Parenting Support as Policy Field: An Analytic Framework
This article develops an analytic framework for parenting support, treating it as both a form of social policy and a measure that intervenes more broadly in politics and society. It is suggested that, as a form of social policy, parenting support can be examined through analytical categories that are classic to social policy, such as: the nature of the offer or ‘good’ to parents, the modality of provision, conditions of access and operation, the policy setting and linkages to other policies, the unfolding of the policy over time and historical roots, philosophical underpinnings and dominant professional influences. In a second layer, the social and political roots and orientations of parenting support have to be investigated. When one does this by, for example, identifying the main actors involved in parenting support and the rationales and claims made for parenting support as a policy response, it becomes obvious that parenting support can be either a benign project of support or part of a more controlling educative or retraining exercise.
Parenting Support in England: The Bedding Down of a New Policy
This article enquires into how parenting support, as concept, policy and provision, has penetrated the English social policy landscape, and critically considers why it has proved so popular with policy makers. It first outlines the existing policy configuration. The second section identifies some key factors precipitating the roll-out of parenting support and the third section takes an overview of the significance of the developments from a social and family policy perspective. The argument advanced is that the growth and expansion of parenting support is explained by a coming together of a set of political exigencies around ‘risk’ and the healthy child, and a set of policy ‘solutions’ which are seen to have high promise. In particular, parenting support has the advantage of being relatively easily generalisable (especially in the form of programmes) and aligns with several current developments of the welfare state, towards activation, provision of support through services and an interest in localism.
Nurse responsiveness to cancer patient expressions of emotion.
OBJECTIVE
This theoretically based study examined nurse responses to cancer patient expressions of emotion using a videotaped, simulated cancer patient.


METHODS
This study used an experimental crossover design with a videotaped patient expressing anger, sadness, and neutral emotion to elicit nurse responses. Seventy-four nurses from eight sites participated. Responses were coded using Roter interaction analysis system. Correlations explored relationships between variables that impact communication (age, gender, work experience, trait anxiety, work stress, self-efficacy). Regression models explored the effect of variables on nurse affective responsiveness.


RESULTS
Patient expressions of sadness elicited more affective responses than anger. Expressions of anger or neutral emotion elicited more instrumental behaviors than sadness. Variables such as age, work stress and work experience were significantly correlated. No variables predicted affective responsiveness to patient expressions of anger or sadness.


CONCLUSION
Nurse communication showed significant variation in response to patient emotional expressions. Understanding the relationships between demographic, personality, and work variables, and identification of new variables that influence nurse-patient communication, has implications for interventional studies.


PRACTICE IMPLICATIONS
Over 90% of the participants indicated that the videotape simulation would be a useful method for teaching and practicing communication skills with patients expressing emotions.