Testing the demand-control-support model among health-care professionals: A structural equation model

This paper reports a further empirical validation of the Demand-Control-Support Model (DCS model), which was developed by Johnson and colleagues (1988, 1989). Data were collected from a heterogeneous group of health-care professionals (nurses and nurses' aides; n = 249). Three major refinements were made to the validation of the DCS Model. First, all relationships in the model were estimated simultaneously by means of covariance structure modelling (LISREL 8). Second, the control dimension was refined substantially, using a psychometrically more sound assessment of the workers' autonomy. Third, the model was applied to the work of health-care professionals. The data did not confirm the assumption that both job strain and motivation are multiplicative functions of job demands, autonomy and social support. First, the results suggested that high levels of autonomy attenuate the increase of emotional exhaustion due to job demands. These results partially supported Karasek's Job Demand-Control Model (Karasek 1979). Second, high levels of social support proved to attenuate the increase of emotional exhaustion due to autonomy. Finally, the main effect of autonomy on job challenge implied that an increase in autonomy is accompanied by an increase in job challenge (and, consequently, job involvement). In addition, low job demands and a high amount of work-related support seem to reduce feelings of exhaustion and, consequently, health complaints.     

Marital Satisfaction and Marital Stability*

This exploration of the relationship between marital satisfaction and marital stability utilizes the social-psychological schema of Thibaut and Kelley (1959). Marital satisfaction is viewed as a function of the comparison between one's marital expectations and one's marital outcome. Marital stability is viewed as a function of the comparison between one's best available marital alternative and one's marital outcome. Hence, marital satisfaction and marital stability can differ. Implications of this view for both researcher and clinician are discussed.     

Child maltreatment in the family: a European perspective

Child maltreatment is generally referred to under the global categories of physical, sexual, emotional/psychological abuse and neglect. The Concerted Action on the Prevention of Child Abuse in Europe (CAPCAE) reports on the specific forms of harm and injury, actions and persons believed responsible in eight European countries. The most common actions across all participating countries responsible for harm were those of violent parenting or absent parenting. A review of prevention strategies found that few programmes focused on specific behaviours or included measures to indicate whether their actions were successful in preventing further harm to children. It is recommended that fathers need to be targeted in prevention as well as mothers and that specific data collection of actual harms, actions, persons responsible and outcomes needs to be implemented as a priority in all European countries. Such specificity avoids a focus on risk which is unacceptable in some countries, over inclusive of parents and resource intensive.     

Ulster Protestants in New Zealand: A Bibliographic Essay

One of the most noticeable aspects of recent studies which examine Irish migration to New Zealand has been the identification of a sizeable contingent of Ulster Protestant settlers within that migrant stream. Their presence has proven to be a complicating factor in how the history of the Irish in New Zealand has been written and has made easy assumptions about the loyalty, identity, politics and ethnicity of that population impossible. This essay surveys the existing literature on New Zealand's Ulster Protestant population across a wide range of subjects while at the same time considering their apparent disappearance as a distinct ethnic grouping in the new world.     

An overview of elder abuse and neglect in Australia

Only relatively recently has the issue of elder abuse come to prominence in Australia. Until the late 1980s it was a hidden problem with little knowledge of its presence. Attention was drawn to elder abuse after the publication of a number of reports and research projects, allowing the development of responses at national and state levels. This paper gives an overview of the development of elder abuse as a social, legal and medical issue in Australia, and describes the diverse range of responses from the national, state and territory governments.     

Monkey bars and ladders: The importance of lateral and vertical job mobility in internal labor market careers

This paper compares results from the empirical literature on internal labor markets with outcomes from analyzing personnel data of the Dutch aircraft manufacturer Fokker. It sheds light on differences in the functioning of internal labor markets between periods of workforce growth and decline. Despite substantial variation in individual wages, careers are important as wages are strongly related to job levels. Promotion rates fall and demotion rates rise when the firm enters the stage of demise. Vertical and lateral job mobility are important in internal labor market careers as they stimulate wage growth and reduce the lay-off risk.     

Effects of resident-oriented care on job characteristics of nursing caregivers

This study evaluates the effects of the implementation of resident-oriented care on the job characteristics (job autonomy, job demands and social support) of nursing caregivers in three Dutch nursing homes. In a quasi-experimental design, experimental and control groups in both general and psychogeriatric wards were followed for up to 22 months, using a pre-test and two post-tests by means of written questionnaires and semi-structured interviews. The results showed that the intervention appeared to be partly successful. Last post-test regression analyses revealed significant increases in a number of design characteristics of resident-oriented care. Significant increases were noticed on resident assignment, the two variables measuring the nursing process and, in the psychogeriatric experimental group, on resident-oriented tasks (p≤.01). The effects on job characteristics were limited. An indicative increase was shown in contextual job autonomy in the experimental group (p≤.05). The qualitative data derived from the interviews showed that there was still a partly task-oriented division of labour. Further, the delegation of co-ordination tasks to nursing caregivers had not yet been properly achieved. The study concludes with some theoretical and methodological reflections in the light of the findings.