Support Network Connectedness in the Lives of Community-Dwelling Rural Elders and Their Families

Rural elders face challenges when accessing assistance from family, neighbors, and paid helpers. This support is essential to allow them to remain community dwelling as they develop physical challenges that limit their ability to care for themselves. This qualitative study followed a group of 16 rural elders with physical limitations for 1 year. In-depth interviews were conducted with them and eight members of their support networks, including five family members, to explore how rural older adults create and maintain support networks that allow them to remain community dwelling despite physical challenges that limit their self-care. The research question is, “How do members of the support network connect with each other to maximize the effectiveness of the network?” Family members coordinated assistance to maximize the abilities and availability of various network members. In addition, family members worked together with other family members, neighbors, and paid helpers to assist the elder. These strategies enhanced the ability of the network to assist the rural elder and also lessened the burden of care by dispersing it among network members.     

Working and nursing: navigating job and breastfeeding demands at work

Breastfeeding is a sex-specific, work–family issue for women. Yet, there is relatively little sociological research on the breastfeeding-work interface. What challenges do breastfeeding women face during the workday? (How) Are some more successful than others at merging breastfeeding and work? We conducted interviews with 22 US women as part of a case study of workplace breastfeeding support. The Patient Protection and Affordable Care Act [PPACA] (2010) includes breastfeeding provisions, but primarily address hourly workers. Most women in our study were not covered by the PPACA but had access to a workplace Breastfeeding Support Initiative. Despite this, women faced several challenges: different degrees of schedule control, unequal access to space, and unexpected breastfeeding demands. Women also had differential access to workplace resources to cope with demands. Control over both time and space was a cross-cutting theme. Research needs to better address work conditions that are conducive to breastfeeding rather than simply asking if work and breastfeeding are incompatible. Furthermore, workplace support initiatives will succeed only to the extent that they can directly address work conditions, even if on a temporary basis.     

A Solution Focused Approach to Adolescent Groupwork

The use of Solution Focused Therapy in a group setting with adolescents requires the therapist to encourage the young persons to recognise when they are not bullying, what prosocial behaviours they use and how others respond to them. Furthermore it gets bullies to work together in a cooperative and purposeful direction, approaches negative behaviours positively, and allows desired outcomes to be supported. The group setting enables the adolescent to gain support from peers as well as provide support to others. The therapist must be flexible, remain focused on the solution and allow the group to determine the course to a certain extent.     

Adult youth workers’ conceptions of their work in an under-resourced community in the United States

This study examined adult workers’ conceptions of their work with youth in a large, underserved, urban region in the northeastern United States. Drawing on qualitative interviews with 18 youth workers from various organizations, affiliated with a community coalition focused on substance abuse prevention, we explored how adults viewed their role of working with youth. We were particularly interested in whether these workers saw youth empowerment and collaboration with youth for community change as part of their role. Our data suggested that while workers in this study were very supportive of youth, the support and actions they provided were on behalf of rather than with them and that, in general, partnering with youth for community change was not a part of what they envisioned their work to be. While a few of the adults attempted to work more collaboratively with youth, they were clearly in the minority.     

Engaging with Disability Services: Experiences of Families from Chinese Backgrounds in Sydney

People from Chinese backgrounds remain underrepresented in disability service use. This paper explores family experiences of using child disability support services to understand how migration and their cultural expectations about disability and service affect the way they use services. Qualitative semistructured interviews were conducted with 13 family carers in Sydney. They were striving to gain good support for their child from formal services. However, most of them were reluctant to express any dissatisfaction to service providers, which meant that assertively requesting different support was difficult and culturally inappropriate. In response, service providers can design nonconfrontational ways to elicit this vital information and support families to gain experience tackling conflict.     

Supervisor Support Buffers Daily Psychological and Physiological Reactivity to Work‐to‐Family Conflict

Using a daily diary design, the current study assessed within‐person associations of work‐to‐family conflict with negative affect and salivary cortisol. Furthermore, the authors investigated whether supervisor support moderated these associations. Over 8 consecutive days, 131 working parents employed by an information technology company answered telephone interviews about stressors and mood that occurred in the previous 24 hours. On Days 2–4 of the study protocol, they also provided 5 saliva samples throughout the day that were assayed for cortisol. Results indicated a high degree of day‐to‐day fluctuation in work‐to‐family conflict, with employed parents having greater negative affect and poorer cortisol regulation on days with higher work‐to‐family conflict compared to days when they experience lower work‐to‐family conflict. These associations were buffered, however, when individuals had supervisors who offered support. Discussion centers on the use of dynamic assessments of work‐to‐family conflict and employee well‐being.     

