Social work in the development of institutional care for older people in Slovenia

Social work in homes for older people in Slovenia has a special role since we have extremely institutionally-oriented care for older people. Characteristic of the development of Slovenian homes for older people is a shift in the dynamics of the orientation of the homes from a medical to a social one. Different factors influenced the shift towards a social orientation, i.e. the policy of establishing homes, the influence of sociogerontological principles, the development of social work and, recently, by their engagement with residents with dementia. In socially-oriented homes a different model of social work is used than in medically-oriented ones. The difference lies in social work methods as well as in the roles of the social worker in different areas of work with the residents, relatives and staff. By defining a model of social work in a socially-oriented home, a special field of social work with older people in the field of institutional care in Slovenia has been developed.     

Hidden jobs: Good news for sociologists

Applied sociology, if defined broadly enough, is a ray of light for sociology graduates in an otherwise dismal career landscape. This is particularly true in the Washington, D. C. metropolitan area. Sociologists’ general or liberal arts skills are as valuable, if not more valuable, than research specialization. Finding a job in government requires a different strategy than a job with a government contractor. Unfortunately, in neither case is there a rational path or match-up between a person’s skills and finding the job which utilizes these skills. Local knowledge can help in making the match. Edward Sabin, Ph.D., University of Michigan 1970, taught sociology for five years in the Midwest. Since 1974, he worked for 8 years as a writer/researcher under a number of government contracts in the area of international health. Currently he is a writer/systems analyst for a NASA library automation project.     

From critical sociology to public intellectual: Pierre Bourdieu and politics

By the late 1990s, Pierre Bourdieu had become the primary public intellectual of major social scientific status at the head of the anti-globalization movement that emerged in France and in other Western European countries. This article discusses how Bourdieu became a leading public intellectual, a role that seems to contrast with his early years as a professional sociologist. It explores what seemed to change in Bourdieu’s activities and outlook as sociologist and what seems to have remained constant. It identifies several institutional conditions that seemed necessary for Bourdieu to be able to play the kind of public intellectual role he did in his later years. Bourdieu’s movement from a peripheral position to a central location in the French intellectual field, the changing character of the field itself, the growing influence of the mass media in French political and cultural life, the failures of the French Socialists in power, a cultural legacy of leading critical intellectuals in France, a unifying national issue of globalization, and the political conjuncture in 1995 all intersected in ways that opened a path for Bourdieu to choose new and more frequent forms of political action. His responses to that combination of factors at different moments reveal both a striking continuity in desire to preserve the autonomy of intellectual life and a change in view and strategy on how best to do that. The article concludes with a brief evaluation of Bourdieu’s public intellectual role.     

Ergonomic work analysis as a tool of prevention for the occupational safety and health management system

This paper introduces the Ergonomic Work Analysis as a relevant instrument to identify the risks in occupational environments through the investigation of factors that influence the relationship between the worker and the productive process. It draws a parallel between the several aspects of risk identification in traditional tools of Health and Safety Management and the factors embraced by the Ergonomic Work Analysis, showing that the ergonomic methodology is able to go deeper in the scenarios of possible incident causes. This deepening enables the establishment of a relationship between the work context and the upcoming damage to the physical integrity of the worker. It acts as a complementary instrument in the traditional approach to the risk management. In order to explain the application of this methodology in a preventive way, it is presented a case study of a coal mill inspector in a siderurgic company.     

Innovation as a structural interest: rethinking the impact of network position on innovation adoption

The act of adopting an innovation is argued to be a type of structural interest. The proposed conception of innovation as a structural interest describes how a potential adopter perceives utility in innovating as a function of his position in network(s) of relations with other potential adopters. Implications of the concept are in accord with diffusion research describing the linkage between social structure and innovation in terms of a potential adopter's social integration. The proposed concept avoids, however, three ambiguities in translating social integration into a structural concept stated in terms of network position. Moreover, it extends the scope of earlier work to suggest new connections between social structure and innovation.In order to make empirical implications explicit, hypotheses for a reanalysis of the classic Medical Innovation data are described. The proposed conception of innovation states the utility a doctor should perceive in prescribing a new drug as a function of his position in professional and social networks among other doctors in his community. The hypotheses predict when a doctor should begin prescribing a new drug and the relative importance of his personal characteristics versus network position as the determinant of when he begins prescribing the new drug.     

