Relational Self‐Construal as a Moderator of Social Support in Career Decision Making

The authors examined relational self‐construal as a moderator of the influence of social support on career decision‐making difficulties among 352 college students (65% women, 63% Caucasian). Results of hierarchical regression analyses supported the hypothesis that individuals with higher relational self‐construal reported fewer difficulties in terms of lack of information and inconsistent information in career decision making as social support increased. Social support, however, did not reduce career decision‐making difficulties for those with lower relational self‐construal. Relational self‐construal did not moderate the relationship between social support and lack of readiness in career decision‐making difficulties as expected, possibly because of conceptual and measurement issues. Results suggest counselors work from relational and contextual perspectives to foster clients' self‐views and to use social support to facilitate their career decision making.     

Resilience and Decision‐Making Strategies as Predictors of Career Decision Difficulties

The purpose of this study was to examine resilience and decision‐making strategies as predictors of difficulties experienced during the career decision‐making process. College students (N = 364) responded to measures of resilience, career decision‐making strategies, and career decision difficulties. Results indicated that resilience and decision‐making strategies accounted for 46% of the variance in career decision difficulties. Resilience had a greater influence on problems encountered during decision making than on problems encountered at the outset of the process. Different decision‐making strategies appeared to be related to difficulties encountered at different stages of the decision‐making process. For example, aspiration for an ideal occupation was positively associated only with lack of readiness. Procrastination was the only strategy related to all three decision difficulties: lack of readiness, lack of information, and inconsistent information. The results indicated the importance of decreasing procrastination at all stages of decision making and the need to promote resilience to deal with decision difficulties.     

The Personal Computer and the Small Social Agency

Abstract

Use of computers in everyday professional tasks by caseworkers is described. Eighteen front line workers, after two or three hours of training, created and manipulated data bases of client, service, and outcome data tailored to their own caseloads. The authors believe that adoption of computers for everyday tasks by front line workers depends on three elements: Specially designed software which is very user-friendly; conceptual framework as bridge between agency task and computer system; and agency look and feel to all screen displays, forms, and reporting formats. Workers did overcome fear of computers and did see how computers could be professionally useful. This approach seems worthy of examination and further development.     

Differentiation Levels of College Students: Effects on Vocational Identity and Career Decision Making

This study assessed the effects of differentiation levels on the career development of college students. Participants were 231 college students who completed the Differentiation of Self Inventory (Skowron & Friedlander, 1998 ), My Vocational Situation (Holland, Daiger, & Power, 1980 ), the Career Decision Profile (CDP; Jones & Lohmann, 1998 ), and demographic questions. The results supported the hypotheses that higher levels of the various components of differentiation would predict higher levels of vocational identity and fewer difficulties with career decision making. In particular, lower levels of emotional cutoff and emotional reactivity and higher levels of “I position” predicted higher levels of vocational identity and career decision making. Results suggest a more complicated picture for fusion, with higher levels being predictive of lower levels of decisiveness but not significantly related to vocational identity. Implications of the results for career counselors are provided.     

Factors That May Influence Parent Treatment Decision Making for Young Children with Autism Spectrum Disorder

ABSTRACT

The number of interventions available for children with autism spectrum disorder (ASD) has expanded greatly in recent years, although relatively little is known about the factors that influence family caregivers as they make treatment decisions for their children. This study involved a statewide survey of parents of young children with ASD to examine the relative weights of the factors that influenced their treatment decisions. Results suggested that caregivers rely on their own intuition for much decision making, although selected professionals are also influential. Implications for professionals working with children with ASD and their families are discussed.     

