“Would You Do That in Your Home?” Making Nursing Homes Home-like in Culture Change Implementation

Qualitative interviews with nursing home administrators reveal innovative and cost-conscious ways to physically modify facilities that help institute culture change practices. Telephone interviews were conducted following a national survey of nursing home nursing directors and administrators. In this cross-sectional snapshot of administrator experiences, motivations for making facilities more home-like and less institutional and creative responses to challenges are described. State and corporate support and regulator encouragement are noted that help their reform efforts. Administrators note that small steps to create a more home-like environment can result in a positive impact that minimizes disruption to existing care processes. They describe how they respond to challenges, such as the physical plant and high costs, and note how comparative shopping, cost-conscious physical improvements, and continuous involvement of staff and residents contribute to successful efforts. Their examples illustrate novel ways to humanize long-term care facilities that other nursing homes can emulate.     

Gerontological Social Workers' Perceived Efficacy for Influencing Client Outcomes

Using a sample of practitioners (n = 269) from the 2004 National Study of Licensed Social Workers, this article employs a quality assurance structure–process–outcome model to examine factors at the practitioner, workplace, and service delivery levels that influence the perceived efficacy of licensed gerontological social workers to affect client outcomes in the context of a highly challenging health care environment. A regression model accounted for 33.9% of the variance (adjusted R ² = .291) in perceived efficacy with 3 aspects of service delivery satisfaction having significant effects: ability to address complex/chronic care, to influence the design of services, and to help clients navigate the system.     

Will they stay or will they go? How network properties of WebICs predict dropout rates of valuable Wikipedians

This paper contributes to our understanding of an increasingly prevalent work system, web-based internet communities (WebICs). We are particularly interested in how WebICs are governed given the fact how different they are compared to more classical forms of organization. We study the governance of a WebIC by studying the structure and dynamics of their edit network. Given the fact that the edit network is a relational structure, social network analysis is key to understanding these work systems. We demonstrate that characteristics of the edit network contribute to predicting the dropout hazard of valuable WebIC members. Since WebICs exist only thanks to the activity of their contributors, predicting drop-outs becomes crucial. The results show that reputation and controversy have different effects for different types of Wikipedians; i.e., an actor’s reputation decreases the dropout hazard of active Wikipedians, while participation on controversial pages decreases the dropout hazard of highly active Wikipedians.     

For the Sake of their Health: Older Service Users' Requirements for Social Care to Facilitate Access to Social Networks Following Hospital Discharge

Facilitating older service users’ requirements for accessto or re-engagement in social networks following hospital dischargeis recognized in social care analysis and policy as criticallyimportant. This is because of the associated benefits for restoringphysical health and psychological well-being. However, it tendsto be a neglected dimension of current social care/intermediatecare. Our paper draws on a qualitative study of voluntary sectorhospital aftercare social rehabilitation projects in five UKlocalities, which focused on addressing this issue. Throughexamining older service users’ feedback and experience,our study confirms the health benefits of social care facilitatingaccess to social networks at this crucial juncture. By providingsensitive interpersonal interaction, advocacy and ‘educational’assistance, social care workers supported older service users’re-engagement in a variety of networks. These included friendship,recreational and family groups, health care treatment programmesand locality based contacts and organizations. As a result,material, interpersonal and health care resources were accessed,which contributed to restoring and sustaining physical healthand psychological well-being. The process of such social carealso emerged as critical. This included ensuring that objectivesreflected service users’ priorities; integrating ‘low-level’home care; offering befriending; and challenging the pre-settime frame of intermediate care.     

CHANGES IN FEMALE ENTRY TO TRADE TRAINING IN SOUTH AUSTRALIA

This study examines whether there were significant changes in the entry of young women to trade training in South Australia as a result of equal opportunities policies and initiatives to change the means of entry to trade training. It surveys the period 1981 to 1984 because that, like the present, was a period of change in education and training arrangements. It looks at women's hold on places in pre-vocational courses and apprenticeships in the most male-dominated trade areas and examines in detail the outcomes of the first three Introduction to Trades for Young Women courses in 1982 and 1983. It concludes that they led to only a slight improvement in female participation in trade training. The difficulties these courses faced in articulating with both student income support policies and the selection procedures for pre-vocational courses are discussed. The study demonstrates a marginal increase in the numbers of female apprentices outside hairdressing between 1981 and 1984 and evidence of weak commitment to an effective equal opportunities policy. A brief comparison is made between the situation at the beginning and end of the decade. This suggests that female participation in the most male-dominated trades areas in South Australia was generally lower than the Australian average in those areas, an outcome which must open to question the policy commitment to change.     

The political influence of unions and corporations on COPE votes in the U.S. senate, 1979–1988

The political influence of unions and corporations is examined by analyzing Senate roll-call votes on COPE-identified legislation for the period 1979–1988. Union PAC contributions and union membership both have significant positive effects on three different types of COPE legislation: Narrow Union, General Labor, and Non-Labor. In addition, corporate PAC contributions to senators’ opponents reduce their pro-union voting behavior on Narrow Union and General Labor bills. There is no evidence that the political influence of unions in the U.S. is declining.     

The Trouble with Bullying – Deconstructing the Conventional Definition of Bullying for a Child‐centred Investigation into Children's Use of Social Media

This article deconstructs the conventional definition of bullying through analysis of its historical context, and identifies blind spots using lenses of gender, culture and setting. We explore theoretical and methodological problems associated with the conventional definition and its axiomatic use in bullying research, with particular reference to online bullying. We argue that because children may use ‘bullying’ to mean many different practices not captured in the conventional definition, using this definition often obscures the very phenomena researchers are aiming to describe. As a result, adults risk missing these practices in research and for interventions that use these studies as their evidence base.     

Adoption of electronic-cigarette-free,hookah-free and American College Health Association recommended tobacco-free policies among a national sample of postsecondary educational institutions

Abstract

Objective: To examine the prevalence of various types of tobacco-free policies among a US national sample of postsecondary educational institutions (PEIs). Participants: A national sample of US PEIs (N?=?605) attended by the participants of the NEXT Generation Health Study. Methods: Tobacco policies of these PEIs were reviewed to determine if they were e-cigarette-free (yes/no), hookah-free (yes/no), and ACHA-recommended tobacco-free (yes/no) in June–December 2017. Logistic regression models were used to examine the relationships between institutional characteristics and tobacco policies. Results: Overall, 39.2, 26.0, and 20.0% of the sample adopted e-cigarette-free, hookah-free, and ACHA-recommended tobacco-free policies, respectively. Proprietary PEIs (vs. public) were less likely to have ACHA-recommended tobacco-free policies, while PEIs in the South and Midwest (vs. West) were more likely to have ACHA-recommended tobacco-free policies (p?<?0.05). Conclusions: Most sampled PEIs did not have ACHA-recommended tobacco-free polices. Subsequent research needs to investigate how ACHA-recommended tobacco policies influence tobacco use.