Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest

ABSTRACT

Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’ use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.     

Impact of support networks for breastfeeding: A multicentre study

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Joint models for mixed categorical outcomes: a study of HIV risk perception and disease status in Mozambique

Two types of bivariate models for categorical response variables are introduced to deal with special categories such as ‘unsure’ or ‘unknown’ in combination with other ordinal categories, while taking additional hierarchical data structures into account. The latter is achieved by the use of different covariance structures for a trivariate random effect. The models are applied to data from the INSIDA survey, where interest goes to the effect of covariates on the association between HIV risk perception (quadrinomial with an ‘unknown risk’ category) and HIV infection status (binary). The final model combines continuation-ratio with cumulative link logits for the risk perception, together with partly correlated and partly shared trivariate random effects for the household level. The results indicate that only age has a significant effect on the association between HIV risk perception and infection status. The proposed models may be useful in various fields of application such as social and biomedical sciences, epidemiology and public health.     

EU post-accession Polish migrants trajectories and their settlement practices in Scotland

The presence and the apparent permanence of post-accession EU migrants in the UK is of significant interest to both academics and politicians. Studies have debated whether migration from new accession countries to the UK mark a new type of migration often described as ‘liquid’ and ‘open ended’, or whether these migrants will settle in the new destination countries. Based on a qualitative study of Poles who have lived in Scotland for at least six years, we observed four typologies of what we call migrants’ settling practices: (1) stayers, (2) over-stayers, (3) circular and transnational migrants and (4) economic migrants. The findings from this study demonstrate that Polish migrants do not have fixed ideas about the duration of their migration (in terms of a sense of permanence) but instead focus on diverse links, anchors or attachments in Scotland and Poland in describing their settling practices. Thus, the main contribution the article makes is to present an in-depth understanding of what settlement means from the perspective of migrants themselves. This paper concludes by providing a short comment on implications of the outcome of the Referendum on EU membership ‘Brexit’ in June 2016 on Polish migrants settling practices.     

Italian Children's Understanding of War: A Domain-Specific Approach

Studies of children's conceptions of war, which have been carried out up to now mainly by asking for a definition of war and associating it with other notions, have found few age-related changes after the age of 6. Considering the complexity of the concept, and its embeddedness in the political conceptual domain, which emerges at around 11 years, we expect that greater differences should emerge if children's ideas on the causes and consequences of war, and the actors involved, are carefully assessed. Semi-structured interviews carried out with a total of 80 Italian children from 2nd to 8th grades confirmed this hypothesis. Many 2nd graders described war as a clash between collectives without structure, attributing all decisions about starting, the development of, and ending a war to the individual fighters and explaining these decisions (when they did) as due to emotions such as hatred, envy, revenge, or being tired or unwilling to fight any longer. Most 6th and 8th graders depicted war as a clash between nation-states, attributing decisions about its starting and ending to political authorities on the basis of political and economic reasons, and the actual fighting of battles to an organized army collaborating with, or subordinate to, political authorities. Many 2nd and 4th graders also showed a mixed pattern of answers, involving both political authorities and individual fighters, thus showing that the transition from the rudimentary backward conception to the more advanced one occurs through the piecemeal addition and deletion of concepts and beliefs.     

CEO and Chairperson characteristics and firm performance

This paper focuses on the relationship between Chief Executive Officer (CEO) and Chairperson characteristics and firm performance. Specifically, the study examines the association between the characteristics of the CEO and the Chairperson of the board and firm performance. Using a sample of S&P 500 firms, the evidence found suggests that demographic and experience-related characteristics may be associated with the market valuation and financial performance of the firm. In particular, the reported results indicate a positive relationship between the presence of female CEOs or Chairs and firm performance, thus suggesting that gender-based differences may affect the CEO’s/Chairperson’s success. Moreover, the findings concerning the age of the CEO or Chair are mixed, while their experience and quality appear positively related to firm performance. Interestingly, a CEO or Chairperson holding multiple board seats is negatively associated with firm performance, whereas CEO duality has a positive relationship with Tobin’s Q and the return on assets (ROA) of the firm.     

Impasses of Divorce: Neither Together Nor Apart

This paper looks at one type of intervention that has made it possible to help separating couples, given to irrationality and engaged in protracting disputes over their children, become more rational parents, capable of using mediation as a method of dispute resolution. The central theoretical formulation in this intervention is the divorce transition impasse. The process involved in overcoming the impasse combines a therapeutic and counselling effort with the mediation. One counsellor/mediator coordinates both phases of the process, by first assessing the impasse and then shifting the factors that created it and moving on to negotiation and implementation of the agreement made. A case seen by the author is presented to illustrate the phases of intervention and the strategies used in each phase. The possibility is raised that this type of intervention offered by specialised counsellor/mediators might prove to the Family Court's advantage in dealing with potentially complex cases, such as access enforcement cases and some ex-nuptial children disputes.