A longitudinal study of trainee psychologists’ tolerance of uncertainty, state anxiety and confidence in case formulation

Quinlan, Elly; Deane, Frank P.

doi:10.1080/00050067.2021.1965855

Cited by 6 publications

(10 citation statements)

References 70 publications

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“…Millroth and Frey (2021) found uncertainty predicted the fear of COVID-19 through experiences of anxiety. Quinlan and Deane (2021) also evidenced, in a medical sample, that uncertainty showed within-person fluctuations that predicted anxiety, which in turn influenced performance. Based on the literature, it can be inferred that negative affect arising from uncertainty might hinder employees’ adaptive capacity, leading to diminished levels of adaptive performance.…”

Section: Literature Review and Hypothesis Developmentmentioning

confidence: 85%

Uncertainty’s impact on adaptive performance in the post-COVID era: The moderating role of perceived leader’s effectiveness

Junça-Silva,

Caetano

2023

BRQ Business Research Quarterly

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This study builds upon existing research on daily adaptive performance by focusing on two main aspects: (1) the fluctuations within individuals concerning uncertainty in relation to daily negative affect and daily adaptive performance and (2) the variations between individuals in the perceived effectiveness of their leaders as a relevant boundary condition of these relationships. Data were gathered during a post-COVID phase from a sample of 176 Portuguese working adults, for 10 days, resulting in a total of 1,760 measurement occasions. The results of the multilevel analysis revealed a positive correlation between fluctuations in daily uncertainty and daily negative affect. Notably, this relationship was influenced by the perceived effectiveness of leaders. Specifically, the presence of an effective leader mitigated the heightened negative affect caused by increased uncertainty. In addition, the findings demonstrated a positive link between daily negative affect and daily adaptive performance. Moreover, a statistically significant indirect effect was observed, indicating that uncertainty led to fluctuations in adaptive performance through its impact on daily negative affect. Essentially, higher levels of uncertainty contributed to increased negative affect among employees, subsequently influencing their daily adaptive performance. It is important to note that this pathway was further influenced by the perceived effectiveness of leaders. In cases where employees perceived their leaders as less effective, the connection between negative affect and adaptive performance was more pronounced. This study underscores the significance of perceived effective leadership, particularly in unique contexts such as the post-COVID era: an effective leader is always good for affective regulation, but a less effective leader is not always bad regarding adaptive performance. This complexity prompts discussions on implications for both theoretical understanding and practical application. JEL CLASSIFICATION M0

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Section: Literature Review and Hypothesis Developmentmentioning

confidence: 85%

Uncertainty’s impact on adaptive performance in the post-COVID era: The moderating role of perceived leader’s effectiveness

Junça-Silva,

Caetano

2023

BRQ Business Research Quarterly

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“…A cross‐sectional, vignette‐based approach was adopted in line with previous literature looking at uncertainty with clinicians (Lawton et al., 2019 ; Quinlan & Deane, 2021 ). Participants were asked to complete nine demographic questions (e.g., age, sex, education) followed by the Intolerance of Uncertainty Scale – Short form (IUS‐12) (Carleton et al., 2007 ), adapted version of Physicians Reactions to Uncertainty Scale for Nurses (PRUS‐N) (PRUS: Gerrity et al., 1990 ), State‐Trait Anxiety Inventory (STAI) (Marteau & Bekker, 1992 ) and the two case vignettes that describe hypothetical residents with incremental levels of information provided to the participant.…”

Section: Methodsmentioning

confidence: 99%

What influences antibiotic initiation? Developing a scale to measure nursing behaviour in residential aged‐care facilities

