Behaviour Analysis 8, 113–115.Google Scholar
Stokes, T. F. and Baer, D. M. (1977). An implicit technology of generalization Journal of Applied Behaviour Analysis 10, 349–367.CrossRefGoogle ScholarPubMed
Stolz, S. B. (1981). Adoption of innovations from applied behavioural research: does anybody care? Journal of Applied Behaviour Analysis 14, 491–505.Google Scholar
Warren, S. F. (1977). A useful ecobehavioural perspective for applied behaviour analysis. In Ecological Perspectives in Behaviour Analysis, Rogers-Warren, A. and Warren, S. F. (Eds). Baltimore: University Park Press.Google Scholar
Watson, L. S., Gardner, J. M. and Sanders, C. (1971). How to use Behaviour Modification with Mentally Retarded and Autistic Children: Programmes for Administrators, Teachers, Parents and Nurses. Behaviour Modification Technology Ltd, Illinois.Google Scholar
Wehman, P., Abramson, M. and Norman, C. (1979). Transfer of training in behaviour modification programmes: an evaluative review. Journal of Special Education, 11, 217–231.Google Scholar
Wicker, A. W. (1981). Nature and assessment of behaviour settings: recent contributions from the ecological perspective. In Advances in Psychological Assessment, McReynolds, P. (Ed.) San Francisco: Jossey-Bass.Google Scholar
Willems, E. P. (1973). Go ye into all the world and modify behaviour: an ecologist's view. Representative Research in Social Psychology, 4, 93–105.Google Scholar
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