Professional Decision Making on Elder Abuse: Systematic Narrative Review

Social work and health care professionals internationally are recognizing the need to understand and respond to the abuse of older people. Policy and guidance have identified processes but definitions of key concepts remain problematic, and the literature suggests that practitioners and agencies have little insight or guidance for decision making. Nine bibliographic databases were searched for studies on professional decision making regarding abuse of older people. Relevant studies retrieved were appraised for quality using explicit criteria. The findings of the 19 articles meeting the inclusion criteria were synthesised using a structured narrative approach. Common themes identified were abuse factors, situational factors, and broader contextual factors. Abuse factors relating to risk levels and client vulnerability were central; age, gender, and health status were considered as key indicators of vulnerability. The opinion of adult protection workers about the potential effectiveness of their intervention was a factor in deciding about responding to alleged or suspected abuse. Professionals struggled with complex ethical dilemmas created by elder abuse, particularly when the victim did not want an investigation. Making objective judgements was difficult when faced with complex family and contextual factors. A structured approach to narrative synthesis of a diverse range of studies retrieved through an explicit search and inclusion process provided a useful summary of key issues for practice and identified gaps in the research literature.     

Social Capital and Residential Decision Making Among Rural and Nonrural College Graduates

Due to the low demand for highly educated workers in rural areas, high‐achieving rural students have been portrayed as having to pick between staying close to home and facing limited economic opportunities or leaving to pursue higher education and socioeconomic advancement. But what of those who want both—college degree and return to rural living? Comparing the experiences of rural graduates who returned to rural locales with those who out‐migrated and nonrural graduates across one predominantly rural state, this study explores how social capital matters in the residential decision‐making process. Proximity to work and family were the primary factors determining adult residence. Sense of place—but not attachment to a specific community—also mattered, especially for rural graduates. Family, school, and community social capital were more likely to play a role in career development for rural students, as career aspirations during adolescence followed by career‐driven college choices created pathways for rural return. Findings underscore the importance of analyzing rural return from a regional lens, as respondents reframed lifestyle elements researchers tend to portray as mutually exclusive—rural lifestyle, proximity to family, and professional career—as compatible by employing broad and flexible definitions of proximity and place.     

Children and Families’ Involvement in Social Work Decision Making

This review summarises the research literature on children’s and parents’ involvement in social work decision making, which is regarded, in policy terms, as increasingly important. In practice, however, it tends to be messy, difficult and compromised. Different individuals or groups may have different understandings of participation and related concepts, while differences of age and disability also mediate effective user engagement. The literature highlights common themes in effective participatory practice with both children and their parents. Central to this are the establishment of relationships of trust and respect, clear communication and information and appropriate support to participate.     

The Effects of Resources, Decision Making, and Decision Implementing on Perceived Family Well-Being in Adjusting to an Economic Stressor

This article examines the relationships of personal resources, decision-making, and decision-implementing behaviors that were measured in time one with perceived family well-being that was measured one year later. The sample included 323 farm men and women who had experienced the same economic stressor event. A structural equation model was posited based upon the theoretical frameworks of family resource management. The results indicated the theoretical model fit the data well for both men and women. LISREL analyses revealed strong positive relationships among perceived financial and emotional resources, decision making, and perceived family well-being. A positive relationship was found between decision making and decision implementing, but no relationship was found between decision implementing and perceived family well-being. Gender differences were present only in the measurement model among the indicators of decision implementing and family well-being.     

Making Decisions about Parental Mental Health: An Exploratory Study of Community Mental Health Team Staff

Adult mental health problems can impact on parents, and research highlights that their children are at higher risk of developing mental health problems. In extreme cases, mental health problems are associated with a risk of fatal child abuse. Despite this, there are few studies exploring clinical decision‐making by adult mental health professionals.

‘In extreme cases, mental health problems are associated with a risk of fatal child abuse’

This study used qualitative methods to explore Community Mental Health Team (CMHT) workers' experiences of decision‐making in the interface between mental health and child welfare. Workers were interviewed about their experiences of clinical decision‐making regarding child welfare. Interviews and accounts were analysed using Interpretative Phenomenological Analysis. Influences on decision‐making were explored and triangulated with the accounts of Named Nurses for Child Protection. The findings revealed that CMHT participants were aware of their responsibilities towards children, but a complex synthesis of factors impacted on their sense‐making about risk and welfare. Three superordinate themes emerged: the tensions of working across systems; trying to balance the perceptions and feelings involved in sense‐making; and the role that interpersonal dynamics play in the understanding and management of risk. This paper focuses in particular on perceptions and feelings. Copyright © 2011 John Wiley & Sons, Ltd.

