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Psychometric Testing Of The Collaborative Behavior Scale-Shortened (Cbss), Jaynelle F. Stichler
Psychometric Testing Of The Collaborative Behavior Scale-Shortened (Cbss), Jaynelle F. Stichler
International Nursing Research Congress (INRC)
Session presented on: Thursday, July 25, 2013:
Purpose: The purpose of this study was to test the psychometric properties of shortened version of the original Collaborative Behavior Scale (CBS; Cronbach's alpha = .97). Interprofessional and intraprofessional collaboration in nursing has significant effects on nurse job satisfaction, job stress, organizational commitment, professional practice, and optimal patient outcomes; therefore an instrument to measure collaborative behavior is important to nursing and healthcare.
Methods: A multi-method approach was used to test psychometric properties of the shortened version of the CBS. Using a panel of five experts, 8 items were chosen from the original 20 …
Impact Of A Peer-Led Educational Program On Knowledge And Attitudes About Prevention Of Substance Abuse Among Lebanese/Armenian Adolescents, Mary Arevian
International Nursing Research Congress (INRC)
Session presented on: Tuesday, July 23, 2013:
Purpose: to evaluate the extent to which participation in a peer-led educational program about substance abuse produces changes in knowledge and attitudes among Lebanese/Armenian adolescents.
Methods: A quasi-experimental study. A convenient sample of 134 high school students, from two Armenian high schools in Beirut were recruited. Design: Pretest-posttest; students completed a questionnaire before and one week after an educational program implemented by two peer-educators, who had participated in a 'training-trainees' project about prevention of substance abuse. The educational program provided students with knowledge and skills to resist social influences to engage in substance …
The Causes Of Child Labour: A Sample Of Children Working On The Streets In Turkey, Kader Mert, Hasibe Kadioglu
The Causes Of Child Labour: A Sample Of Children Working On The Streets In Turkey, Kader Mert, Hasibe Kadioglu
International Nursing Research Congress (INRC)
Session presented on: Friday, July 26, 2013:
Purpose: The purpose of the research was to conduct an in-depth examination in a neighborhood where many children were working on the streets in order to determine the factors contributing to this occurrence.
Methods: This is a qualitative study. The research data was collected using the technique of individual in-depth interviews. The study encompassed interviews with seven children working on the streets, nine mothers whose children were working on the streets. The interviews took place at home visits conducted over the period May-July 2011. Data were evaluated content analysis. In the content analysis …
Tuberculosis In Nunavut: One Community's Initiative To Promote Awareness Through An Organized Community Health Fair, Dora Maria Carbonu
Tuberculosis In Nunavut: One Community's Initiative To Promote Awareness Through An Organized Community Health Fair, Dora Maria Carbonu
International Nursing Research Congress (INRC)
Session presented on: Thursday, July 25, 2013:
Purpose: Tuberculosis (TB) is a major public health problem, with a profound impact on the health of the population of Nunavut, where the highest number of 101 new active cases, were documented in 2010, a population rate 62 times the Canadian average, and involved adolescents and young adults. About 50% of the recorded cases were located in the capital city, placing a high demand on all sectors to enhance public health measures.
