Advancing Hospice and Palliative Care Social Work Leadership in Interprofessional Education and Practice

The importance of interprofessional collaboration in achieving high quality outcomes, improving patient quality of life, and decreasing costs has been growing significantly in health care. Palliative care has been viewed as an exemplary model of interprofessional care delivery, yet best practices in both interprofessional education (IPE) and interprofessional practice (IPP) in the field are still developing. So, too, is the leadership of hospice and palliative care social workers within IPE and IPP. Generating evidence regarding best practices that can prepare social work professionals for collaborative practice is essential. Lessons learned from practice experiences of social workers working in hospice and palliative care can inform educational efforts of all professionals. The emergence of interprofessional education and competencies is a development that is relevant to social work practice in this field. Opportunities for hospice and palliative social workers to demonstrate leadership in IPE and IPP are presented in this article.     

Children living with their grandparents: resilience and wellbeing

Downie JM, Hay DA, Horner BJ, Wichmann H, Hislop AL. Children living with their grandparents: resilience and wellbeing
Int J Soc Welfare 2010: 19: 8–22 © 2009 Curtin University of Technology, Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. A non‐comparative design and mixed‐methods approach was used to examine the resilience and wellbeing of 20 children in the full‐time care of their grandparents. A self‐report measure of self‐concept and emotional wellbeing, and a semi‐structured interview were used to explore the personal experiences and impact of children living with their grandparents. Scores derived from the self‐report measure indicated that the children's self‐worth and emotional health were within the range expected of children of comparative age and sex. Qualitative data, however, suggested a complex emotional environment and a continuum of responses. Analysis revealed three themes that captured broad issues around Emotional health, Material factors, Current issues and Past experiences and Coping strategies. The results of the study reveal the ongoing concerns associated with the children's family circumstances, as well as the notable adaptation and resilience of the children in managing their life experiences.     

Location of Public Goods and the Calculus of Voting: The Seattle Monorail Referendum*

Objectives. In this article we explore how the geographic location of a proposed public good on the ballot in a local referendum influences voting turnout. We argue that voters who live farther away from the good, and are thus likely to bear the cost of the good but have no access to it, would be more motivated to turn out in the election. Drawing on the cost‐orientation hypothesis, or negativity effect, “that people are more strongly motivated to avoid losses than to approach gains,” we expect these voters to derive higher expressive benefits from the act of voting relative to those of voters located closer to the good. Methods. We examine voting turnout in the 2002 referendum in the City of Seattle on the proposed construction of a monorail. We conduct our study at the precinct level using spatial tools of analysis. We evaluate the effect of accessibility on turnout by means of a curvilinear model that incorporates demographic and political variables. Results. We find that voting turnout is determined partly by accessibility. Turnout is higher in precincts located farther away from the monorail line than in precincts located relatively closer to the line. Partisanship conditions this effect. Conclusions. This study provides tentative support for linking voter turnout to the negativity effect via expressive benefits. Voters' location in relation to a public good may affect directly their political behavior by means of their perceived net gains or losses from the good.     

Time to first significant job for vocational graduates in Spain

In this paper we analyze the transition from vocational education to a first significant job for Spanish young people. The data comes from the Survey on Education and Labor Market Transitions, targeting various collectives who finished their non-university studies. Discrete duration models are estimated to identify the determinants of the time-to-first significant job. The main results show that, contrary to what is expected, there are no significant differences for students graduating in intermediate or in advanced vocational training. Nonetheless, vocational education is characterized by a high specialization by gender, which is translated into differences in the transition to employment. Furthermore, previous professional experience in precarious jobs does not improve access to quality employment, whereas internships performed within studies, when evaluated by the young as satisfactory, have a positive impact. Other subjective aspects, such as a high value assigned to work or family or a priority focused on achieving a stable job lead to a smoother school-to-work transition.     

Adoption and feasibility of a communication app to enhance social connectedness amongst frail institutionalized oldest old: an embedded case study

The risks of social isolation and loneliness are becoming emergent issues for older adults (aged 65+) in industrialized countries, particularly for oldest old people (80+) who are frail and institutionalized. Socially isolated and lonely older people are more likely to experience depression, social disengagement, cognitive and physical decline, morbidity, and early mortality. In response to these significant negative health and socioeconomic costs, research suggests using new technologies to enhance opportunities for social connectedness as a strategy to help alleviate both social isolation and loneliness. In this context, following a participatory design method, we developed an accessible communication app with and for frail institutionalized older adults. To test the adoption of this innovative technology and its feasibility to address social isolation and loneliness, we conducted a two-month deployment of the app in a long-term care home with five oldest old and their relatives. Due to access, recruitment, and ethical challenges, the oldest old are a specially understudied group. Using an embedded case study (based on interviews, psychometric scales, field observations, and usability and accessibility testing) and a recursive approach to technology studies, our findings show that technology adoption is based on a complex set of interrelated factors: social, attitudinal, physical, digital literacy, and usability. We also discuss the feasibility of the app to enhance perceived social connectedness amongst our target population, provided that at least one strong tie is involved and communication norms and expectations across generations are considered.     