‘A complex synthesis of factors impacted on their sense‐making about risk and welfare’

Citing Literature

Number of times cited according to CrossRef: 8

• Natalie Elizabeth Anderson, Julia Slark, Merryn Gott, Unlocking intuition and expertise: using interpretative phenomenological analysis to explore clinical decision making, Journal of Research in Nursing, 10.1177/1744987118809528, 24 , 1-2, (88-101), (2019). Crossref
• Phillip Tchernegovski, Andrea E. Reupert, Darryl J. Maybery, How do Australian adult mental health clinicians manage the challenges of working with parental mental illness? A phenomenological study, Child & Family Social Work, 10.1111/cfs.12426, 23 , 3, (381-389), (2017). Wiley Online Library
• Maria Afzelius, Lars Plantin, Margareta Östman, Children of Parents With Serious Mental Illness: The Perspective of Social Workers, Practice, 10.1080/09503153.2016.1260705, 29 , 4, (293-310), (2016). Crossref
• Louise Everitt, Caroline Homer, Jennifer Fenwick, Working with Vulnerable Pregnant Women Who Are At Risk of Having their Babies Removed by the Child Protection Agency in New South Wales, Australia, Child Abuse Review, 10.1002/car.2432, 26 , 5, (351-363), (2016). Wiley Online Library
• Joe Duffy, Gavin Davidson, Damien Kavanagh, Applying the recovery approach to the interface between mental health and child protection services, Child Care in Practice, 10.1080/13575279.2015.1064358, 22 , 1, (35-49), (2015). Crossref
• Peter Sidebotham, What did you do at Work Today, Daddy?, Child Abuse Review, 10.1002/car.2357, 23 , 5, (307-310), (2014). Wiley Online Library
• Peter Sidebotham, Rethinking Filicide, Child Abuse Review, 10.1002/car.2303, 22 , 5, (305-310), (2013). Wiley Online Library
• Jane V. Appleton, Peter Sidebotham, Child Protection and Mental Health, Child Abuse Review, 10.1002/car.2220, 21 , 3, (153-156), (2012). Wiley Online Library

Volume 21 , Issue 3 May/June 2012

Pages 173-189     

Democratic Questions for the Computer Age

Summary

This article is an overview and evaluation of the main potential applications of computer technology to enhance participatory democracy.     

Health Care Decision Making for Unbefriended,Incapacitated Adults: A Value-Committed Policy Transfer Analysis

Adults who lack decisional capacity and known family or friends to serve as their health care agent are an increasing concern. This article examines the transferability of Texas and Florida legislation, which stipulates the persons eligible to serve as health care decision makers for unbefriended, incapacitated adults in the absence of an advance directive. Texas §313.004 allows for a clergyperson to serve in this role, whereas Florida Ann. §765.401 allows for a social worker with the requisite licensure or training. The authors provide a critical comparative value-committed analysis of the factors that influence state legislation that addresses the needs of unbefriended adults.     

Decision‐Making Styles,Career Decision Self‐Efficacy,and Career Adaptability Among High School Students

We investigated the relationships between decision‐making styles, career decision self‐efficacy, and career adaptability among high school students. We also sought to determine whether gender moderates the relationships among these three constructs. A total of 216 Serbian final‐year high school students responded to career adaptability and decision‐making measures. Results of structural equation modeling showed that career decision self‐efficacy mediates a positive relationship between the rational and intuitive styles and a negative relationship between the dependent style and career adaptability. The rational style only had a direct effect on career adaptability. Gender moderated one path—a regression weight of self‐efficacy on career adaptability. For male students, self‐efficacy was not a significant predictor of career adaptability. The results suggest that career counselors might approach students differently depending on students' gender and that the role of gender in career decision‐making and adaptability processes should be investigated further.     

