Using an Objective Structured Clinical Examination for Bachelor of Midwifery students’ preparation for practice

BackgroundContemporary midwifery practice needs a rigorous and standardised assessment of practical skills, and knowledge to ensure that safety is maintained for both women and neonates before, during and after childbirth.AimTo evaluate the use of Best Practice Guidelines (BPG) for Objective Structured Clinical Examinations (OSCE) as a standardised tool to develop clinical competence of Bachelor of Midwifery students.MethodA pragmatic mixed method approach with surveys, focus groups and interviews was used to evaluate the OSCEs for first year students. Quantitative and qualitative data were combined to understand student and academic perceptions of students’ confidence for clinical practice following the OSCE.FindingsThirty-four students responded to surveys (response rate 94%); and 13 participated in focus groups. Two academic lecturers participated in an interview (100%). Two main themes emerged (1) the OSCEs improved student confidence (2) the OSCEs were relevant and prepared students for practice. Most students indicated that they practised for the OSCE using an integrated approach (70%), and that this assisted them in their approach to the assessment of the neonate or post-partum mother.ConclusionThe use of BPGs to ensure that OSCEs focus on important aspects of knowledge and practice helped students to learn and to perform well. Students’ confidence in their ability for the imminent professional experience placement was high. OSCEs designed with the BPGs should be implemented broadly across midwifery education to enhance students’ competence and provide rigorous meaningful assessment.     

Implicit Association Task and Perception of Homosexuality: Differences between African American and Non-Hispanic Caucasian Homosexual Males

ABSTRACT

This study investigated the relationship between sexual orientation and minority group membership in a sample of African American and non-Hispanic Caucasian (NHC) homosexual men. Participants competed measures of pathology, sexual orientation, and ethnic identity. They completed two IATs, one using homosexual symbols and the other ethnically diverse homosexual images. Results indicated that African American participants reported more ethnic and sexual orientation discriminatory experiences than NHC. It was also found that both groups exhibited a positive association toward gay symbols. Both groups also demonstrated a bias toward NHC homosexual images, although the bias was stronger for NHC participants. Moderation analyses indicated that as internalized homophobia increased, preference for gay NHC images decreased, and that high ethnically discriminatory experiences resulted in stronger associations between NHC images and “good” attributes. Overall, the results partially support the minority stress theory and highlight some important differences between African American and NHC homosexual men.     

Receptivity Attitudes and the Occupational Attainment of Male and Female Immigrant Workers

This paper seeks to extend assimilation scholarship by focusing on the impact ofimmigrant receptivity attitudes. We test the hypotheses that receptivity attitudestoward immigrants held by citizens of metropolitan and regional labor marketswill have a direct impact, and/or interact with the educational human capital ofimmigrants, in explaining the occupational attainment of male and female immigrantworkers. Multi-level modeling is used to test the impact of aggregated immigrantreceptivity attitude measures, derived from the General Social Survey, which arespatially merged with immigrant worker human capital, individual-level assimilation,and area labor market indicators to predict managerial/professional and service/laboroccupation attainment of immigrant workers from a merged 1995–97 CurrentPopulation Survey data file. The results provide support for the receptivity attitudesthesis with statistically significant effects on service and labor attainment, but showminimal effects on managerial and professional occupational attainment. The keyreceptivity dimensions affecting occupational attainment are native-born citizens'attitudes concerning the impact of immigrants on American society, and attitudeson English-only language policies. The results show no systematic support for thereverse causation hypothesis that the occupational patterns of immigrants determinethe immigrant receptivity attitudes of citizens.     

The Impact of Clique Membership on Children's Social Behavior and Status Nominations

The impact of children's clique membership on their peer nominations for social behaviors and status was examined in a sample of 455 third‐ through fifth‐grade children. Social identity theory (SIT) and children's peer group affiliation and context served as primary conceptual frameworks for this investigation. As suggested by SIT, results indicated that children displayed favorable views toward their own cliquemates, nominating cliquemates more often for positive characteristics (e.g., prosocial, cool) and high status indicators (like‐most, most‐popular) than for negative characteristics (e.g., aggression) and low status indicators (like‐least, least‐popular). At the same time, children's views toward their cliquemates were commensurate with the clique's normative reputations as determined by the broader peer group (i.e., grade). This suggests that children's perceptions toward their cliquemates, albeit favorable, are also regulated by the overall clique context. Meaningful gender and grade effects on children's cliquemate nomination patterns were found. Findings also were discussed regarding the impact of clique size on a peer‐based assessment of social reputations and status.     