Methods: Evidence from one community's efforts to promote TB awareness, with related health behaviors, attitudes, and life styles, suggested that stigmatization …
Attitude Of Nurses Towards The Use Of Braden Scale In Intensive Care Units And Medical Wards, Joemer Calderon Maravilla
Attitude Of Nurses Towards The Use Of Braden Scale In Intensive Care Units And Medical Wards, Joemer Calderon Maravilla
International Nursing Research Congress (INRC)
Purpose: This cross-sectional, descriptive correlational study investigated the relationship between the nurses' clinical area and their attitude towards the use of Braden Scale. Methods: Thirty nine and thirty two full time staff nurses (n=71), working from intensive care units and medical wards respectively, who at least experienced using the Braden Scale were selected through purposive sampling. Pilot tested and validated questionnaire was circulated in two tertiary hospitals in Metro Manila, Philippines to assess their attitude towards the use of Braden Scale (response rate = 64%). Results: Staff nurses from the intensive care units and medical wards both showed …
Student Attitudes And Readiness Outcomes Of A Community-Based Interprofessional Education (Ipe) Program Focused On Practice Change Innovation, Year One, Susan J. Kimble, Margaret Brommelsiek
Student Attitudes And Readiness Outcomes Of A Community-Based Interprofessional Education (Ipe) Program Focused On Practice Change Innovation, Year One, Susan J. Kimble, Margaret Brommelsiek
International Nursing Research Congress (INRC)
Session presented on: Wednesday, July 24, 2013:
Background: This project created an Interprofessional Collaborative Practice Model (IPCP) at two community-based urban clinics extending classroom IPE experiences. IPE is a growing area of interest in the healthcare professions, focused on roles/responsibilities; values/ethics; communication, and teamwork (IPE Expert Panel Report, 2011). The project provided innovative opportunities, placing health professionals and graduate students from the UMKC's Schools of Nursing, Dentistry, and Pharmacy. The objective was improving health outcomes in patient centered care through IPCP which provided primary, preventative, and mental health care services to underserved populations. Both clinics are located in a health …
Student's Decision Making Using An Educational Model Focused On Patient Safety, Mary Gay Tesoro
Student's Decision Making Using An Educational Model Focused On Patient Safety, Mary Gay Tesoro
International Nursing Research Congress (INRC)
Session presented on: Wednesday, July 24, 2013:
Purpose: To describe the theoretical framework of the Developing Nurses' Thinking (DNT) model and discuss its use to facilitate clinical decision making in pre licensure and RN to BS nursing students.
Methods: The DNT model was initially tested with 83 students from two schools in a two-group pre and posttest quasi-experimental study. Clinical groups in the first clinical course were randomly assigned to control and intervention groups. Students in the intervention group used the DNT model during post conference and students in the control group attended traditional post conferences over a two week …
Developing Volunteer Spirit Model Of Hiv Prevention At Schools In Bangkok, Duangkamol Wattradul
Developing Volunteer Spirit Model Of Hiv Prevention At Schools In Bangkok, Duangkamol Wattradul
International Nursing Research Congress (INRC)
Session presented on: Friday, July 26, 2013:
Purpose: Nearly 30% of the new HIV infections in Thailand are in teenagers due to their unaware of the risks of unsafe sexual behavior. Thus, HIV/AIDS education program at schools has focused on preventing sexual transmission of HIV. This study was aimed to assess the knowledge and awareness of HIV prevention among teens and to develop volunteer spirit model of HIV prevention at schools.
Methods: Participatory action research was conducted. Capacity building of volunteer spirit and skill building of HIV prevention were provided for 1765 teens at 20 schools in Bangkok. Data were …
Reducing Recidivism Among Youthful Offenders: Evidence-Based Practice Strategies, Kate Shade
Reducing Recidivism Among Youthful Offenders: Evidence-Based Practice Strategies, Kate Shade
International Nursing Research Congress (INRC)
Session presented on: Wednesday, July 24, 2013:
In the United States, housing youth in prison with an orientation toward punishment is becoming a thing of the past. Instead, the justice system is returning to a rehabilitation model (Mendel, 2010). However, the U.S. continues to incarcerate more youth than any other country in the world (Raphael, 2011). Effective treatment programs are limited in number and are costly. A meta-analysis of interventions for youthful offenders determined that greater than 50% of the juveniles incarcerated in the U.S. return to the justice system as adults (Lipsey, 2009). The purpose of this presentation is …
The Nursing As An Additional Language And Culture (Nalc) Program For Student Success, E. Renee Cantwell, Daria B. Napierkowski
The Nursing As An Additional Language And Culture (Nalc) Program For Student Success, E. Renee Cantwell, Daria B. Napierkowski
International Nursing Research Congress (INRC)
Session presented on: Wednesday, July 24, 2013:
Purpose: The Nursing as an Additional Language and Culture Program (NALC) is an educational intervention designed to enhance retention by minimizing barriers to success in an accelerated nursing program.