Elders' Decisions To Enter Assisted Living Facilities: A Grounded Theory Study

ABSTRACT

The purpose of this qualitative study was to develop a substantive theory of elders' decision-making process to relocate to an assisted living facility. The researchers interviewed a purposive sample of 28 elders who resided in assisted living facilities. The theory of elders' decisions to relocate to an assisted living facility is a story about elders weighing and balancing gains and losses to go to where the help is. Decision makers weigh and balance gains and losses before, during, and after relocating to an assisted living facility. Elders stay at their current residence if gains outweigh losses and they relocate if losses outweigh gains. Understanding the process of decision-making in this segment of the population may lead to the development of interventions that can promote positive relocation experiences among elders and increase the effectiveness of their decision-making behaviors.     

Decision making processes and alcohol use among college students

Abstract

Objective: The neurobiological model of risk-taking and the dual-process model of decision making each provide possible explanations of risky behavior among youth, but their interconnections have rarely been explored, especially among college students, a time of increased alcohol use. Participants: n?=?382; Mage?=?19.25, SD?=?1.33. Method: Participants completed a survey about their deliberative and intuitive decision making style (based on the dual-process model), their socioemotional and cognitive control processes (based on the neurobiological model), and alcohol use. Results: Structural equation modeling showed that dual-process variables and neurobiological variables were positively related. Deliberative decision making and cognitive control were negatively related to alcohol use whereas intuitive decision making was not. Comment: Discussion focuses on the integration of theoretical models with real-world health behaviors and considers implications of the current findings in terms of prevention and intervention to reduce drinking among college students.     

“Sensory Ordering” in Nurses' Clinical Decision‐Making: Making Visible Senses,Sensing, and “Sensory Work” in the Hospital

The objective of this article is to present a study on the constitutive role of senses in clinical decision‐making. The methodology is based on a series of focus groups with nurses in various hospital departments. Based on a narrative approach, our study examines “sensory work” in clinical decision‐making in order to reveal its specificity in the clinical work of nurses. Nurses shared stories—in focus groups—about the influence of senses in clinical decision‐making. The analysis of clinical narratives helped to identify various situations revealing the “sensory work” that underlines clinical decision‐making. We put the emphasis on the spectrum of sensory activities and the interactions occurring during a clinical decision‐making. One specific contribution of our study is to make visible the “sensory ordering” at work as constituted by interactions between nurses during a clinical assessment.     

Counseling for Career Decision‐Making Difficulties: Measures and Methods

Career indecision may be the primary reason people go to career counselors. Much effort has been exerted to identify and investigate the causes of clients' career decision‐making difficulties. With the aim of facilitating clients' career decision making, the use of career indecision assessments can promote the effectiveness and efficiency of face‐to‐face career counseling. The authors review three evidence‐based, cost‐free assessments derived from decision theory: the Career Decision‐Making Difficulties Questionnaire, the Emotional and Personality‐Related Career Decision‐Making Difficulties questionnaire, and the Career Decision‐Making Profile questionnaire. The unique features of these assessments are described, and the ways they can contribute to facilitating career decision making in career counseling are explored with a case study example.     

Elder Abuse Decision Support System: Field test outcomes,abuse measure validation,and lessons learned

The Elder Abuse Decision Support System was designed to meet the critical need for improved methods for assessment and substantiation of elder mistreatment, using a web-based system with standardized measures. Six Illinois agencies participated in the field test. One-year pre/post analyses assessed substantiation results, using Illinois’ standard investigation procedure as a comparison. Pre/post acceptability was assessed with caseworkers in focus groups with adult protective service staff. Validity of measures was assessed using Cronbach’s alpha and receiver operator characteristic curve analyses with final substantiation decision as a criterion. Increased substantiation of abuse was found. Regarding acceptability, the two systems were found to have differing strengths and weaknesses. Outcome measures had high validity estimates, while focus groups indicated directions for improvement. This study was a successful proof of concept that data collected in the field would be useful for clinical purposes as well as for research.