Evaluation in South Africa: An introduction

This article provides a brief background to the articles in this edition on evaluation in South Africa. The overall background is self-evident: South Africa is a country which has undergone a political revolution, with a government of national unity in place. The formulation and implementation of new policies, and the programs which form part of them, will be an important part of South African politics in the years to come.These articles also appear against the more immediate background of trying to place evaluation on a surer footing in this country. In this introduction the efforts of a group of South African evaluators to position themselves and their activities in such a way as to make evaluation an accepted part of the organizational landscape, and to play a useful role in a future South Africa, are described as well.     

The Struggle for the Soul of Social Work in England

There is a debate or struggle for the nature and future of social work in England. This tension is between a narrow or limited type of practice and a broader and emancipatory social work, grounded in the International Federation of Social Work and the wider conception of the profession in other European states. The limited model of social work seems to provide a dominant paradigm, which may result in the loss of a more visionary and humane social work. This is a qualitative study of an undergraduate social work programme in England. There were 48 participants, comprised of academics, students, service users and practice educators. Interviews and focus groups were used and a thematic analysis was undertaken. The key finding of this study is that the paradigm of state or statutory social work in England threatens to replace a broad conception of social work as understood in such definitions as the International Federation of Social Work and social work in other European states.     

Designing the safety of healthcare. Participation of ergonomics to the design of cooperative systems in radiotherapy

This communication deals with the involvement of ergonomists in a research-action design process of a software platform in radiotherapy. The goal of the design project is to enhance patient safety by designing a workflow software that supports cooperation between professionals producing treatment in radiotherapy. The general framework of our approach is the ergonomics management of a design process, which is based in activity analysis and grounded in participatory design. Two fields are concerned by the present action: a design environment which is a participatory design process that involves software designers, caregivers as future users and ergonomists; and a reference real work setting in radiotherapy. Observations, semi-structured interviews and participatory workshops allow the characterization of activity in radiotherapy dealing with uses of cooperative tools, sources of variability and non-ruled strategies to manage the variability of the situations. This production of knowledge about work searches to enhance the articulation between technocentric and anthropocentric approaches, and helps in clarifying design requirements. An issue of this research-action is to develop a framework to define the parameters of the workflow tool, and the conditions of its deployment.     

Cosmopolitanism and Europe

Cosmopolitan perspectives on contemporary social and political issues have made inroads into EU studies, despite official EU discourse making no reference to Europeans as cosmopolitans. There are three main dimensions to the cosmopolitanization of the EU studies agenda: (i) a rethinking of transnationalism and globalization in relation to the EU; (ii) an increasing interest in the social dimensions of Europeanization; and (iii) a growing multi-disciplinarity in the study of contemporary Europe. There are several reasons for the increased interest in cosmopolitanism: a growing disenchantment with nationalism; recognition of the importance of global civil society; the ‘cosmopolitan democracy’ thesis advanced by Archibugi and Held; and the growing importance of human rights as a benchmark for democracy. Cosmopolitanism encourages a shift from a concern with the role of the nation-state in Europe to a broader sense of its role in the world, and relativizes Europe and the EU by placing them in a global context.     