Methods: The NALC program is a nine day, pre ABSN program consisting of activities that introduce the nusring student to the new languages and cultures of the nursing profession. Successful students and alumni of the ABSN program visit and discuss strategies for success in the nursing program. Mentors are developed and study groups are formed. Preprogram TEAS testing is administered to provide insight as …
Optimizing Hospital Rn Role Competency Leads To Improved Patient Outcomes, Lynn Forsey, Maria W. O'Rourke
Optimizing Hospital Rn Role Competency Leads To Improved Patient Outcomes, Lynn Forsey, Maria W. O'Rourke
International Nursing Research Congress (INRC)
Session presented on: Tuesday, July 23, 2013:
Purpose: This session will report results from a program designed to improve patient outcomes through enhanced nurse professional role competency. Professional role competency behaviors are required to fully realize the Institute of Medicine's Future of Nursing goals regarding full scope of practice and enhanced leadership roles in future patient care delivery. Professional Role theory posits that'confusion about nurse role accountability, responsibility and authority can result in a task-based versus professional focus. This role confusion was felt to be a barrier to optimizing RN scope that leads to practice excellence.
Methods: A pre/post design …
Stigma In Sickle Cell Disease Scale Development: A Pilot Study In Adults And Family/Caregivers In The U.S. And Nigeria, Linda D. Wagner, Robin Leger, Victoria Odesina
Stigma In Sickle Cell Disease Scale Development: A Pilot Study In Adults And Family/Caregivers In The U.S. And Nigeria, Linda D. Wagner, Robin Leger, Victoria Odesina
International Nursing Research Congress (INRC)
Session presented on: Thursday, July 25, 2013:
Purpose: Individuals with chronic genetic conditions experience personal and family stigma throughout their lives. Stigma associated with genetically inherited conditions is noted to negatively impact health-related quality of life and community participation. Stigma in sickle cell disease (SCD) was appraised via pilot study for instrument development, testing for face validity and preliminary psychometrics.
Methods: Community Based Participatory Research methods were used to select 42 participants for survey and feedback. The authors adapted the likert type stigma scale from the epilepsy literature, developing two surveys, one for the individual and one for caregiver/family member. …
Development And Psychometric Testing Of A Post-Anesthesia Care Unit Discharge Scoring System, Laurie Ecoff, Kristen Vacinek, Jeanne Palomo, Jaynelle F. Stichler
Development And Psychometric Testing Of A Post-Anesthesia Care Unit Discharge Scoring System, Laurie Ecoff, Kristen Vacinek, Jeanne Palomo, Jaynelle F. Stichler
International Nursing Research Congress (INRC)
Session presented on: Monday, July 22, 2013:
Purpose: Accurate assessment of the patient's status post-operatively is critical prior to discharge from the Post Anesthesia Care Unit (PACU) to a nursing unit. The current discharge scoring system did not accurately predict readiness for discharge from the PACU. The purpose of the study was to develop and psychometrically test a PACU discharge scoring system.
Methods: A literature search was conducted for a reliable and valid PACU discharge scoring system. Although several systems were found, no system contained all criteria important for a safe discharge. Gaps included pain, nausea, hypertension, oxygenation, temperature, and …
Reducing Falls In Outpatients: Evaluation Of Fall Risk Assessment And Identification Of Fallers, Katherine Diane Pendleton-Romig
Reducing Falls In Outpatients: Evaluation Of Fall Risk Assessment And Identification Of Fallers, Katherine Diane Pendleton-Romig
International Nursing Research Congress (INRC)
Session presented on: Thursday, July 25, 2013:
Purpose: The purpose of the project aimed to study occurrences of injurious falls in outpatient areas in a health care facility with a focus on how falls can be mitigated. Prevention of falls is a national patient safey goal. Research shows that falls are more likely among older adults; however, falls may be preventable if fall risk screening and education could be started before patients become older adults. Risk factors and support factors are viewed as higher priorities for fall prevention than physiological measures.
Methods: The project was conducted in the internal medicine …
Influence Of Personal And Contextual Factors And Cognitive Appraisal On Quality Of Life Over Time In Persons Newly Diagnosed With Cancer, Theresa A. Kessler
Influence Of Personal And Contextual Factors And Cognitive Appraisal On Quality Of Life Over Time In Persons Newly Diagnosed With Cancer, Theresa A. Kessler
International Nursing Research Congress (INRC)
Session presented on: Tuesday, July 23, 2013:
Purpose: As cancer treatment has become more successful, measurement of outcomes focusing on quantity, such as disease free survival, mortality, and cancer relapse rates, are insufficient. It is important to understand how individuals newly diagnosed with cancer perceive their experience and manage the day to day effects of treatment over time. The purpose of this study was to assess personal and contextual factors and cognitive appraisals and their impact on quality of life over time for individuals facing a new diagnosis of cancer.
