Process evaluation of an environmental walking and healthy eating pilot in small rural worksites

Small Steps are Easier Together (SS) was a pilot environmental intervention in small rural worksites in Upstate New York in collaboration with Extension educators. Worksite leaders teamed with co-workers to select and implement environmental changes to increase walking steps over individual baseline and to choose healthy eating options over 10 weeks. Participants were 226 primarily white, women employees in 5 sites. A mixed methods process evaluation, conducted to identify determinants of intervention effectiveness and to explain differences in outcomes across worksites, included surveys, self-reports of walking and eating, interviews, focus groups, and an intervention log. The evaluation assessed reach, characteristics of recruited participants, dose delivered, dose received, and context and compared sites on walking and eating outcomes. Emergent elements of participant-reported dose received included: active leadership, visible environmental changes, critical mass of participants, public display of accomplishments, accountability to co-workers, and group decision making. Participants at sites with high reach and dose were significantly more likely than sites with low reach and dose to achieve intervention goals. Although this small pilot needs replication, these findings describe how these evaluation methods can be applied and analyzed in an environmental intervention and provide information on trends in the data.     

The Elephant Is Not Pink: Talking About White, Black, and Brown to Achieve Excellence in Clinical Practice

Incorporating issues of race and racism can improve clinical engagement and the therapeutic alliance. Assessing, understanding, and responding to experiences related to racial identity and racism related stress can be an important factor in a clinician??s ability to be culturally responsive. A vignette of client treatment presents common dilemmas in clinical treatment. Responses to questions about race from focus groups are presented to frame the experiences of women of color who struggle with poverty and social-emotional issues. A framework of multicultural antiracist practice highlights the skills necessary for clinicians, supervisors, and managers.     

Changing attitudes about self-injury prevention management: lessons learned

In the behavioral health environment, nurses often use continuous staff monitoring and, at times, physical restraints, to manage the severity of patients' self-injury. Both options put staff in control, are the most restrictive in nature, and can be financially draining on the hospital's budget. This can result in negative reactions by both patients and staff. It is important to develop a program that will empower patients to control their behavior and allow staff to be aware of their perceptions and attitudes toward patients who self-injure. This article describes the leadership initiative that drove the development, training, and implementation of a self-injury prevention project and the lessons learned by staff.     

Can a Knowledge Sanctuary also be an Economic Engine? The Marketization of Higher Education as Institutional Boundary Work

Universities, particularly research‐intensive ones, have responded to a variety of external and internal influences by retooling their missions, culture, and organizational structures to generate revenue from market opportunities. This has resulted in the marketization of higher education: organizational practices that blur the boundary between knowledge‐driven and profit‐driven institutions. This blurring has spurred debates and uncertainties over the scope and boundaries of the 21st century university. We argue that these debates spring from institutional boundary work at the intersection of the three main missions of the contemporary academy: knowledge production, student learning, and satisfying the social charter. These missions can sometimes create areas of synergy, but also tensions that are particularly acute where market logics and business‐oriented practices contradict academic values. Within knowledge production, a key dilemma is the extent to which knowledge advancement should aim for transcendence versus revenue generation. Within student learning, the dilemma involves incommensurability between the ideals of democratic citizenship and demonstrable return on investment. Within the social charter mission, the dilemma is over whether the university can serve the public welfare while also facilitating the growth of local and national economies.     

Reliability of professional judgments in forensic child sexual abuse evaluations: unsettled or unsettling science?

In the absence of photographic or DNA evidence, a credible eyewitness, or perpetrator confession, forensic evaluators in cases of alleged child sexual abuse must rely on psychosocial or "soft" evidence, often requiring substantial professional judgment for case determination. This article offers a three-part rebuttal to Herman's (2009 ) argument that forensic decisions based on psychosocial evidence are fundamentally unreliable and that this conclusion represents settled science. The article also discusses the potentially adverse consequences of Herman's proposed reforms to forensic practice on child protection and prosecution efforts.     

Networking practitioner research: synthesising the state of the ‘art’

The aim of this paper is to examine what we know about the experience and outcomes of networked initiatives aimed at facilitating practitioner research. We outline the roles and significance of practitioner research within social work; review emerging understanding of practitioner research network initiatives; and draw conclusions from a comparative analysis of three such initiatives in Auckland, New Zealand, Arhus County, Denmark, and across Scotland. We consider the nature and challenges of practitioner research and a number of responses to how such work should be formulated and conducted. Central to our argument is an empirically informed consideration—from our separate and shared experiences—of how well networks enhance the process and consequences, and art and craft, of such research projects.     

Development in youth enterprises

Business enterprises run by youth can create jobs and teach the principles of free enterprise but also convey skills that can be used by employees in large companies, as well as political activists and entrepreneurs. Research is needed to test the efficacy of this approach and identify its key components.     

How moral disengagement facilitates the detention of refugee children and families

Refugee children and families are a vulnerable demographic with the propensity to disrupt entrenched disparaging perceptions about immigrants. This project investigates how institutionalised moral disengagement practices [Bandura, Albert. 2002. “Selective Moral Disengagement in the Exercise of Moral Agency.” Journal of Moral Education 31: 101–119] at family detention centres facilitate the apprehension and confinement of children and families seeking asylum. Interviews with former volunteers and an analysis of news reports describing conditions at these centres reveal that moral disengagement plays a pivotal role in rationalising detention, while also enabling restrictive immigration policies and mass deportations. This occurs through the criminalisation of immigrants, suppressing details about residential conditions, and a quota capacity model. Findings are contextualised with regard to recent immigration legislations.     

Gender egalitarianism,perceived economic insecurity,and fertility intentions in Spain: A qualitative analysis

Economic uncertainty contributes to low fertility in many European countries. On the other hand, greater gender equality may positively influence fertility. This paper examines how these two forces interact in Spain. We use in-depth interviews to analyse fertility decision-making among young and highly educated partnered adults living in urban areas. Highly gender-egalitarian interviewees are less likely to perceive economic insecurity as an obstacle to proceeding to a next birth than less egalitarian interviewees. But there is not necessarily a difference in these two groups’ overall fertility intentions, as highly egalitarian interviewees’ greater valuation of stable employment for both partners requires institutional and policy support for dual-earner couples’ childrearing. When we look only at interviewees who express economic insecurity, somewhat higher fertility intentions are expressed by those holding less gender-egalitarian attitudes. Our results underline the complexity of the interrelationships between economic insecurity, gender egalitarianism, and fertility intentions.