Demanding work schedules and mental health in nursing assistants working in nursing homes

Nursing home assistants have physically and emotionally challenging jobs, and they often work demanding schedules in order to provide 24-h care. While the physical effects of demanding work schedules have been studied, little is known about the impact on mental health. This study explored the relationship between demanding scheduling variables and mental health indicators of depression, anxiety and somatization. A cross-section of 473 US female nursing assistants working in nursing homes was surveyed. Work schedule characteristics included shiftwork, hours per day and week, days per week, number of weekends per month, number of double shifts per month, breaks, and number of jobs worked. Working two or more double-shifts per month was associated with increased risk for all mental health indicators, and working 6–7 days per week was associated with depression and somatization. There was a trend for increasing odds of adverse mental health with increased numbers of demanding work schedule factors. The odds of depression was increased four-fold when working 50+ h/week, more than two weekends/month and more than two double shifts/month. Providing work schedules that are less unhealthy may have implications for both worker retention and the quality of care delivered to nursing home residents.     

CALIBRATING MEASURES OF FAMILY ACTIVITIES BETWEEN LARGE- AND SMALL-SCALE DATA SETS

Two studies of working families are combined to demonstrate a strategy for producing reliable estimates from the combination of self-reported (large N) and observational (small N) data. Both studies examine where and how dual-career families spend time at home. The 500 Family Study is sociological and uses self-reported time diary data from a national sample; the CELF study is anthropological and uses observational scan sampling data from a regional sample of 32 families. The data are combined as if they constitute one sample, and an analytic solution for establishing the reliability of the resulting composite estimates of time use is provided. Merging the data sets provides validation for each study, neither of which is without potential methodological weaknesses. The advantages of combining data from the independent data collection methods are discussed, and selected substantive findings on families' activities are highlighted, illustrating similarities and differences between findings in the independent and combined data sets. Results show that working families spend significant time in a small spectrum of home spaces, particularly kitchens and living rooms, with leisure activities prevailing, but mothers, fathers, and children differ in where and how they spend their time. Overall, a template for merging data from different disciplines and methods is provided.     

To live an ordinary life: resource needs and additional costs for people with a physical impairment

Disabled people face increased risks of living in poverty largely due to lower incomes and extra resource requirements compared to non-disabled people. This study incorporated the social model of disability with an economic approach to costing to estimate the additional costs required by people with a physical impairment to achieve an adequate standard of living in New Zealand. Budgets estimating the additional equipment, modifications, transport, support and time required to achieve an adequate standard of living were developed and validated through focus groups with community members. The findings suggest that reducing barriers involves substantial costs ranging from NZ$645–$2,348 per week.     

Resisting Guilt: Mothers’ Breastfeeding Intentions and Formula Use

Breastfeeding, the topic of numerous government-supported initiatives, is widely considered the optimal mode of infant feeding and is a central component of cultural ideals of good mothering. Prior research has indicated that one outcome of the emphasis placed on breastfeeding is the experience of guilt, regret, shame, or inadequacy that mothers may feel when they do not or cannot breastfeed. Using data from 96 interviews with 22 first-time mothers, the experiences of mothers who wanted to breastfeed but used formula are explored. Mothers engaged in three strategies that helped maintain a positive maternal identity: framing the use of formula as not a choice, recognizing the effort placed into breastfeeding, and focusing on overall health and happiness. Results indicate that the focus on individual choice in breastfeeding promotion highlights resulting guilt or failure, to the exclusion of recognizing women’s agency in using resistance strategies and the broader social context of breastfeeding.     

Economic Strain and Children's Behavior in the Aftermath of the Great Recession

Families across the income spectrum experienced subjective feelings of economic strain during the Great Recession. Existing evidence suggests that much of that economic strain did not arise from individual‐specific economic shocks, such as unemployment or income loss, as much as it did from worry and uncertainty about the future. The authors tested a model in which a measure of subjective perceptions of economic strain was the key predictor of children's behavior problems and objective indicators of economic experiences were treated as control variables. To do so, they used new data from a population‐based sample of children ages 4–17 (N = 303) living in southeast Michigan during the period 2009–2012. They found that economic strain exhibited a qualitatively large independent association with internalizing behavior problems for White—but not Black—children. This association was statistically significant over and above objective indicators of economic experiences and the family psychosocial context.     

Listening within the Social Contexts of Tutoring: Essential Component of the Mentoring Relationship

This qualitative research study targeted fourth grade at-risk children in a culturally diverse elementary school in a mid-sized city in the southwestern United States. The purpose of the study was to describe the nature of social interactions within the context of tutorial sessions and to describe the role of listening within the mentoring relationship. Major findings were that highly successful tutors were skillful communicators who modeled effective listening skills, used body language effectively, were knowledgeable about students' cultures, and possessed a social conscience.     

Commentary on Sue Grand's Paper

Grand's case study of a young, severely traumatized woman is analyzed through the point of view of the Real, the realm that resists any form of symbolization and encloses those experiences that cannot be spoken about. Grand moves gradually with her patient into the whirlpool of the Real. She lead her patient to step out of the terrors of her internal world by helping her to put her robotically lived existence into the symbolic world of the living.