Perceived contra observed physical work load in Swedish dentists

In an earlier questionnaire study, dentists reported high experienced physical work load in their profession, but low to moderate complaints from their musculoskeletal system. The correlation between reported physical work load and pain from the musculoskeletal system was weak. This discrepancy could not be satisfactorily explained. Therefore, a second study was undertaken, in which the same 27 dentists who reported musculoskeletal problems were video recorded during one hour of clinical work, and the records were later analyzed using PEO (Portable Ergonomic Observation). PEO is a frequency analysis method which allows observation of work in real time using a portable computer or video recordings. PEO can be adjusted for registration of single or multiple work operations. Output data are presented as frequency, duration, and sequence of the various work operations. The aim of the present study was to investigate if there was a relation between observed work load recorded with PEO, and subjectively estimated work load and musculoskeletal complaints recorded with a questionnaire based on Visual Analogue Scales. Sitting and standing postures, and head, trunk and arm movements were analyzed. The PEO observations showed that dentists generally perform their clinical work in a sitting position, with the head bent forward almost half of the time. Only weak to moderate correlations (r =0.0-0.6) were found between observed physical work load and subjective estimations of experienced physical work load and musculoskeletal complaints. These findings support the results in our previous study, but they do not explain the large difference between the observed low work load and the subjectively experienced high work load. The study will be followed up by EMG measurements and free interviews, where both muscular load and psychosocial factors will be evaluated.     

Prepared for Practice? Graduating Social Work Students' Reflections on Their Education,Competence and Skills

The paper encompasses the views of 13 Swedish graduating social work students on their education, competence, skills and expectations for their future roles as social workers. It presents the findings of the first phase of a longitudinal study where students in Sweden and Australia are followed from university and during the first 18 months in the profession. A qualitative methodology was employed and semi-structured interviews were conducted with the students just prior to graduating. The most salient theme was the strong wish for more time in contact with the field. All of the students would have preferred at least one additional period of field placement. A strong wish for clarity, particularly in relation to understanding what it means to practise social work, emerged. Although most of the graduates talked about their self-development and described themselves as having become more critical and more self-confident, they perceived themselves as more or less unprepared for most social work positions and expected to receive considerable support and guidance in their workplaces. The proportion of theoretical and research courses in comparison to the teaching of practice skills and field placements within Swedish social work education is discussed.     

Listening to Young People with Learning Disabilities Who Have Experienced,or Are at Risk of,Child Sexual Exploitation in the UK

This paper reports on a UK study which examined the identification of, and support for young people with learning disabilities who experience, or are at risk of, child sexual exploitation (CSE). CSE has received considerable attention in the UK, with evidence suggesting an increased risk for young people with learning disabilities. However, no study has specifically focused on this group, and their voices remain largely unheard. In‐depth interviews with 27 young people with learning disabilities were undertaken to explore how to meet their needs. This paper presents the young people's voices and identifies areas for improvements in policy and practice.     

The stress of progression from school to work for adolescents with learning disabilities em leader What about life progress?

Four students with learning disabilities were interviewed about their experiences at work. Two students, one male and one female, were high school seniors and two students, one male and female, were freshmen at a community college. Individual student interviews ranged from 2 to 4 hours. Informal interviews were conducted with students' teachers and parents. At the time of the interview, students had part-time, unskilled jobs in which they had worked for at least 6 months prior to participation in the study. Themes that emerged from analysis of the data included students' reactions to entering the workforce, stress in learning the job tasks, overcoming difficulties by developing coping strategies, learning work values and parental influences. Student interviews underscored the importance of practice runs and real life learning to reduce stress prior to entering the work force.     

Institutional responsibilities: providing placement for international students

ABSTRACT

Recent years have seen a rapid increase in the number of international students studying health professional degrees such as social work in Australia and internationally. Research indicates that placement educators perceive that extra time and effort is required to support international students on placement due to, for example, language barriers and cultural and educational differences. This paper reports on findings from a nationwide study investigating the experiences and support needs of placement educators who supervise international social work students. The data consists of 15 in-depth interviews and 66 survey responses from placement educators across Australia. Findings reveal that placement educators feel pressure from education providers to supervise international students, yet they also feel they lack support from the education provider to do so adequately. Placement educators cite a need to increase contact and coordination between agencies and education providers, including clarity around the education providers’ expectations of their supervision. Placement educators want closer working relationships between agencies and education providers to ensure rewarding and enriching experiences for both students and placement educators. Such findings suggest that increased institutional support for, and collaboration with, placement educators is required to sustainably maintain quality placements for international students.     

