Can we make health IT safe enough for patients?

Health information technology (HIT) is widely believed to be an essential modality for improving the efficiency, effectiveness, and safety of healthcare, and has its adoption has been vigorously promoted. However, the safety of commercially available HIT systems has never been independently and rigorously assessed. This paper discusses critical issues to be considered in the development of safe and reliable HIT, and identifies a group of structural impediments that may slow or prevent the arrival of HIT that is actually safe enough for routine clinical use. It argues that this situation is analogous to NASA's promotion of the space shuttle not as an experimental, risky technology, but rather as a routine, ready-for-ordinary-use resource.     

Improving health through youth sports: is participation enough?

The health benefits of engaging in regular physical activity are widely known: enhanced cardiorespiratory fitness, increased muscular strength and endurance, and favorable cholesterol and other profiles. Nevertheless, particularly in youth sports programs run by volunteer, and perhaps inadequately trained, coaches, many youth may not realize the health benefits of sports participation due to a number of factors, among them, inappropriate coach-child ratios, limited space, or mismatched expectations between coaches and those of children and their parents. There are specific strategies that can be implemented to ensure that youth receive the maximize benefits from participation in sports. These strategies are presented in the following areas: frequency, intensity, and duration; cross-training or complementary exercise; access points; utilization of space and time; nutrition; and rest. For instance, with regard to the frequency of physical activity, some sports, including soccer, basketball, and singles tennis, require extensive physical effort over an extended period of time, while others, such as baseball and football, have a lot of downtime. Thus, in order for children and youth to meet the recommendation of participating in moderate or vigorous physical activity at least four times per week, sports programs need to have opportunities for all athletes to practice hard. Finally, the author discusses the point at which participation in sports might be too much, leading to significant injuries, frustration, and resentment.     

Enforcing cooperation in public goods games: Is one punisher enough?

We experimentally investigate a finitely repeated public goods game setting where, in each round, access to sanctioning power is exclusively awarded to one single player per group. We show that our central ‘Top Contributors as Punishers’ institution – a mechanism by which a player needs to be the highest contributor in her group in order to earn the right to sanction others – is extremely effective in raising cooperation and welfare due to turnover in the top contributor role and to top contributors’ willingness to substantially sanction others. Our findings yield implications for the design of mechanisms intended to foster cooperation in social dilemma environments.     

Is there enough information to calculate the financial benefits of ergonomics projects?

Many authors studied work situations and, mainly, ergonomics projects concerning the financial benefit point of view. At the same time seems to be little information available concerning these financial benefits in manufacturing companies' processes. The aim of this article is to identify if there enough information available within a company to quantify the financial benefits of an ergonomic project. The study was applied on two manufacturing companies, one in Brazil and other in Portugal. A literature review based checklist and a manager interview was applied on each company in order to identify if the information was available and how were been used. The two companies have revealed a good quantity of available information regarding ergonomics benefit calculation. The interviews showed that managers are not aware of the financial savings possibility with investments in ergonomics projects.     

Positive enough? A content analysis of settlement service organizations' inclusivity of LGBTQ immigrants

Little is known about how effective Canadian settlement organizations are in meeting the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) immigrants. The authors conducted a two-stage content analysis of the inclusion of LGBTQ immigrants in 34 settlement organizations in Ontario and Newfoundland and Labrador, and on the delivery of services by nine settlement organizations that self-described as LGBTQ-positive spaces. Stage 1 deductive content analysis findings revealed poor inclusion and support for LGBTQ immigrants. Stage 2 inductive content analysis findings revealed four service priority areas: health/well-being, community connections, advocacy/education, and disability. Recommendations for best practices are discussed.     

How good is good enough? Exploring social workers’ conceptions of preparedness for practice

This study examined the question: ‘How do social work practitioners construct preparedness for practice?’ The answer to this question was explored through a research conducted in 2013 consisting of a survey based on the Australian Association of Social Workers’ Practice Standards and interviews with social work practitioners who had experience working with graduating social work students in their final field education placements. The responses of 25 survey participants suggest that social work practitioners generally expect new graduates to have ‘moderate’-level skills across the different practice areas, although a small but notable number of supervisors expect new graduates to have general work preparedness at a ‘developed’ level. In addition to having a clear understanding of and identification with professional values, purpose and ethics, the eight interview participants spoke of the importance of empathy and the ability to work within a multidisciplinary organisational environment.     

How many names are enough? Identifying network effects with the least set of listed contacts

How many names are enough to reveal network effects using a name generator for network analysis? We analyze network data from two large organizations varying in complexity. We ask how much the network association with achievement is strengthened by adding another name to the recorded list of each person's sociometric citations. We conclude that five names is the cost effective number of sociometric citations to record. The network association with achievement weakens quickly with fewer names, especially in the more clustered network.     

Resolution of depression among victims of intimate partner violence: is cessation of violence enough?

The objective of this article is to assess the effect of abuse cessation on depressive symptoms among women abused by a male intimate partner. This prospective cohort study of Seattle women with a history of intimate partner violence (IPV) who were classified by history of abuse and abuse status at 3 month, 9 month, and 2 year follow-up interviews. Relative risks (RR) were calculated using generalized estimating equations. Among subjects with a history of psychological abuse only, cessation of abuse was associated with a nonsignificant reduction in the likelihood of depression compared to subjects whose abuse continued (aRR = 0.88; 95%CI: 0.75,1.03). Among subjects with a history of physical/sexual abuse and psychological abuse, cessation of physical/sexual abuse only was associated with a 27% decline, and cessation of both types of abuse was associated with a 35% decline in the likelihood of depression (aRR = 0.73, 95%CI: 0.63,0.86; and aRR = 0.65; 95%CI: 0.55,0.76; respectively). Cessation of abuse among victims of IPV is associated with a decreased prevalence of depression.     

