Factors that support change in the delivery of midwifery led care in hospital settings. A review of current literature

Problem

In hospital units, the network of interdependent relationships between midwives and doctors has positioned midwives within hierarchical relationships of power. Others argue that the physical layout of hospital wards created by biomedicine makes it difficult for midwives to provide midwifery led care. The aim of this review is to identify factors that support change in the delivery of the midwifery led care in hospital settings.

Person‐Environment Fit and Positive Youth Development in the Context of High School Gay–Straight Alliances

Drawing from a person‐environment fit framework, we identified profiles of youth in gay–straight alliances (GSAs) based on the extent to which they received information/resources, socializing/support, and advocacy opportunities in their GSAs and the extent to which this matched what they desired from their GSA along these three functions. Further, we examined profile differences in positive developmental competencies while accounting for community‐contextual factors. In a sample of 290 youth from 42 Massachusetts GSAs, latent profile analyses identified five subgroups. Overall, youth receiving less from their GSAs than they desired, particularly regarding opportunities for advocacy, reported lower levels of self‐reflection, bravery, civic engagement, and agency than youth who received information, socializing/support, and advocacy that matched or exceeded what they desired.     

Career transition as identity learning: an autoethnographic understanding of human resource development

This paper examines the phenomenon of career transitions in terms of learning using an autoethnographic story of our own career moves. In the contemporary world of globalized flexible employment, inter-organizational career moves are increasingly prevalent and the learning associated with such transitions needs to be better understood within human resource development (HRD). We show that the learning required in career transitions extends beyond the acquisition of new knowledge and the development of new skills to the appropriation of new identities. We overview identity theorizing and, adopting a social constructionist perspective, explain the concept of identity work to understand the nature of identity learning in career transitions. We then reflexively examine our autoethnographic methodology, proceed to tell the story of our career transitions, and then interpret this story in terms of identity learning. Conclusions are drawn showing how the learning associated with career transitions involves conscious and unconscious identity work to release an established way of being, cultivate a new and desired way of being, and to cope with the existential anxieties associated with transition. Significant implications for international HRD scholarship, policy, and practice are proposed.     

Understanding Ivy Lee's declaration of principles: U.S. newspaper and magazine coverage of publicity and press agentry, 1865–1904

Ivy Lee's 1905 “Declaration of Principles” has been called the “starting point of modern public relations,” but what did it mean in the context of his time? Analysis of press discussion finds that, while press agentry was connected to the circus and theater, “corporate publicity” was linked to Theodore Roosevelt's call for the release of financial information in the public interest. The paper confirms that scholars do not have a clear understanding of public relations history and identifies areas for further research.     

Risk Factors for Problem Gambling Among Indigenous Australians: An Empirical Study

Despite a long history of gambling amongst many Indigenous peoples, knowledge about contemporary Indigenous gambling is sparse. In Australia, previous studies of Indigenous gambling have been severely limited in number, scope and rigour. The research reported in this paper is based on the first Indigenous-specific quantitative gambling research undertaken in Australia since 1996 and draws on the largest sample to date. This study examined numerous aspects of gambling among Indigenous Australians. After appropriate consultations and permission, the study collected surveys from 1,259 self-selected Indigenous adults in 2011 at three Indigenous festivals, online and in several Indigenous communities. This paper draws on these data to identify problem gambling risk factors by comparing selected socio-demographic characteristics, early exposure to gambling, gambling motivations, gambling behaviour, gambling cognitions, and substance use while gambling, amongst non-problem, low risk, moderate risk and problem gamblers. A logistic regression investigated the difference between problem gamblers and all other PGSI groups. Risk factors associated with being a problem gambler were: being older, commencing gambling when under 10 years old, always being exposed to adults gambling as a child, using alcohol and/or drugs while gambling, having family and friends who gamble, having an addiction to gambling and not gambling to socialise, having a high expenditure on commercial gambling, and living in a state or territory other than NSW or QLD. Public health measures to address these risk factors are identified.     

Wellbeing in China

Partial order methodologies appear as advantageous tools to disclose evaluative trends and developments for time series as, e.g., the fragile states index (FSI). The present study focuses on the variations in the 12 individual indicators of the FSI over the years 2011–2015. The FSI includes in total 178 states and the present study analyzes both the full set of states and a subset comprising only the 28 European Union states. Clear trends are observed. Thus, on a global scale the primary importance of brain drain apparently is turned into group grievance whereas on the European scale the development discloses the increased problems associated with the increasing number of refugees and migrants as well as the declining economic situation in some states. Further the study discloses a series of so-called peculiar states, i.e., states where single indicators values are markedly higher or lower than expected when comparing to the “main stream” of indicator values for the states studied. In all cases the findings were substantiated and verified by available literature.     

Informant accuracy in social-network data V. An experimental attempt to predict actual communication from recall data

This paper seeks to discover whether the known inaccuracy of informant recall about their communication behavior can be accounted for by experimentally varying the time period over which recall takes place. The experiment took advantage of a new communications medium (computer conferencing) which enabled us to monitor automatically all the interactions involving a subset of the computer network. The experiment itself was administered entirely by the computer, which interviewed informants and recorded their responses. Variations in time period failed to account for much of the inaccuracy, which continues, as in previous experiments at an unacceptably high level. One positive finding did emerge: although the informants did not know with whom they communicated, the informants en masse seemed to know certain broad facts about the communication pattern. All other findings were negative. For example, it is impossible to predict the people an informant claimed to communicate with but did not; and it is impossible to predict who the five people are that an informant forgot to mention that she or he had communication with. Thus, despite their presumed good intentions, our findings here confirm what we have learned from six previous experiments: What people say about their communications bears no resemblance to their behavior. This suggests that other forms of data gathering, based on questions which require that informants recall their behavior, may well be suspect.     

A comparison of six methods of analysing row-column designs with inter-block information

Six methods of obtaining estimates of treatment effects in a row-column design are considered. Five methods use estimates of inter-row and inter-column variation, and the remaining method is Ordinary Least Squares. Using simulation, these methods are examined to see which are most appropriate for minimising the sum of the squared differences between the estimates of the elementary treatment contrasts and their true values. Recommendations are made of which methods to use.