The coping model: what is it and what might be its implications for social work practice?

This article examines whether a coping model developed as a framework for analysis of research interviews is useful in social work practice. The coping model emerged from a study involving qualitative interviews with social service clients in Norway, designed to explore how they coped with challenges in everyday lives, both on an individual level and in interacting with their environment. The model emerged from preliminary analysis and was then used in further analysis of the interview data. The study showed that the informants experienced two major challenges: (1) Unemployment and (2) living with a shortage of money over time, even though their life situations were heterogeneous. Some informants experienced potent coping strategies in finding employment and became independent of social services. Other informants experienced shortages in their capacities for work and continued to be dependent on allowances. They used their coping resources to achieve more meaningful life situations without employment. The coping model represents how coping is understood theoretically in the study and the present paper considers the model's relevance and implications for social work practice itself.     

Visualizing ‘community’: an experiment in participatory photography among Kurdish diasporic workers in London

Most accounts of research methods in academic journals give an impression that research progresses in an orderly, logical and linear manner. Yet, in reality it is often more ‘messy’ than we admit. This paper reports on an experiment on the use of visual photographic methods in a study of Kurdish migrant workers in London who have had problems at work. The aim was to understand the type of problems workers faced and how they attempted to solve or deal with the issues they encountered. We were interested in the extent to which workers looked to local communities for support and if or how their identity impacted on the actions they took. The use of participant‐generated photography developed while the research was in progress and was utilized in addition to individual and group interviews in order to explore if this was helpful (to us and to research participants) in explaining issues, such as identity and ‘community’, which can often be difficult to verbalize or articulate. As a first foray into incorporating visual methods we struggled at first with ways to explain to participants the type of data we wanted, before learning that it was important to ‘lose control’ and allow participants to ‘speak’ for themselves using the lens of their cameras. The paper explores theoretical justifications that influenced our approach in our first attempt at participatory photography. It will look at the use of images constructed by research participants and how these were used in focus group situations to explore how or whether individual meanings of work, identity, community and belonging have resonance in the wider Kurdish community.     

Effects of early support intervention on workplace ergonomics--a two-year followup study

The purpose of the controlled longitudinal study was to determine the effect of a tailored early support intervention method on workers' workplace ergonomics. The main areas of the early support intervention were training, guidance and support for supervisors in finding weak signals of impaired ergonomics. Supervisors were also trained to bring up these weak signals in discussion with employees and to make necessary changes at the workplace. The data consisted of 301 intervention subjects and 235 control subjects working in the field of commerce. The questionnaires were carried out in 2008 and in 2010, and the response rates among both groups were 45%. We used multivariate repeated measures analysis of variance (MANOVA) to test the difference in the groups at two points of time. The main result was that in the areas of work environment, the interaction between group and time was statistically significant (p=0.0004). The work environment improved in the intervention group, but deteriorated in the control. Working methods improved due to the interventions, but physical load factors increased over time in both groups. According to the study, tailored early support intervention has a generally beneficial impact on workers' workplace ergonomics in the areas of work methods, work environment and accident factors.     

Ergonomic analysis of work activity for the purpose of developing training programs: the contribution of ergonomics to vocational didactics

Questions related to job skills and the teaching situations that best promote skill development are investigated by specialists in various fields, notably among them, ergonomists. This paper presents the findings of an ergonomic intervention study whose aim was to develop a meat-deboning training program by taking into account both the training content to be constructed and the working conditions that might facilitate or hinder skill development. One-on-one interviews and group discussions, on-the-job and videotape playback observations, as well as self-confrontation interviews were carried out. Activity analysis revealed major variability in work methods. The reasoning behind the experienced workers' actions and the experiential job knowledge they had developed were brought to light and served to develop the training content. The determining factors in the choice of work methods were identified, allowing adjustments to be made to the working conditions that might hinder skill development. The ergonomic process that implied taking working conditions into account in our study may make a significant contribution to vocational didactics, which is based on the cognitive analysis of work for the purpose of improving the effectiveness of job-skills training.     