Methods: Using a longitudinal design, 120 individuals were recruited from …
Portuguese Version Of The Inventory Of Functional Status-Fathers (Ifs-F): Validation Study, Isabel Mendes, Rogerio Clemente Rodrigues, Sonia Coelho
Portuguese Version Of The Inventory Of Functional Status-Fathers (Ifs-F): Validation Study, Isabel Mendes, Rogerio Clemente Rodrigues, Sonia Coelho
International Nursing Research Congress (INRC)
Session presented on: Tuesday, July 23, 2013: Purpose: The aim of this study was to validate the Inventory of Functional Status-Fathers (IFS-F) to the Portuguese version, showing its reliability and validity, adapted to first-time fathers in the postpartum period. Methods: The Inventory of Functional Status-Fathers (IFS-F) was developed by Tulman, Fawcett and Weiss (1993) to evaluate the functional status of fathers in postpartum. For the development of the Portuguese version of IFS-F, we followed two directives: (a) the linguistic and cultural adaptation to Portuguese language and (b) the psychometric study of this version, comparing it with the original. The IFS-F …
Increasing Muscle Strength, Self-Efficacy, And Quality Of Life In People With Tetraplegic Spinal Cord Injuries: A Nurse-Coached Intervention, Susan B. Sheehy
Increasing Muscle Strength, Self-Efficacy, And Quality Of Life In People With Tetraplegic Spinal Cord Injuries: A Nurse-Coached Intervention, Susan B. Sheehy
International Nursing Research Congress (INRC)
Session presented on:Tuesday, July 23, 2013:
Purpose: The purpose of this study was to determine if a nurse-coached program of exercise for people with tertaplegtic spinal cord injuries would result in increased muscle strength, increased self-efficacy scores, and a higher quality of life
Methods: This was a single subject, multiple baseline, across subjects, A-B design. There were ten participants in the study (N=1, ten times) that took place over a two-year period of time. Exercises were designed specifically for people with tetraplegic injuries. Each participant was coached three times a week, in three-hour sessions, over six months. Baseline measurements were …
Pathways To Obesity: Implications Of A Shifting Obesity Paradigm For Nursing Research, Mary Madeline Rogge
Pathways To Obesity: Implications Of A Shifting Obesity Paradigm For Nursing Research, Mary Madeline Rogge
International Nursing Research Congress (INRC)
Session presented on: Tuesday, July 23, 2013:
Purpose: Obesity is recognized as a global health problem. The calories in-calories out paradigm of obesity has been only marginally successful in preventing or treating obesity, and fails to explain why some people overeat or under-exercise. The purpose of the research was to identify and organize a new conceptual model of factors associated with the development and progression of obesity based on the pathophysiological bases for these associations.
Methods: Theory synthesis was utilized to organize research findings of adipogenic factors into a model of obesity pathophysiology. A literature review based on search terms …
A Smoking Cessation Intervention For People With Chronic Hepatitis C: A Randomised Controlled Trial, Carol L. Reid, Mary Fenech
A Smoking Cessation Intervention For People With Chronic Hepatitis C: A Randomised Controlled Trial, Carol L. Reid, Mary Fenech
International Nursing Research Congress (INRC)
Session presented on: Wednesday, July 24, 2013:
Purpose: The purpose of this study was to examine the validity of current practice in smoking cessation for the general population i.e., a telephone counselling and nicotine replacement therapy (NRT) intervention and its applicability to people with chronic hepatitis-C.
Methods: A randomised controlled trial was conducted over twelve weeks. Following consent, ninety-two smokers (outpatients) with chronic hepatitis-C were recruited by the Nurse Practitioner hepatology, randomly assigned and stratified by number of cigarettes smoked (i.e., 15 and greater; <15) into the intervention group (telephone counselling and NRT) and control group (telephone counselling). Outcomes measured included socio-demographics, nicotine dependence, depression, anxiety and stress and quality of life (QOL). All statistical data were analysed using SPSS.