Planning Until Death Do Us Part: Partnership Status and Financial Planning Horizon

Positive economic outcomes of marriage are often explained with a higher future orientation of married individuals who are assumed to plan their finances for a longer period than the nonmarried. Using data from the Household, Income and Labour Dynamics in Australia Survey (2001–2014; N = 4,819 individuals), the authors provide the first longitudinal test of whether individuals change their financial planning horizons when they change their partnership status using fixed and random effects regressions. Results show that the financial planning horizon increases as individuals enter cohabitation. No further changes in financial planning horizons are found when they transition into marriage. Changes in horizons are similar for women and men. These results indicate that longer financial planning horizons and marriage are likely outcomes of couples' long‐term commitment, which develops during cohabitation. The symbolic and legal institution of marriage is not additionally associated with individual financial planning as a dimension of future orientation.     

“They Are Clipping Our Wings”: Health Implications of Restrictive Immigrant Policies for Mexican-Origin Women in a Northern Border Community

We examine racialization processes experienced by women of Mexican origin in a northern border community during a protracted period of restrictive immigrant policies that have disparately affected Mexican-origin communities, and consider pathways through which these experiences may affect health. This grounded theory analysis draws on interviews conducted in 2013–2014 with 48 first, 1.5, and second generation Mexican-origin women living in Detroit, MI. Racialization processes blurred boundaries between Latinas/os, immigrants, and undocumented immigrants. Racialized policies and interactions required women to negotiate shifting and often precarious social and political terrain. We describe racializing markers used by agents of multiple institutions to assess the legal status of women and members of their social networks, shaping their access to the resources over which institutional agents held power. Specifically, we consider the dynamic mechanisms by which multiple legal, social, and employment institutions exacted immigrant policing and bureaucratic surveillance. These include: (1) interior and border immigration enforcement agents’ active surveillance of residents; (2) local law enforcement officials’ assertion of authority over driver’s licenses and contact with immigration officials, often in traffic-related encounters; (3) Secretary of State clerks’ discretion in assessing legal status and issuing driver’s licenses and state IDs; (4) social welfare agents’ scrutiny of citizenship status in determining access to nutritional, economic, and medical resources; and (5) employers’ exploitation of these structural vulnerabilities to justify unfair treatment of immigrant workers. We theorize several mechanisms, by which these processes affect health, including: stigmatization; hypervigilance; and restricted access to health-promoting resources.     

Perceptions of "impingement" and marital satisfaction among wives of retired husbands

Initial pilot interviews with women whose husbands were in the first year of retirement revealed that problems of "impingement"--perceptions of husbands as intruders into their worlds-as-lived--were cited, in response to open-ended items, as the most difficult aspect of husbands' retirement. An impingement index, consisting of items constructed from those responses, was administered to the original panel of 83 women whose husbands were now in the fourth year of retirement, and to a new panel of 61 women whose husbands had been retired for one year. Paired T-tests revealed one significant difference in perceptions of impingement between the two groups of wives, and not in the expected direction. Indeed, wives in year 4 were more often bothered by some impingement conditions than wives in year 1, and these were significantly related to self-assessments of marital satisfaction. Results have implications for "adjustment" to life transitions, including situations that may inhibit initiation of adaptive responses, degree of investment in social roles, and issues of expectation.     

Are real options more valuable in the presence of agency conflicts?

The theory on real options has extended the traditional net present value rule in order to capture the value of flexibility in investment decisions. Typically, the theory of real options does not take into account agency conflicts (between central and divisional management). In this paper, we investigate the influence of agency conflicts on real options within a LEN-type model. We extend a standard LEN model with investment activities by explicitly considering the possibility to abandon an investment project after all parties involved have received further information about the project’s development. Especially, we analyze how the option’s flexibility value is influenced by the agency conflict. Our analysis shows that the real option alters the trade-off between risk sharing and incentives that underlies the agency conflict. Thereby, situations can occur in which central (and divisional) management evaluates the abandonment option ex ante differently than ex post. Using this framework, we discuss the role of commitment and the advantages of centralization and delegation of the abandonment decision.