Psychiatric nursing is a stressful profession associated with high levels of burnout. Previous research has demonstrated that burnout in psychiatric nurses can be reduced via training that improves behaviour modification skills. However, the minimum amount of training required to demonstrate a beneficial effect is unclear. We evaluated the impact of a 4-day behaviour modification training program on stress, burnout, and therapeutic attitudes in nurses who were in frequent daily inpatient contact with patients with severe mental illnesses. Nurses working in the same wards served as a control group. Training improved therapeutic attitudes but did not alter self ratings of job-stress and burnout. The need for multi-pronged approaches to the prevention and treatment of burnout in psychiatric nurses is discussed.

Clinician optimism is an important factor in achieving treatment outcomes in counselling contexts. Currently, there are no measures of mental health clinician optimism which report substantial psychometric validation. This study sought to assesses the validity and reliability of the Therapeutic Optimism Scale (TOS). 223 mental health clinicians working in a range of clinical settings were administered the TOS and convergent and discriminate validity were established. Test–retest reliability was established over a period of 1 month. The TOS was found to achieve acceptable reliability (Cronbach's α = .68) and yielded consistent scores over a one month period (r = .68, p < .01). Factor analyses revealed a 3-factor solution reflecting (1) General Treatment Outcome Expectancy, (2) Personal Treatment Outcome Expectancy, and (3) Pessimism. These findings support the utility of the TOS for research purposes, but further revision is recommended to enhance the reliability of the scale.

Fifty patients with myocardial infarction were recruited from a hospital based Cardiac Education and Assessment Program (CEAP) in Sydney, Australia. The Exercise Motivation Inventory-2 (EMI-2) and the Depression, Anxiety and Stress Scale (DASS) were administered prior to commencement in the program and re-administered by telephone interview at 5-month followup. Four exercise adherence measures were completed: attendance, exercise stress test, self-report ratings and a 7-day activity recall interview. There was a 46% adherence rate for MI patients during the hospital based CEAP. Of those individuals who completed CEAP, 91% obtained functional improvement on the exercise stress test. For the 38 patients who were followed-up by telephone interview at 5 months, 71% were exercising according to CEAP prescription. Higher levels of anxiety were associated with lower levels of self-reported exercise adherence. The 3 strongest motivations for exercise in this group of MI patients were all health related; wanting to be free from illness, maintaining good health and recovering from the effects of coronary heart disease. The discussion highlights the implications of these findings for cardiac rehabilitation programs and the need for empirically driven guidelines for measuring exercise adherence.

Few studies report long term follow-up of community gatekeeper training programs that aim to facilitate help-seeking for suicide and there are none in Aboriginal communities. This study aimed to determine long term effects of the Shoalhaven Aboriginal Suicide Prevention Program (SASPP), which used community gatekeeper training as its primary strategy. Following consultation with the Aboriginal community, a brief questionnaire and semi-structured interview was completed by 40 participants who attended a community gatekeeper workshop 2 years earlier. Fifteen of the 40 participants stated that they had helped someone at risk of suicide over the 2-year follow-up period. Intentions to help and confidence to identify someone at risk of suicide remained high. A significant relationship was found between intentions to help prior to the workshop and whether participants had actually helped someone at risk of suicide. Correlations suggested a link between intentions to help, and subsequent help provision. However, it is unclear whether workshop attendance contributed to this effect. Future prevention programs need to be customised to specific Aboriginal communities to reduce barriers to helpseeking behaviour.

This article begins by reviewing some findings contained in the recent report: Gender, Workplace Injury and Return to Work (2005), before elaborating a relational perspective on gender and its importance to rehabilitation counselling. The article presents data about gender and injury in and out of workplaces, with a special interest in gendered data. Data is also presented about gender of rehabilitation counsellors, before reflecting on the complexity associated with gendered professionals and injured older men. The article draws on Australian data sets, and takes a critical sociological approach.

People with disabilities often face physical, social, and psychological barriers in daily life because of inaccessible structures and disability prejudice. The online medium's physically, nontaxing capacity for participation as well as a lack of visually mediated cues can potentially eliminate such barriers. This study discursively explored the psychological meaning of what it meant to be online for people with disabilities, focusing on possibilities for operating beyond their standard practices in daily life. Participants were recruited from various disability organisations in New Zealand and were invited to take part in an online interview. The notion of transcending barriers to participation formed a broad pattern in participants' data. This talk comprised 3 linguistic resources: life-altering, overcoming physical barriers, and disconnecting disability. Each resource offered participants a highly positive and significant transformation in subjectivity, enabling people with disabilities to be positioned as equal members of society.