Results: After 12 weeks, the intervention group showed a sustained reduction of smoking i.e., 5.8(CI: 2.4,9.3) …
15)>Work-Life Balance: Motivations And Obstacles To Work For Injured Hospital Nurses, Kathleen Mullen
Work-Life Balance: Motivations And Obstacles To Work For Injured Hospital Nurses, Kathleen Mullen
International Nursing Research Congress (INRC)
Session presented on: Thursday, July 25, 2013:
Purpose: The aim of this study was to examine motivations and obstacles experienced by hospital nurses who endeavor to work after injury by focusing on the injury experience, work climate, risk of re-injury, workers' compensation, and issues related to personal lifestyle.
Methods: Motivations and Obstacles to Work for the Injured Hospital Nurse (MORE Nurses Study), used ground theory methodology including coding and conceptualization in the analysis of the data. Nurse participants (n =16) provided patient care in two different medical centers in California; however, four received their nursing education outside the United States. …
Discovering The Current Wound Management Practices Of Rural Africans: A Pilot Study, Linda L. L. Benskin
Discovering The Current Wound Management Practices Of Rural Africans: A Pilot Study, Linda L. L. Benskin
Dissertations
Unrelenting heat, poor sanitation, lack of knowledge, and poverty contribute to a disabling wound prevalence that often exceeds 20% in rural areas of tropical developing countries. Wounds in this environment are usually poorly managed at very high cost. Traditional health practitioners and village health workers, rather than health professionals, provide health care in most villages. Wound management education for these nonprofessional health providers should include only sustainable practices which prove to be safe and effective in tropical villages. However, usual practice data, needed for comparison studies, is absent from the published literature.
This pilot study introduced an innovative data collection …
Psychometric Testing Of Cooper Parental Self-Efficacy Scale-Child Health Behavior, Johnnie Susan Wijewardane
Psychometric Testing Of Cooper Parental Self-Efficacy Scale-Child Health Behavior, Johnnie Susan Wijewardane
Dissertations
Although numerous self-efficacy scales grounded in Bandura's theory of self-efficacy were available, no specific scale that measured the concept of parental self-efficacy to influence child health behavior existed. The researcher developed the Cooper Parental Self-Efficacy Scale-Child Health Behavior (CPSS-CHB) and previously conducted a content validation study. The aims of this study were to 1.) ensure that the 28-item CPSS-CHB was readable, 2.) to determine reliability of the scale, and 3.) to initiate the establishment of validity.
Essential Skills For Evidence-Based Practice Appraising Clinical Practice Guidelines, Jeanne T. Grace
Essential Skills For Evidence-Based Practice Appraising Clinical Practice Guidelines, Jeanne T. Grace
Individual Articles
Evidence-based clinical practice guidelines allow generalist nurses to benefit from the scholarship and clinical expertise of others. Guidelines summarize the available evidence about a clinical problem and make recommendations for practice based on evidence appraisal and values (often unstated) defining effective and efficient care. Practice guideline recommendations must be comprehensive even when best evidence is not available to inform each one. As a result, evidence-based clinical practice guidelines include ratings of the strength of evidence supporting each recommendation and often the strength of the recommendation (balance of risks and benefits). Clinical practice guidelines provide evidence in a format that is …
Exploring The Relationships Of Perceived Workplace Incivility, Stress And Burnout On Nurses' Turnover Intentions, Turnover Rate And Perceived Level Of Psychological Empowerment Through The Lens Of Complexity Science, Olubunmi O. Oyeleye
Creating Healthy Work Environments (CHWE)
Session presented on Sunday, April 14, 2013:
This study was designed to explore the relationships between perceived workplace incivility, stress and burnout on turnover intentions, turnover rates and perceived level of psychological empowerment among critical care and medical surgical nurses in community and tertiary hospitals through the lens of complexity science. Nurses' turnover and empowerment have become a workplace priority in healthcare. A non- experimental study was done using a 72 item survey. Findings demonstrated significant relationships (P
Creating A National Research Agenda For Improvement Science, Kathleen R. Stevens, Frank Puga, Darpan I. Patel
Creating A National Research Agenda For Improvement Science, Kathleen R. Stevens, Frank Puga, Darpan I. Patel
Creating Healthy Work Environments (CHWE)
Session presented on Saturday, April 13, 2013:
Quality improvement and patient safety are high priorities yet insufficient progress has been made in improvement science. Improvement projects are often focused at the microsystem level, precluding sufficient data for rigorous and generalizable conclusions. Furthermore, advancements in the field are hampered by the lack of a national research agenda with clearly defined priorities to systematically build knowledge. The NIH-funded Improvement Science research Network (ISRN) is a national network for improvement and translational science. Early work of this developing network was to establish a national research agenda in improvement science.
