Developing and testing a satisfaction survey for nursing home residents: the Ohio Experience

Input from consumers has become an important part of quality improvement in long-term care and for consumer decision-making. This paper documents the development of the Ohio Nursing Home Resident Satisfaction Survey (ONHRSS) through a partnership of state government, research, and industry experts. The instrument was tested and refined through two waves of data--a pretest phase and later with statewide data. Exploratory and confirmatory analyses with statewide data identified eight primary factors along with an underlying, secondary Global Satisfaction factor. Reliability of the domains ranged from .69 to .95. Recommendations for further refinement and testing of the instrument are discussed along with policy and practice implications.     

Relocation stress syndrome in older adults transitioning from home to a long-term care facility: myth or reality?

Relocation stress syndrome is a nursing diagnosis characterized by symptoms such as anxiety, confusion, hopelessness, and loneliness. It usually occurs in older adults shortly after moving from a private residence to a nursing home or assisted-living facility. The primary purpose of this study was to validate the symptoms of relocation stress syndrome. Eight nursing home residents and 8 assisted-living facility residents were interviewed 2 to 10 weeks after admission, when symptoms of relocation stress syndrome are most likely to appear. Results of this study indicate that the incidence of relocation stress syndrome may be overestimated. More accurate diagnosis and treatment of depression in older adults is needed.     

Divorce Alimony: An Estimation of its Determinants and of its Amount

ABSTRACT The purpose of this paper is to study the determinants of the attribution of alimony to women after divorce, and to examine the main determinants of its amount. Three different theoretical models of marriage may influence judges'decision in attributing alimony: an investment-type marriage, a trade-type marriage or an association-type marriage. An estimation of the corresponding dichotomic variable is run using data we collected from six French courts. Results show that the probability of obtaining alimony is strongly increased if the divorce is declared to be the husband's fault; labour market participation of the ex-wife exerts a negative effect, as well as a decrease in relative wages of husband and wife. Finally, it appears that the amount of alimony is independent of the amount of child support.     

Loss and grief: The experience of transition to residential aged care

There is growing recognition of the experience of non-death-related loss and grief. One unexplored area of non-death-related loss and grief is associated with older people’s transition from home to residential aged care (RAC). This paper reports findings from a qualitative study that explored the experiences of people living in RAC, carer-relatives of people living in RAC and RAC staff. Using theories of loss and grief, the paper identifies features of the transition to RAC that are associated with unresolved loss and maladaptation to changed circumstances, and the types of support that would mitigate these. Using a series of focus groups with both residents and carer-relatives, as well as staff, the study found that residents and their families need more support to negotiate the multiple, often necessarily hasty decisions and bureaucratic requirements associated with transitioning to RAC, while simultaneously experiencing loss and grief. The types of support that families would welcome from service providers include facilitating shared decision making, valuing family and community carer expertise and providing practical information and assistance to fulfil administrative obligations.     

Living with dementia,interdependence and citizenship: narratives of everyday decision-making

This article argues that interdependent relationships are key in realising inclusion and citizenship for people living with dementia. We focus on decision-making as one aspect of everyday life which reflects opportunities and challenges associated with citizenship. Accounts of everyday decision-making from people living with dementia provide insight into strategies for negotiating responsibilities as they shifted with dementia. An inductive, secondary data analysis developed decision narratives from the data of 61 interviews conducted in the United Kingdom. The interviews were with 12 people with a diagnosis of dementia plus their nominated care-partner in a qualitative study which focused on information management and sense of self. The secondary data analysis identified strategies for inclusion, emphasising relational interdependency amidst challenges. The five-stage framework of an Ethic of Care positions this interdependency as a response to barriers to inclusion and citizenship. Interdependency, therefore, emerges as key to realising relational citizenship.     

An increase in song pitch of eastern great tits (Parus minor) in response to urban noise at Seoul,Korea

Urban Ecosystems - Anthropogenic noise may mask effective vocal signal transmission by birds, particularly in notes occurring in lower frequencies. Previous studies have shown a correlation of...     

Women Who Work: The limits of the neoliberal feminist paradigm

This article examines Ivanka Trump's Women Who Work, arguing that it represents the newest permutation of the neoliberal feminist subject. After providing an overview of the recent emergence of neoliberal feminism, I explain why the book should be considered part of the wider cultural landscape in which this variant of feminism has increasingly become commonsensical. I then turn to demonstrate how Women Who Work construes the ideal female subject not only as generic human capital but also incites her to invest in herself constantly, where activities ranging from professional workshops through hobbies to friendships are understood as practices that appreciate the value of the self. The conversion of women into generic rather than gendered human capital remains, however, incomplete, since the ideal of a happy work–family balance continues to serve as a push back to the wholesale erasure of traditional notions of sexual difference. Finally, I highlight that neoliberal feminism is erasing other long‐standing divisions and political differences. Not only does the private–public divide collapse, but so, too, does the distinction between one's private self and one's public enterprise as the self itself becomes an enterprise. This dual process of collapse and reconfiguration shapes the newest neoliberal feminist subject, the main protagonist of Trump's Women Who Work.     

Modeling population and subject-specific growth in a latent trait measured by multiple instruments over time using a hierarchical Bayesian framework

Psychometric growth curve modeling techniques are used to describe a person’s latent ability and how that ability changes over time based on a specific measurement instrument. However, the same instrument cannot always be used over a period of time to measure that latent ability. This is often the case when measuring traits longitudinally in children. Reasons may be that over time some measurement tools that were difficult for young children become too easy as they age resulting in floor effects or ceiling effects or both. We propose a Bayesian hierarchical model for such a scenario. Within the Bayesian model we combine information from multiple instruments used at different age ranges and having different scoring schemes to examine growth in latent ability over time. The model includes between-subject variance and within-subject variance and does not require linking item specific difficulty between the measurement tools. The model’s utility is demonstrated on a study of language ability in children from ages one to ten who are hard of hearing where measurement tool specific growth and subject-specific growth are shown in addition to a group level latent growth curve comparing the hard of hearing children to children with normal hearing.KEYWORDS: Bayesian hierarchical models, psychometric modeling, language ability, growth curve modeling, longitudinal analysis