Implementing a strengths perspective in child welfare and protection: a challenge not to be taken lightly

Although it can be observed that the popularity of a strengths perspective in social work is increasing, social work researchers have articulated the necessity to gain empirical knowledge about actual social work practice that claims a strengths perspective. We explore the findings of recent research into a strengths-oriented pilot project in the field of child welfare and protection in Flanders (the Flemish speaking part of Belgium), in which we examined whether the strengths-oriented discourse in social work actually took place in the relationship between social workers and families in practice. The research reveals an ambiguous picture of the ways in which the strengths perspective can be implemented in practice, because social workers walk a tightrope between responsibilizing and governing families. We argue that the implementation process needs a conceptual and theoretical foundation that goes beyond mere eclecticism. We also argue that this demands a broadening of the focus of strengths-oriented social work from a relational to a political level, as this strengths-oriented social work practice remains situated within the broader social, economic, and political context.     

Core/periphery structure models: An alternative methodological proposal

The idea of a structure made up of a core and periphery is a common, classic paradigm in many fields of science. Following this line, in 1999, researchers Stephen Borgatti and Martin Everett developed a model of structural analysis based on the delimitation of a core formed by a group of densely connected actors, in contrast to a class of actors, more loosely connected and forming the periphery of the system.The original approach of these authors is modified, employing measures that, in our opinion, show a larger degree of coherence and accuracy in the proposed objectives.     

Nutrition of the elderly: Interactions with physical activity

Elderly subjects have a lower energy requirement compared to young adults as a result of lower physical activity and a lower basal metabolic rate. A lower energy intake in the elderly could lead to undesirable low intakes of essential nutrients. The reduction of the energy turnover is caused by, or a consequence of, a decrease in active cell mass. Thus, the effect of exercise training on habitual activity across age ranges, and age-related changes in body composition in relation to habitual activity level, are investigated here. The focus is on data on physical activity and body composition obtained with doubly labelled water. The results suggest that exercise training does not affect energy requirement in the elderly and the age-related decrease in fat-free mass is not delayed in subjects with a relatively high habitual activity level. Beneficial effects of exercise training in the elderly are endurance, flexibility, range of motion and balance control, all contributing to a delay in the age-induced impairment of personal mobility. Energy intake will inevitably go down as a result of a reduction of the energy requirement. Thus, the nutrition of elderly subjects needs more attention with regard to the essential nutrients than the nutrition of younger adults.     

Effects of an advance telephone call in a personal interview survey.

During October and November 1982, 1,260 Medicare-eligible senior citizens were interviewed in a survey focusing on health care of the elderly. As part of the survey, an experiment was conducted in each of the three survey sites to determine the effects of an advance telephone call to schedule an appointment for a personal interview. One random half sample in each site was sent a lead letter, followed by a telephone call to schedule a personal interview. The other half sample was sent a lead letter followed by a personal contact, with no intervening telephone call. Telephoning to arrange an appointment for a personal interview resulted in a 20 percent saving in data collection costs with only a 1 percent decrease in response rate.     

The Limits of Monetizing and Paying for Volunteering in Eldercare: A Behavioral-Economic Approach

The monetary value of informal eldercare in the family and voluntary sector has drawn much attention as it concerns a resource of welfare governments and nonprofit organizations try to activate via cash benefits. Studies addressing the issue in order to assess the economic impact of non-market activities and the willingness to accept financial rewards have largely ignored differences in the utility function of caregivers. Applying a behavioral-economic approach, we report a profound and formerly unobserved distinction between care in the household and non-household care for a family member or in a voluntary framework: whereas caregivers within the household perceive care as a burden and a positive shadow price arises, in the non-household context—and particularly in the volunteering case–care extends well-being and leads to negative shadow prices. The results show that non-market activities can only be measured in monetary terms to a limited extent and contribute to explaining the boundaries of monetary incentive policies.     

