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81.
This study uses a sample of 1,841 families from the National Child Care Survey (1990) and accompanying Low-Income Supplement (1990) to determine the amount and timing of child care services offered by relatives to working families with young children. Results indicate that relative care is primarily provided by grandparents. Compared to other parents, single parents and those working nontraditional hours are significantly more likely to use relatives for child care, and their children spend significantly longer periods of time in relative care, especially at nontraditional times of the day. The study conclusion is that relatives are facilitating parental employment by providing child care at times of the day when other market alternatives usually are not available.  相似文献   
82.

Background

Despite well-known benefits of continuity of midwifery care, less than 10% of women have access to this model of care in Australia. Staff retention and satisfaction are strongly related to the quality of management; however, little is known about the attributes required to effectively manage a midwifery group practice.

Purpose

To explore the attributes midwifery group practice managers require to be effective managers and how these attributes can be developed to promote service sustainability.

Methods

A qualitative interpretive approach, employing in-depth interviews with eight midwifery leaders was undertaken and analysed using thematic analysis.

Results

The overarching theme described the ideal midwifery group practice manager as someone who stands up for midwives and women and is ‘Holding the ground for midwifery, for women’. Subthemes demonstrate midwifery group practice management is complex: ‘having it’, describes the intrinsic traits of an effective leader; ‘someone with their hand on the steering wheel’ illustrates the day to day job of being a manager and the role of ‘juggling the forces’ that surround group practice; ‘helping managers to manage better’ explored the need for managers to be educated and supported for the role.

Conclusions

Managers require certain attributes to effectively manage these unique services, whilst also juggling the needs of the organisation as a whole. Having transformational leadership qualities with vision to lead the practice into the future are key. There needs to be better support and preparation for the role if midwifery group practice is to be a sustainable option for women and midwives.  相似文献   
83.
ABSTRACT

The number of older adults is steadily increasing in the United States and across the globe. Aging is linked to an increased risk of disability. Disabilities that limit one or more major life activities such as seeing, hearing, walking, and motor skills impact a person’s ability to drive a car. Low utilization of alternative transportation by older adults and people with disabilities may put them at risk for social isolation. Social isolation is associated with a variety of negative health outcomes. While communities are challenged to create available, acceptable, accessible, adaptable and affordable mobility options, there are widely held, inaccurate biases around older adults’ abilities to contribute to the development and improvement of alternative transportation options. Gerontological social workers are well-positioned to address this bias. This paper presents a case study of a large metropolitan county in the Midwest where community-based participatory research (CBPR) strategies were used to engage older residents to support the development of alternative transportation options supporting the tenets of environmental justice.  相似文献   
84.
Although the informed consent process is crucial to protecting human research subjects, there are cases when particular information within the consent form may present risks to those subjects. In this paper, we examine a case in which including the sponsor's name on the consent form may allow the form to serve as a surrogate for subjects' HIV status. There is no literature addressing the ethical acceptability of excluding particular information from consent forms, and there exists little regulatory guidance on this issue. We argue that excluding information from the consent form is, in fact, obligatory when that information is disclosed orally during the consent process but its presence on the form poses risks to the subjects the consent process is designed to protect. Further, we argue that the regulations ought to be amended to reflect this obligation.  相似文献   
85.
We examine efforts of feminist institutional activists in the 1960s and 1970s as they worked to gain U.S. federal policy to combat workplace pregnancy discrimination. The success of these activists in winning policy change provides a case that allows us to develop a theoretical understanding of how feminist institutional activists can succeed in winning policy change. We find that when institutional activists strategically shifted governmental arenas and adapted their mobilization and discursive strategies to these arenas, they were able to dismantle policy‐specific barriers that impeded their goals. In taking these steps, feminist institutional activists were successful in opening up both contingent and structural opportunities, which ultimately allowed them to gain the policy change they sought.  相似文献   
86.
87.
This research explores approaches to promoting gender equality in the workplace by highlighting barriers to take-up of statutory policies designed to increase fathers’ involvement in childcare. Specifically, the paper examines why take-up of Shared Parental Leave (SPL), designed to improve gender equality in the workplace and home, has been low in the UK. There is a dearth of academic literature in this area. Extant grey literature suggests financial barriers, maternal gatekeeping and the perceived effects of extended leave on fathers’ careers are key, but fails to explore other barriers, or the variations in take-up. We interviewed 70 men and women entitled to SPL to address these limitations. We identify new barriers, notably poor policy communication at an organizational level, perceived policy complexity and societal expectations around maternal identities, while also showing how these barriers affect different groups of parents. We find professional couples are most likely to take SPL, particularly where the mother earns more or the father’s company enhances Shared Parental Pay. The complex, multiple barriers parents face also differ, according to the couple’s educational background and the workplace culture. Finally, we offer recommendations for increasing SPL take-up and driving workplace gender equality in the UK and internationally.  相似文献   
88.
Social work educators are increasingly exploring how to effectively use technology in their classrooms. The purpose of this study was to explore how a technology-enhanced active learning classroom influenced social work students’ engagement and overall learning experiences. An online survey was conducted with 125 social work students from micro and macro courses. When compared to macro courses, students from micro social work courses more positively reported active participation, effective teaching, and technical skills as benefits of the classroom. Furthermore, the dynamic learning environment and instructors’ effective teaching significantly affected students’ positive learning experience. Social work programs should develop various teaching methods for active learning classrooms to develop students’ practice skills that can be transferred to the real world.  相似文献   
89.
An interview with Susie Orbach highlights the trajectory of her career and current thinking on body image issues and eating disorders. Dr. Orbach’s work in this area as a clinical social worker, psychoanalyst, best-selling author and social activist has spanned three decades. In this interview she reflects on her earlier books, Fat is a Feminist Issue and Hunger Strike: An Anorectic’s Struggle as a Metaphor for Our Age, and discusses her current work and perspectives within the context of contemporary culture.  相似文献   
90.
Choice by service users has been promoted in social policy across many developed welfare states, often on the grounds that it will incentivize providers to enhance quality and efficiency. But this instrumental motivation for the promotion of choice overlooks the possibility that choice, understood in the deeper sense of autonomy, has intrinsic value, as suggested by egalitarian and capability‐based theories of social justice. This article argues that the narrow motivation of choice policies leads to a focus on services rather than outcomes for individuals and fails to address deep‐seated inequalities in the opportunities people have for real autonomy. We test this concept using newly collected data for the UK. Our empirical findings indicate that disabled people are more likely to experience constrained autonomy in all respects, while being from a low socio‐economic group and/or lacking educational qualifications is a risk factor across several components. We conclude that improving the ‘choice’ agenda for policy requires: (1) adopting a more sophisticated concept of ‘choice’ such as the conceptualization of ‘choice as autonomy’ outlined here; (2) developing a better understanding of existing inequalities in autonomy, such as we begin to explore in our empirical results; and (3) tackling these inequalities through, for example, the removal of obstacles to active decision‐making by providing effective support and advocacy, especially for disabled people, and addressing the major structural barriers – poverty, ill health and geographical inequality – which place significant restrictions on the autonomy of those who are already disadvantaged.  相似文献   
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