Findings from research studies on the needs of siblings of children with cancer have highlighted the imperative that these siblings be supported and involved in the plan of care when a diagnosis of cancer is made. However, few studies have included the perspective of the nurse when evaluating sibling needs or identifying interventions used to meet the needs. This qualitative descriptive study used a combination of individual interviews and a focus group to capture perspectives from 13 pediatric oncology nurses employed at a leading Children's Hospital located in the northeast. Transcripts were analyzed for content and theme in relation to the 2 research questions. Needs identified included getting attention, wanting to know, having fears/worries, feeling at fault, wanting to help, and wanting a normal routine, whereas interventions identified included recognizing their needs, getting siblings involved, sharing appropriate information, being a resource, giving support, and bending the rules. Findings support previous studies that document the variety of needs experienced by siblings of children with cancer and offer examples of nursing interventions to meet these needs.

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The authors studied the relationships between adult workers' spiritual well‐being and job satisfaction. Two hundred participants completed 2 instruments: the Spiritual Well‐Being Scale (C. W. Ellison & R. F. Paloutzian, 1982) and the Minnesota Satisfaction Questionnaire Short Form (D. J. Weiss, R. V. Dawis, G. W. England, & L. H. Lofquist, 1967). A bivariate correlational analysis showed spiritual well‐being, religious well‐being, and existential well‐being to be positively related to job satisfaction for this sample. With a forced‐entry multiple regression analysis, overall spiritual well‐being was found to have a moderate influence, existential well‐being had a much stronger influence, and religious well‐being had a minimal influence all on, general job satisfaction.

The authors explore the use of metaphors as a training tool for beginning counselors for enhancing client case conceptualization, counselor‐client relationships, and intervention strategies. The history of the use of metaphors in counseling, several definitions, and a case study are presented. The authors discuss intentional use of metaphors with students in training and with clients. How to introduce the use of metaphors into counselor training and practice is also included.

Career development is a lifelong process beginning with career choice. However, career choice alone does not guarantee career success. Rather than focus on choosing a career, the theory of work adjustment (TWA) focuses on the process of becoming an exemplary employee through each stage of an individual's career. Within TWA, employee relationships with peers and bosses create reputations that may help or hinder promotion. Understanding attachment theory in relation to TWA may help clients to become more successful in their career. Case examples explain how employment counselors may integrate TWA and attachment theory with clients.