Exploring the Unknown: Predicting the Responses of Publics not yet Surveyed

This article argues that cultural change is roughly predictable: to a large extent, it is shaped by a few variables included in a model of cultural modernization that is presented here. The beliefs and values of a society's people are also affected by unique world events and country-specific factors that would not fit into a general model, such as a given society's political parties and leaders, so our predictions will not be precisely accurate. Nevertheless, in this article we will stick our necks out and predict the locations on two major cultural dimensions of all the countries likely to be included in the next wave of the World Values Survey, to be carried out in 2005–2006. Using a simple predictive model based on our revised version of modernization theory, we first ‘predict’ and test the positions that 80 societies should have on a two major dimensions of cross-cultural variation in the most recent wave of surveys (carried out in 1999–2001); we find that our predictions are surprisingly accurate: the average prediction for a given country falls within a small radius of the location that is actually observed on the cross-cultural map (specifically: the average prediction and the actual location fall within a circle that occupies less than two percent of the map's area). We then use this same model to predict the survey responses that we expect to find for 120 countries that are most likely to be surveyed in the next wave of surveys, in 2005–2006. Almost half of these countries have not been included in our previous surveys (and a number have never been covered in any survey of which we are aware). These are genuine blind predictions – which we believe is an important challenge for social scientists. Our predictions will not be exactly correct; in some cases, they will not even be in the right ballpark. But we are confident that in the great majority of cases, they will come much closer to the observed results than would random guesses. We are confident that these a priori predictions will be reasonably close to the results obtained from actual fieldwork, because analysis of data from more than 60 societies surveyed in previous waves of the World Values Surveys and European Values Surveys indicates that cross-cultural differences in basic values have a surprisingly consistent relationship with economic development. The values and beliefs of mass publics vary a great deal cross-nationally, but they tend to vary in a roughly predictable way that can be derived from a revised version of modernization theory.     

Evaluating program effects: Conceptualizing and demonstrating a typology

Outcome evaluation is very important for program evaluation and has been becoming increasingly so in the age of accountability. Typically, outcome evaluation is conducted for a single program from a single perspective. However, in a real-life situation, many programs exist in a system, and the effects could be viewed from various perspectives. The authors illustrate a typology of program effects in a system. It moves from the paradigm of a single program’s single effect to that of a set of programs’ multiple effects. Methodological implications are discussed.     

Housing Concepts For and By the Elderly: From Subjects of Design to a Design Resource

ABSTRACT

The perception of elderly residents as a homogeneous group is challenged by the diversification of lifestyles and emphasis on individuality in housing. Recently, there has been a rise in Finland in housing projects initiated by groups of elderly people, where the seniors themselves are seeking to fill in qualitative gaps in the offering of housing. This article presents a comparative analysis of four senior housing concepts that represent both a producer-driven (“for the elderly”) and a resident-driven (“by the elderly”) approach. The study shows that elderly people can be a resource for residential development and that this necessitates a different “design logic” than in conventional senior housing.     

The sibling relationship as a housing alternative to institutionalization in later life

The nature of the sibling relationship in middle and later life and the potential of living with a sibling as an alternative to institutionalization when independent living may no longer be possible was assessed using interviews with a random sample of 41 persons 56 to 84 years of age. Forty-nine percent of the respondents had lived with a sibling in adulthood usually for more than one year and over one-half would consider living together again. Men were somewhat more likely to have lived with a sibling in adulthood than were women. When a sibling went to live with another sibling, it was to a sister's home in 90 % of the cases. Almost none had previously considered living with a sibling in later life but ranked living with a sibling second to living in a nursing home and ranked it comparably with living with children. When asked directly their willingness to live with a sibling in later life, respondents were almost equally divided. Age, number of children, educational level, and a feeling of closeness particularly in middle age were found to be moderately correlated with willingness to live with a sibling.Dolores Cabic Borland earned a Ph.D. from Texas Women's University in Sociology and is presently an Associate Professor in Family and Child Ecology at Michigan State University. Dr. Borland's current research interests include middle age and sibling relationships in middle age and later life.This research was supported in part by a grant from the Michigan State University Foundation, Grant # (ORD 26081) and parts were presented at the 1986 National Council on Family Relations Annual Conference. Requests for reprints should be sent to Dolores Cabic Borland, Ph.D., Department of Family and Child Ecology, Michigan State University, East Lansing, Michigan 48824-1030.