A Comparative Study Of Cultural Competence Curricula In Baccalaureate Nursing Programs, Donna M. Mesler
A Comparative Study Of Cultural Competence Curricula In Baccalaureate Nursing Programs, Donna M. Mesler
Creating Healthy Work Environments (CHWE)
Although cultural competence education has been mandated in baccalaureate nursing education, there are currently three different forms of cultural competence curricula found in baccalaureate nursing programs: those with a nursing culture course, those with a non-nursing culture course and those that integrate culture content throughout the nursing curriculum. The primary purpose of this study was to determine if one of these three forms is more efficacious in improving cultural competence and confidence in nursing students than the other two, and the secondary purpose was to determine if one of the three forms of curricula is more efficacious in improving cultural …
Developing A Healthy Work Environment: An Action Learning Approach To Improving Quality Of Life For People Living In Residential Aged Care, Wendy Penney, Louise Ann Martin, Lisa M. Clinnick
Developing A Healthy Work Environment: An Action Learning Approach To Improving Quality Of Life For People Living In Residential Aged Care, Wendy Penney, Louise Ann Martin, Lisa M. Clinnick
Creating Healthy Work Environments (CHWE)
Session presented on Sunday, April 14, 2013:
Developing a healthy work environment: An action learning approach to improving quality of life for people living in residential aged care. Providing quality care for people living and dying in aged care homes requires nurses to have a unique set of skills. Nurses working in this environment need to be able to collaborate effectively with a range of health professionals to ensure residents complex care needs are met. Furthermore, they need to be able to communicate sensitively with residents and family members as transition into a residential aged care home is not always …
Testing A Model Of Civility In Three Service Lines Of Acute Care, Ann Marie Papa, John W. Nelson, Kathleen Bartholomew
Testing A Model Of Civility In Three Service Lines Of Acute Care, Ann Marie Papa, John W. Nelson, Kathleen Bartholomew
Creating Healthy Work Environments (CHWE)
Session presented on Sunday, April 14, 2013:
This study was conducted to assess a model of civility proposed by the concepts proposed by Kathleen Bartholomew. The model was tested in three service lines at the University of Pennsylvania hospital, including Women's Services, Periop, and Emergency Services. Civility is characterized by a culture of respect among a team that automatically polices itself to inhibit and extinguish any single act of cruelty, slight, or diminishment of another. Civility was assessed using the 87-item Civility Assessment which is based on the concepts of civility proposed by Kathleen Bartholomew. The Civility Assessment examines the …
Authentic Leadership-Life Support For A Healthy Work Environment, Linda Cassidy, Nora Triola
Authentic Leadership-Life Support For A Healthy Work Environment, Linda Cassidy, Nora Triola
Creating Healthy Work Environments (CHWE)
Session presented on Saturday, April 13, 2013:
The health of the work environment plays a critical role in optimal patient outcomes. While much emphasis is placed on the importance of technology, one cannot overlook the influence of human factors on the work environment and the quality of patient care. Effective interpersonal relationships of health care team members directly influence the patient/family experience, avoidance of harm, patient quality and safety, retention of nurses and other health care professionals. In 2005, AACN released Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. This is a framework health care organizations …
Nurse Manager Leadership Behavior And Staff Nurse Job Satisfaction, Lorraine B. Bormann
Nurse Manager Leadership Behavior And Staff Nurse Job Satisfaction, Lorraine B. Bormann
Creating Healthy Work Environments (CHWE)
Session presented on Saturday, April 13, 2013:
Transformational leadership behaviors of nurse managers are related to staff nurse job satisfaction. Transformational leaders foster open communication horizontally and vertically, provide inspiration and enthusiasm, and create harmony among staff. They seek to improve communication, staff satisfaction, and output.
Design and Methods: This descriptive correlational study examined the interrelationships between nurse manager leader behaviors perceived by staff nurses to the facets of their staff nurse job satisfaction. The Multifactor Leadership Questionnaire (MLQ) 5X Short survey measured a full range of leadership behaviors. The Abridged Job Descriptive Index/Abridged Job in General (aJDI/aJIG) measured a …