Accountability as a Managerial Tool in Non-Profit Organizations: Evidence from Italian CSVs

The long-term performance of NPOs is based on their ability to link and maximize social value as defined in their mission. This involves legitimacy obtained from stakeholders influenced by and influencing NPO activities, and their operational capacity or economic efficiency. Thus, NPOs have to utilize multiple level accountability systems which should be compatible with their multiple objectives and stakeholders’ claims. The accountability system of an NPO should focus on its operational capacity, because in order to maximize its efficiency, an NPO has to measure its resource use, cost structure, and financial structure. Legitimacy obtained from stakeholders is also integral. If an organization is considered a social contract between multiple stakeholders, it has to consider the social economic effects of its activities and it has the duty to account for them. However, since the mission of an NPO is to create and distribute social value to a certain specific group, its social value creation has the most important role and an NPO should measure the social value it has created. This article analyzes the accountability system of a specific type of Italian NPO called Centri di Servizio per il Volontariato (CSVs)—namely centers which provide services for voluntary associations. The aim of the research is to verify if the accountability system adopted by CSVs satisfies their need for multiple level information (operational, legitimacy, and social value) and accomplishes their stakeholder claims, and to determine its impact on the definition and implementation of their strategy and on their long-term performance. The research was carried out using the action research model, and the findings are based on the analysis of a sample of 64 CSVs situated throughout Italy.     

The Board Value Protection Function in Young,Mature and Family Firms

Next to value creation, the value protection function of the Board of Directors is a widely accepted fact. Nevertheless, the current literature struggles to show a positive impact of the Board Value Protection (BVP) on firm performance. We use the decision rights model of board functions and argue the difference between board member roles (insider vs independent) and functions, to isolate the BVP from other director functions. By using the German context as a natural setting, we can isolate the BVP and show how it evolves with the firm lifecycle and owner motivations. Based on a sample of 446 initial public offerings (IPOs) from 1995 to 2015, our results show that the importance of BVP in young firms decreases with age, increases in mature firms and that this effect is stronger in family firms.     

Sub-optimal investment for insurers

Abstract

We consider the investment problem for a non-life insurance company seeking to minimize the ruin probability. Its reserve is described by a perturbed risk process possibly correlated with the financial market. Assuming exponential claim size, the Hamilton-Jacobi-Bellman equation reduces to a first order nonlinear ordinary differential equation, which seems hard to solve explicitly. We study the qualitative behavior of its solution and determine the Cramér-Lundberg approximation. Moreover, our approach enables to find very naturally that the optimal investment strategy is not constant. Then, we analyze how much the company looses by adopting sub-optimal constant (amount) investment strategies.     

The Taste for Corporate Responsibility: Heterogeneity and Consensus Around CR Indicators

We investigated, using an ad hoc questionnaire, a sample of Italian respondents’ opinions on different corporate responsibility (CR) items typically used by CR rating agencies. The hypotheses that equal average value weights are given to different CR items and equal variance (which we consider a proxy for the inverse of consensus on the importance of an indicator) were strongly rejected by our data, both in our overall survey sample and in more homogeneous subsamples based on gender, age, education, and religious beliefs. More specifically, we found that top environmental (renewable energy) and labor (heath and safety on the job) items had significantly higher scores than customer satisfaction, corporate governance, and animal testing items. We as well often reject the hypothesis that value weights for the same CR item are the same across different subpopulations in gender subsamples, because women attributed significantly higher weights than men to many CR items when we not corrected for young respondents’ oversampling.     

Inference on C pk for autocorrelated data in the presence of random measurement errors

The present paper examines the properties of the C _pk estimator when observations are autocorrelated and affected by measurement errors. The underlying reason for this choice of subject matter is that in industrial applications, process data are often autocorrelated, especially when sampling frequency is not particularly low, and even with the most advanced measuring instruments, gauge imprecision needs to be taken into consideration. In the case of a first-order stationary autoregressive process, we compare the statistical properties of the estimator in the error case with those of the estimator in the error-free case. Results indicate that the presence of gauge measurement errors leads the estimator to behave differently depending on the entity of error variability.