Assessment of vocational opportunities and continuing job placement for persons with mental disabilities: factors indicating levels of necessary support

We determined primary factors in allocating support for vocational opportunities and continuing job placement for clients with mental disabilities. The study analyzed 29 items regarding work attitudes and vocational skills for 70 clients as assessed by the Tokyo Metropolitan Rehabilitation Center for the Physically and Mentally Disabled. The evaluations were performed using the situational assessment approach with a 3-point support scale system assigned through observation of behavior. The results of these evaluations placed 35 clients in employment groups (A and B) and 35 clients in a sheltered workshop group (C). The data was analyzed by multivariate analysis. Predictions of success and functional differences among the groups were indicated by the data. Differences were found among the three groups in work attitudes and skills such as "self-direction" and "directions for social participation". Out of the 35 clients currently employed, 11 were recognized as needing ongoing assistance from supported employment offices. For the supported employment group (B), the major work attitudes and skills for which they required continuous services for maintaining stable jobs were 'emotional stability' and 'learning of working skills and accomplishment of work.' In a previous study, the major differences between the competitive employment group (A) and the sheltered workshop group (C) were in areas of 'responsibilities,' 'goals for life,' 'motivation for the work and understanding of contents for work,' and 'safety during work.' Our study supports these findings. In addition, transition from the sheltered workshop to supported employment required training to improve skills and support for 'responsibilities,' 'goals for life,' 'participation in leisure activities and community-based activities,' and 'preparation and cleaning for work.'     

Employers' Experiences and Views of Grow Your Own Social Work Programmes: A Qualitative Interview Study

In the light of expressed support for Grow Your Own or employer sponsored schemes for social work training, this article explores why they are not so frequently adopted. It draws on findings from a multi-method study of GYO activities and outcomes in England, in particular interviews with 27 participants from 20 organisations employing social workers and funding GYO activity. These interviews revealed that GYO was seen as a means to recruit and retain new social workers, specifically to recruit workers who were able to start practice immediately and needed minimal support, but also to widen access to the profession and to demonstrate evidence of the employers' wider commitment to its non-qualified staff by providing a career pathway. Not all those interviewed were able to provide firm data as evidence of their belief in the value of GYO schemes. The article concludes that the reasons for the decline in GYO schemes lie in the sizeable investment required to develop and sustain them. It identifies some mismatch between the need for immediate solutions to workforce shortages and the longer-term investment in students and in workforce development staff who are necessary to reap the benefits of such schemes.     

Living and loving with dementia: Negotiating spousal and caregiver identity through narrative

In this paper, we examine how Alzheimer's disease and related disorders (ADRD) affect caregivers' perceptions of change in the identity of their afflicted spouse and the ways in which accompanying changes in caregiver identity influence intimate relations. We also explore how gender shapes the ADRD caregiving experience among married couples, specifically, the extent to which intimate relations are also gendered relations. The study group was comprised of spousal caregivers recruited from support groups in the two Midwestern states and from the Alzheimer's Disease Center (ADC) at a large Midwestern university hospital. In-depth interviews were conducted with 13 men and 15 women whose spouses had ADRD. The intensive interviews confirmed that identity change on the part of sick spouses had important implications for intimacy, although not always in adverse ways. The majority of caregiver husbands and wives reported diminished intimacy as a result of the ADRD. Many men and women believed they would retain feelings of closeness to their afflicted spouses as long as they were alive. Wives were more likely than husbands to report that changes in their spouses' identity altered how they identified themselves within their marriage. This has important implications for intimate relations between people with ADRD and those who care for them. Our findings suggest that caregiving and intimacy are very different experiences for men and women, and point to the need for caregiver education and support.     

Readiness to practice social work in Aotearoa New Zealand: perceptions of students and educators

The readiness to practice of newly qualified social workers in Aotearoa New Zealand is a contested subject. In recent years, criticism by public figures including government ministers and the New Zealand government-appointed Children’s Commissioner have stimulated debate within the profession. Media critique of social work practice has highlighted many of the challenges faced by social workers. Significant policy developments, in particular a substantive government review of child protection services, have also increased the scrutiny of the capabilities of social workers.

A timely 3-year multi-phase project ‘Enhancing readiness to practise’ is the first large study of social work education to be funded in Aotearoa New Zealand. The findings reported here have been derived from data collected in a series of focus group interviews with social work educators and students, in which they reflected on curricula in their programs and explored their perceptions of readiness to practice. Overall, educators were positive about the preparedness of their graduating students but held concerns over the organizational environments they would enter. Students were more ambivalent about their readiness, but hopeful and committed to ongoing learning. Development of programs to support graduates to transition to employment is recommended.