Validation of the Australian Midwifery Standards Assessment Tool (AMSAT): A tool to assess midwifery competence

Background

There is no current validated clinical assessment tool to measure the attainment of midwifery student competence in the midwifery practice setting. The lack of a valid assessment tool has led to a proliferation of tools and inconsistency in assessment of, and feedback on student learning.

An individual measure of relative survival

Summary.  Relative survival techniques are used to compare survival experience in a study cohort with that expected if background population rates apply. The techniques are especially useful when cause-specific death information is not accurate or not available as they provide a measure of excess mortality in a group of patients with a certain disease. Whereas these methods are based on group comparisons, we present here a transformation approach which instead gives for each individual an outcome measure relative to the appropriate background population. The new outcome measure is easily interpreted and can be analysed by using standard survival analysis techniques. It provides additional information on relative survival and gives new options in regression analysis. For example, one can estimate the proportion of patients who survived longer than a given percentile of the respective general population or compare survival experience of individuals while accounting for the population differences. The regression models for the new outcome measure are different from existing models, thus providing new possibilities in analysing relative survival data. One distinctive feature of our approach is that we adjust for expected survival before modelling. The paper is motivated by a study into the survival of patients after acute myocardial infarction.     

The Notion of Justice in Social Workers' Decisions About Children

This paper investigates the notion of justice in social work with a view to understanding the kind of decisions which may be made for ‘children in need’. The approach is both theoretical and empirical. By examining the reasoning of social workers in cases where children have been admitted voluntarily to local authority care, the author explores the value-base of the professionals in difficult cases. The result is a picture of justice which has both social and legal dimensions, combined in a way which can be explained by reference to practice theory.     

THE AURA OF "HIGH TECH" IN A WORLD OF MESSY PRACTICE

This study employs interlocking analytical devices from the perspectives of several disciplines to explore members' meanings through definitions of "high technology" given by workers in design engineering. The comparative analysis employs concepts from art history, sociology of culture, anthropology and science studies to explore the appeal of "high technology" in comparison with the aura of original artworks and the status accrued by symbolic tools. Additionally, the role standardization has played in the development of engineering as a profession is explored in historical context as are the recurring themes of speed and "the new." The findings reveal that how engineers use new technologies in the world of messy practice and their conceptual framework regarding so-called "high technology" do not map well onto one another. The study illustrates the perspective of science and technology studies that views all technology as socially shaped and society shaping, its construction accomplished through messy patched-up practices rather than clean, linear paths or perfect techniques.     

Reflective Supervision for Child Protection Practice – Reaching Beneath the Surface

This paper describes a model of reflective supervision for child protection practice that is informed by psychoanalytic theory. Eileen Munro promotes the idea of depth in practice, referring to the skills and knowledge required to undertake the work. Her reports highlight the importance of supervision to provide a thinking space for practitioners where reflection can take place. This paper will explore the importance of supervision in more depth and describe how psychoanalytic ideas can help us understand the complexities of our work with families, anchoring us to a solid theoretical base and helping to make sense of the maelstrom of feelings that are stirred in us as well as in our colleagues and clients.     

Predicting the recipients of social work support,and its impact on emotional and behavioural problems in early childhood

This paper examines the recipients of social work support in the Millennium Cohort Study. Using panel analysis and fixed effects models, it investigates the factors that lead to the receipt of any type of social work support for individuals with young children and the effects of this support on changes in the prevalence of emotional and behavioural problems in these children. We find that divorce or separation, and episodes of homelessness are two important factors that lead to the receipt of social work support. Mothers with male children are also more likely to receive social work support. However, we find no clear evidence that social work support has any effect on changes in children's emotional and behavioural problems over time. The implications of these findings for social work research and for practice and policy are discussed.