Enough is enough: Grandmother caregivers' strategies for mitigating out-of-school suspensions for African–American youth

This qualitative study explores the strategies used by grandmothers caring for African–American grandchildren with out-of-school suspensions drawing from a larger study of caregivers. In-depth, semi-structured, individual interviews with 10 grandmothers who were caring for a total of 13 grandchildren with a range of 1 to 14 out-of-school suspensions (OSS) revealed that these grandmother caregivers took action with both their grandchildren and the grandchildren' s educators. Grandmothers became intensely involved with school and in-home educational activities. They structured their relationship with their grandchildren to attend to affection, provide incentives and respond with appropriate consequences. Additionally, grandmothers identified services and programs received and needed to enhance the grandchildren' s engagement with the learning process. Furthermore, based on strong opinions about changes needed in the schools, they provided concrete recommendations to educators. These recommendations call for professionals to support grandmothers' actions to reduce OSS and advocate to educators to revise policies and procedures that would promote a better understanding of grandchildren in the care of their grandmothers and the efforts that these grandmothers make to mitigate OSS.     

When what you have is not enough—Acquiring Australian qualifications to overcome non-recognition of overseas skills

Skilled migration is an important strategy in developed economies seeking to address skills shortages and population ageing. Research on the labour market outcomes of skilled migrants tends to focus on employers' devaluation of skills without considering the role of immigration policy in the migration process. Moreover, there is little understanding of whether efforts to meet employer demands for local qualifications improve labour market outcomes. Drawing on a study on skilled migrants sponsored under the State-Specific and Regional Migration Scheme in the regional state of South Australia, we explore the shaping of skills and skills recognition in the migration journey, particularly migrants' strategy of reskilling in response to employer demands for local qualifications. Our logistic regressions on the association between the acquisition of Australian qualifications and labour market outcomes reveal only marginal returns to these efforts. We argue that Australia should consider developing a more coherent skilled migration process to better harness the human capital of skilled migrants.     

Sampling television programs for content analysis of sex on TV: how many episodes are enough?

Content analysis is widely used to analyze sexual themes and messages on television. Although researchers generally use a sampling procedure to identify programs for analysis, there is currently no gold standard for the number of episodes needed to establish a valid, representative sample. This study sought to explore how many episodes of weekly television programs should be examined for an accurate assessment of sexual content present throughout the season. Various sampling strategies were used to select episodes from programs that ran in the 1998-1999 season, and results were compared with data collected from all episodes of these programs to test representativeness. Findings suggest that to provide a representative assessment of sexual content on television programs for behavior-level variables, a random sample of five episodes of weekly television programs is sufficient, while three episodes may be acceptable if variation is minimal. A random sample of seven episodes is needed for character-based analyses.     

Active parental consent in school-based research: how much is enough and how do we get it?

Active parental consent policies have been blamed for low participation rates and selection bias (i.e., loss of "high-risk" youths) in school-based studies. In this article, the authors describe active consent procedures that produced an overall active consent rate of 79% in a sample of more than 4,500 middle school students attending 29 schools in seven cities across the United States. Consent rates, however, varied considerably both within and between schools. To better understand factors associated with active parental consent rates, the authors examined district-level, school-level, and teacher-specific effects on consent rates.     

Do public relations professionals understand corporate governance issues well enough to advise companies on stakeholder relationship management?

The King Reports on Governance for South Africa are internationally respected for proposing integrated reporting in a triple bottom-line business context to improve corporate governance. The most recent report, King III, views stakeholder relationship management as a key tenet of corporate governance. This raises the question whether public relations professionals (PRPs) understand the principles of corporate governance well-enough to inform and guide organizations on the management of stakeholder relationships. The views of senior PRPs at selected top performing companies were elicited on their practice of stakeholder relationship management in line with corporate governance principles. It was found that their knowledge on corporate governance was limited, although they recognized its importance. They propose six role functions for managing stakeholder relationships on a strategic or managerial level; these role functions are aligned with the King III principles on stakeholder relationships. The following three were of particular importance: developing a corporate strategy, giving advice to senior management and managing crisis communication. Different terminologies were used to build relations with stakeholders and different approaches were used to profile stakeholders. It is recommended that organizations leverage their public relations functions on strategic and managerial levels in support of their corporate governance efforts. In turn, PRPs are encouraged to ensure a deep knowledge on corporate governance issues when counseling senior management on building stakeholder relationships.     

Are we doing enough? Stigma,discrimination and human rights violations of people living with schizophrenia in India: Implications for social work practice

ABSTRACT

In India, the human rights of people living with mental illness (PLMI) are poorly articulated and hence less researched. Using in-depth and focus group interviews, this study explores multiple perspectives on stigma, discrimination, and human rights violations of people living with schizophrenia (PLS) within their web of relationships in the city of Mumbai, India. Thematic analysis shows that abusive experiences at home, stigma associated with mental health services and barriers to meaningful employment contribute to human rights violations. Implications for strengthening the role of mental health professionals including social workers to promote, protect and actualize the rights of PLS are stressed.