Singh,

Degeling,

Drury

et al. 2024

Nursing Open

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AimThe purpose of the current study was to develop and assess the psychometric properties of a measure that captures nursing behaviours that have the potential to influence the initiation of antibiotics in residential aged‐care facilities.DesignCross‐sectional online survey.MethodOne hundred and fifty‐seven nurses completed an online survey. The survey consisted of two clinical vignettes and measures of tolerance of uncertainty and anxiety. The vignettes consisted of the most common presentations (urinary tract infections and upper respiratory tract infections) of two hypothetical residents in aged‐care facilities. The vignettes provided participants with incremental information with varying levels of symptoms, input from other people and availability of test results. Both vignettes were subjected to exploratory factor analysis.ResultsThe results focus on the 16 items in the second vignette which resulted in the extraction of three factors. The derived factors were labelled as follows: (i) Noting and Calling GP, (ii) Consult a Colleague and (iii) Immediate Assessment and Antibiotics. Reliability analysis revealed excellent to satisfactory reliability. All three scales were significantly correlated with measures of clinical tolerance of uncertainty, and the ‘noting and calling GP’ scale was also negatively correlated with measures of anxiety and general tolerance of uncertainty. The measure showed satisfactory reliability and validity for capturing nursing behaviours that have the potential to influence decisions regarding antibiotics. As such, the current study provides a first step towards addressing the lack of ecologically valid measures that capture the complex and nuanced context of nurses’ behaviours in RACF that have the potential to inform future stewardship interventions.

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“…Difficulties with uncertainty tolerance (UT) and the associated impacts on clinician well-being are well-known phenomena that affect clinicians across the continuum of experience (Burman et al, 2014; Quinlan & Deane, 2021; Weissenstein et al, 2014). Clinical uncertainty can result in a mix of cognitive, emotional, and ethical challenges that affect decision making, clinician well-being, and client outcomes (Alam et al, 2017).…”

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confidence: 99%

Effects of a brief mindfulness intervention program: Changes in mindfulness and self-compassion predict increased tolerance of uncertainty in trainee psychologists.

Pickard,

Deane,

Gonsalvez

2024

Training and Education in Professional Psychology

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Clinical training can represent a time of great uncertainty for trainee psychologists. Existing research has identified a relationship between low tolerance of uncertainty and a range of negative physiological and psychological reactions, as well as an increased potential for burnout. We developed a mindfulness program to support trainees in their clinical training and proposed that increased mindfulness and self-compassion would support an increase in the tolerance of uncertainty experienced by trainees. Postgraduate psychology students who completed the 6-week mindfulness program as part of the curriculum were invited to participate in the study. Pre-and postintervention measures regarding mindfulness, self-compassion, and tolerance of uncertainty were completed (n = 98). Significant increases in the mindfulness facets of nonjudging, nonreacting, and observing as well as self-compassion were found, while a significant decrease in Uncertainty Reluctance to Disclose and Uncertainty Stress was also noted. Regression models revealed that the change in mindfulness facets nonjudging and nonreacting represented the largest effect on Uncertainty Reluctance to Disclose, while the change in self-compassion represented a smaller, significant effect. Nonjudging and self-compassion were found to have a marginal but not significant effect on Uncertainty Stress. Supporting trainee psychologists to tolerate the uncertainty inherent to clinical work is an important aspect of university training programs. Mindfulness programs can support student learning and potentially reduce burnout through the promotion of a nonjudging, nonreactive, and self-compassionate stance that may encourage trainees to disclose their uncertainty and seek support. Public Significance StatementThis study highlights the role of mindfulness and self-compassion in increasing the tolerance of uncertainty in trainee psychologists. Findings support the inclusion of mindfulness programs in clinical training, to support students learning and potentially reduce burnout.

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A longitudinal study of trainee psychologists’ tolerance of uncertainty, state anxiety and confidence in case formulation

Cited by 6 publications

References 70 publications

Uncertainty’s impact on adaptive performance in the post-COVID era: The moderating role of perceived leader’s effectiveness

Uncertainty’s impact on adaptive performance in the post-COVID era: The moderating role of perceived leader’s effectiveness

What influences antibiotic initiation? Developing a scale to measure nursing behaviour in residential aged‐care facilities

Effects of a brief mindfulness intervention program: Changes in mindfulness and self-compassion predict increased tolerance of uncertainty in trainee psychologists.

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