Chilling out in ‘cosmopolitan country’: Urban/rural hybridity and the construction of Daylesford as a ‘lesbian and gay rural idyll’

This paper advances scholarship on ‘lesbian and gay rural idylls’. A growing literature examines how ‘lesbian and gay rural idylls’ are not only produced in opposition to the urban, but are themselves urban constructs. We extend these contentions by exploring the processes of idyllisation suffusing lesbian and gay festival tourism in Daylesford, a town in non-metropolitan Victoria, Australia. We find that Daylesford’s idyllisation by the lesbian and gay tourism industry blurs the urban/rural binary, and instead hybridises rurality and urbanity in the tourism images and practices of ‘cosmopolitan country’ associated with the town. Research findings from Daylesford are analysed to examine how the dynamics of tourism marketing and festival attendance help produce and articulate this hybrid variant of the ‘lesbian and gay rural idyll’. We utilise two sets of mostly qualitative data for this inquiry: travel commentaries in the news media, and a survey conducted in Daylesford at the 2006 ChillOut Festival, Australia’s largest lesbian and gay rural festival.     

Using human factors engineering to improve patient safety in the cardiovascular operating room

Despite significant medical advances, cardiac surgery remains a high risk procedure. Sub-optimal work system design characteristics can contribute to the risks associated with cardiac surgery. However, hazards due to work system characteristics have not been identified in the cardiovascular operating room (CVOR) in sufficient detail to guide improvement efforts. The purpose of this study was to identify and categorize hazards (anything that has the potential to cause a preventable adverse patient safety event) in the CVOR. An interdisciplinary research team used prospective hazard identification methods including direct observations, contextual inquiry, and photographing to collect data in 5 hospitals for a total 22 cardiac surgeries. We performed thematic analysis of the qualitative data guided by a work system model. 60 categories of hazards such as practice variations, high workload, non-compliance with evidence-based guidelines, not including clinicians' in medical device purchasing decisions were found. Results indicated that hazards are common in cardiac surgery and should be eliminated or mitigated to improve patient safety. To improve patient safety in the CVOR, efforts should focus on creating a culture of safety, increasing compliance with evidence based infection control practices, improving communication and teamwork, and designing better tools and technologies through partnership among all stakeholders.     

Building organizational supports for knowledge sharing in county human service organizations: a cross-case analysis of works-in-progress

Building on the literature related to evidence-based practice, knowledge management, and learning organizations, this cross-case analysis presents twelve works-in-progress in ten local public human service organizations seeking to develop their own knowledge sharing systems. The data for this cross-case analysis can be found in the various contributions to this Special Issue. The findings feature the developmental aspects of building a learning organization that include knowledge sharing systems featuring transparency, self-assessment, and dissemination and utilization. Implications for practice focus on the structure and processes involved in building knowledge sharing teams inside public human service organizations.     

Delay and Anxiety in Care Proceedings: Grounds for Hope?

This paper draws on an evaluation of a pilot project in three London boroughs (the ‘Tri-borough’ authorities) which had the aim of reducing the length of care proceedings to 26 weeks, in advance of nationwide moves in the same direction. Rather than looking at this as yet another battleground between professional autonomy and bureaucratic rigidity, the authors focus on the psychological aspects both of court delay itself and of setting time limits, considering the impact of each on the children, parents and professionals involved. The challenge is to balance the pressures of time and the need for thoroughness, being mindful of the uncertainty and anxiety that pervade care proceedings. The pilot succeeded in greatly reducing the average length of care proceedings. Professionals involved in the project, including those whose job was to represent the interests of parents and children, seemed satisfied that this had not been achieved at the expense of thoroughness, and indeed that shorter proceedings might help to reduce the overall level of distress and anxiety that children and parents endure. On the other hand, the new approach adds to the pressures on the professionals themselves. If the changes are to be sustained, the anxiety involved in making these life-changing decisions about children must be recognised, and adequate support offered to those who have to make them.     

Paternity Leave‐Taking and Father Engagement

Evidence suggests that paternity leave‐taking is associated with higher levels of father involvement, but research has been limited in its focus on cross‐sectional analyses and indicators of father involvement used. This study uses national longitudinal data to examine whether paternity leave‐taking is associated with 2 indicators of father engagement when children are infants, whether paternity leave‐taking is associated with trajectories of father engagement during the first few years of a child's life, and whether the relationships between paternity leave and father engagement are explained by fathering commitments and attitudes. The results suggest that longer periods of leave are associated with more frequent engagement in developmental tasks and caretaking when children are infants as well as during the first few years of children's lives. There is also evidence that father attitudes partially explain the relationships between length of paternity leave and father engagement.     

A Manifesto for the Age-Friendly Movement: Developing a New Urban Agenda

Developing age-friendly cities and communities has become a key part of policies aimed at improving the quality of life of older people in urban areas. The World Health Organization has been especially important in driving the “age-friendly” agenda, notably through its global network of age-friendly cities and communities. Despite the expansion and achievements of the network, challenges remain in responding to the growth of inequality and the impact of economic austerity on aging policies. Against the background of these limitations, this article sets out a “manifesto for the age-friendly movement” aimed at raising the aspirations of what is now a worldwide movement. The areas covered in the manifesto are challenging social inequality, widening participation, coproducing and codesigning age-friendly communities, encouraging multisectorial and multidisciplinary collaboration, and integrating research with policy. The article concludes with a discussion on developing age-friendly work as a contribution to a new agenda for urban aging.     

Evaluating the Efficacy of the Prodigy Prevention Program across Urban and Rural Locales

Comorbid juvenile offenders are an overlooked, vulnerable population which tend to present with a more diagnostically serious picture. Their arrest rates have dramatically increased over the last 10 years, yet there is a dearth of prevention and intervention programs available. This study examined the effects of the Prodigy Cultural Arts Program on at-risk and adjudicated youth in a rural and an urban locale. Results suggest a significant improvement in family functioning overall as well as statistically significant changes in mental health symptoms including Depression/Anxiety, Somatic, and Suicidal symptoms for both males and females at urban and rural locales. Females appeared to especially benefit from the program. The findings here extend our knowledge regarding viable alternatives for juvenile offenders with mental health symptoms, particularly females.