Changing attitudes about self-injury prevention management: lessons learned

In the behavioral health environment, nurses often use continuous staff monitoring and, at times, physical restraints, to manage the severity of patients' self-injury. Both options put staff in control, are the most restrictive in nature, and can be financially draining on the hospital's budget. This can result in negative reactions by both patients and staff. It is important to develop a program that will empower patients to control their behavior and allow staff to be aware of their perceptions and attitudes toward patients who self-injure. This article describes the leadership initiative that drove the development, training, and implementation of a self-injury prevention project and the lessons learned by staff.     

Going solo: Findings from a survey of women aging without a partner and who do not have children

Greater longevity in the UK population has led to the increasing diversity of women experiencing aging in a multitude of ways. Internationally, gender inequalities in aging are still relatively invisible within both government policy and everyday life for particular groups of women. This article explores the concept of women growing older “solo”—by which we mean women who find themselves nonpartnered and aging without children as they move into later life. We report on the findings from a mixed-methods survey of 76 solo women in the UK aged 50 years and over, used to provide a broader overview of the issues and challenges they face as they move into later life. Qualitative data from the survey captured respondents’ perspectives about the links between their relationships status and well-being in later life and highlighted specific cumulative disadvantages emerging for some women as a result of their solo lifestyles. We discuss two key themes that were identified, “solo-loneliness” and “meaningful futures,” in conjunction with the relevant literature and make suggestions for future research within gender and aging studies that could enhance more positive approaches to solo lifestyles.     

A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff

There is a need to investigate novel interventions that promote worksite physical activity and wellness. OBJECTIVE: The authors' purpose in this study was to evaluate the effectiveness of a 12-week walking program supplemented with a pedometer, computer educational program, and weekly e-mails. METHODS: College faculty and staff participated in a one-group pre-posttest study to determine whether the 12-week walking intervention had an effect on body mass index (BMI), blood pressure, blood glucose, and cholesterol. The authors also determined participant-perceived wellness effects. RESULTS: The authors observed differences between baseline and follow-up in BMI (p = .024), blood glucose (p = .06), and total cholesterol (p = .09). The program had a moderate effect on fitness, mood, health awareness, nutrition, and health. CONCLUSIONS: It is incumbent that experts develop innovative worksite physical activity and wellness programs. A pedometer-monitored walking program is one way that a worksite health initiative can improve the health and wellness of its employees and simultaneously reduce health-care costs.     

Light and Heavy Heterosexual Activities of Young Canadian Adolescents: Normative Patterns and Differential Predictors

The objectives of this research were to explore patterns of heterosexual activity in early adolescence and to examine the differential pathways to light and heavy heterosexuality. We utilized the National Longitudinal Survey of Canadian Children and Youth (NLSCY) in which heterosexual behaviors, as well as puberty, parenting processes, peer self‐concept, and problem behaviors were examined. The heterosexual activities of the majority of 12‐ and 13‐year‐old adolescents were largely confined to light activities of hugging, holding hands, and kissing. Heavy activities such as petting and sexual intercourse were reported less often. Using predictor variables from Cycle 1 of the NLSCY when participants were 10‐ and 11‐year‐olds, SEM analyses indicated that puberty and higher peer self‐concept shared significant direct pathways to both light and heavy heterosexuality. Heavy sexual activity, however, was uniquely associated with the risk factors of adolescent problem behaviors. Positive and hostile parenting styles were indirectly associated with light sexual activity through peer self‐concept. Positive and hostile parenting styles were also indirectly associated with heavy sexual activity through both peer‐oriented self‐concept and problem behaviors. Results support differential patterns and predictors of light and heavy sexuality in early adolescence.     

Educational equity in ethnically diverse group work

Educational research in cooperative learning suggests that inequity based on perceived status may be an issue with heterogeneous cooperative learning groups. This paper explores issues of status based on race, ethnicity and cultural background in the New Zealand tertiary classroom where there is a diverse mix of domestic and international students. A four-year research project examined attitudes and perceptions of both domestic and international tertiary students towards cooperative learning. The findings of the research project indicate that initial assumptions of relative status and ability of group members have a major effect on the outcomes of the group. These assumptions, demonstrated by both domestic and international students, may be based on expectations of language ability and familiarity with the pedagogical environment, including the assumed norms and behavioural patterns of the host educational setting, and may disadvantage students from different cultural backgrounds. This can become a self-fulfilling prophecy limiting the effective interaction and participation in the group by international students and other students perceived to be of low status, and the development of trust and reciprocal interdependence among group members. Strategies to weaken the effects of status, promote more equitable interaction and foster productive group outcomes are proposed.     

The Implicit Curriculum: Student Engagement and the Role of Social Media

This article presents results from an exploratory study conducted as a component of an assessment of the implicit curriculum in one master’s-level social work program. Web-based surveys were used to collect data from 80 graduate social work students in online and face-to-face programs. Findings indicate students who perceived social media as more useful reported higher levels of engagement and participation in program governance. The implications for social work education deal with the ability to competently use social media as a tool to increase student engagement. Students will only be exposed to elements of the implicit curriculum if they are active participants in their academic environments.     

Look What's Back! Institutional Complexity,Reversibility and the Knotting of Logics

Through a comparative historical study of community pharmacy in the UK, Italy, Sweden and the USA, the authors examine what happens to institutional arrangements designed to resolve ongoing conflicts between institutional logics over extended periods of time. It is found that institutional arrangements can reflect the heterogeneity of multiple logics without resulting in hybridization or dominance. Because logics remain active, similar conflicts can reappear multiple times. It is found that the durability of the configurations of competing logics reflects the characteristics of the polities in which fields are embedded. The dominance of any societal institutional order leads to more stable field‐level arrangements. The authors suggest that the metaphor of institutional knots and the related image of institutional knotting are useful to capture aspects of this dynamic and to foreground the discursive and material work that allows multiple logics to coexist in local arrangements with variable durability.     

A Glimpse of the Truth: Evaluating ‘Debate’ and ‘Role Play’ as Pedagogical Tools for Learning about Sexuality Issues on a Law and Ethics Module

Social work education is familiar with concepts such as social exclusion, marginalisation, anti-discriminatory and anti-oppressive practice. This familiarisation implies that students are adequately prepared to embrace equality and diversity, become ‘culturally competent’ and subscribe to moral and ethical standards including the rights of service users to respect and support regardless of sexual orientation. The ability of social work students to articulate and develop their own theories for practice and to handle personal issues when these conflict with ‘theories’ on equality and diversity are important aspects of learning. Educators teaching about sexual orientation issues however currently have fewer texts or support networks to draw on when addressing these. This paper looks at the effectiveness of ‘debate’ and ‘role play’ as pedagogical strategies and tools when teaching complex ethical issues on a law and ethics module. Dramatic and creative participative methods were used through the tools of debate and role play. These were used with students to explore a specific topic around gay adoption in the context of learning about anti-discriminatory law. The paper seeks to evaluate the outcomes of this approach by drawing on the students' post learning reflection.