Caregiving Around the Clock: How Women in Nursing Manage Career and Family Demands

Nursing is considered a woman friendly profession; however, career advancement in nursing, as in other fields, is predicated on masculine models of promotion, making mobility difficult for working mothers. To learn more about how women negotiate caregiving responsibilities at home and at work, focus groups were conducted with 26 ethnically and socioeconomically diverse registered nurses, licensed vocational nurses, and aides. Three themes emerged from these discussions: tension between the value nurses assigned to paid caregiving and societal devaluation of this work; "costs" of paid caring and emotional labor on family life; and the presence of both obstacles to and opportunities for career advancement. Caregiving experiences were shaped by professional status. Implications for women's well being and career advancement are discussed.     

OCCUPATIONAL DISPARITY IN A MIGRANT METROPOLIS: A CASE STUDY OF ATLANTA

ABSTRACT

As the populations of immigrant and migrant groups swell in Atlanta, Georgia, the nature of race and ethnic relations in the metropolis, one historically dominated by a black-white dichotomy, is changing. In the 2000 census nearly 40% of the Atlanta metropolitan area's working-age population was an immigrant, a return migrant, or a northern-born migrant. We use the 5% Public Use Microdata Sample (PUMS) from the 2000 census to examine over- and under-occupational representation in the metropolitan area among migrant and nonmigrant groups. The results indicate that there remains a racial and ethnic hierarchy that is related to occupational queues and segmented labor markets. By comparing different types of migrant groups, and by taking into account race, ethnicity, and nativity, we more clearly delineate economic stratification in the metropolitan region.     

Change and Inertia in the New York State Medicaid Personal Care Services Program: An Institutional Case Study

This study analyzes how competing logics (belief systems) of stakeholders have influenced patterns of change and inertia in the development of the New York Medicaid Personal Care Services (PCS) program. A case-study methodology was used to collect documents, statistics, and interview data from four key stakeholder groups: state and city officials, PCS agencies, a labor union, and consumer advocates covering the period 1999 to 2005. The New York PCS program is one of the oldest, largest, and most stable programs in the United States. Its early unionization of workers resulted in relatively generous wages and benefits and made New York number one nationally in PCS spending per capita. In spite of wide support from stakeholder groups, the overall number of participants has gradually declined since 1999. A consumer-directed model of personal care developed in 1995 challenged the status quo and has grown steadily. Resistance by public officials, agency providers, and union representatives to the consumer-directed model has resulted in a small program that is often targeted toward individuals labeled “difficult to serve.” Dominant stakeholders in New York have ensured a stable personal care program that has resisted change and led to program inertia.     

Cooperation despite contingency: what accounts for cooperative behaviour of contingent managerial workers?

Previous empirical results have revealed two particular mechanisms influencing cooperative or extra-role behaviour of contingent employees. These are the mechanism of instrumentality, mainly driven by contingent employees’ desire for a permanent position, and the mechanism of social exchange, based on the ‘norm of reciprocity’ (Gouldner in Am Sociol Rev 25:161–178, 1960) between employer and employee. For the most part the cooperative behaviour studied among contingent workers has been restricted to non-managerial positions. But is it also possible to transfer these mechanisms to contingent employees in managerial positions? A quantitative study of contingent (self-employed) workers in managerial positions (also called ‘interim managers’) was carried out among 133 German interim managers. The results of regression analysis reveal that social exchange as well as instrumentality mechanism can facilitate cooperative behaviour of contingent employees in managerial positions. However, the aspects of social exchange, especially task autonomy, seem to be more relevant to the cooperative behaviour of these individuals.     

Migrant Selection and the Health of U.S. Immigrants From the Former Soviet Union

Few prior studies have investigated the health of U.S. immigrants from the former Soviet Union (FSU). Utilizing data from the 2000 U.S. census and the 2000–2007 National Health Interview Survey (NIHS), we compare levels of disability of FSU immigrants with U.S.-born whites (ages 50–84). Our findings suggest an “epidemiologic paradox” in that FSU immigrants possess higher levels of education compared with U.S.-born whites, but report considerably higher disability with and without adjustment for education. Nonetheless, FSU immigrants report lower levels of smoking and heavy alcohol use compared with U.S.-born whites. We further investigate disability by period of arrival among FSU immigrants. Changes in Soviet emigration policies conceivably altered the level of health selectivity among émigrés. We find evidence that FSU immigrants who emigrated during a period when a permission to emigrate was hard to obtain (1970–1986) displayed less disability compared with those who emigrated when these restrictions were less stringent (1987–2000). Finally, we compare disability among Russian-born U.S. immigrants with that of those residing in Russia as a direct test of health selectivity. We find that Russian immigrants report lower levels of disability compared with Russians in Russia, suggesting that they are positively selected for health despite their poor health relative to U.S.-born whites.     

A resilience enhancing trauma-informed program for children and mothers in domestic violence shelters: A qualitative study

In domestic violence (DV) shelters, offering psychosocial support services to mothers and children is vital. The program ‘Time for Tony the Turtle’ has been developed for mothers and children residing in DV shelters in the Netherlands. It aims to foster attachment and regulation skills, which can also prepare for trauma treatment if sought after later on. This qualitative study explores the experiences of mothers, children and professionals with the program and its perceived impact and what components function as facilitators and barriers in the implementation of such a program in DV crisis shelters in the Netherlands. We conducted in-depth interviews with 15 mothers, 11 children and 18 professionals from three organizations offering DV shelters. We used thematic analysis to identify patterns of meaning in the interviews. Mothers, children and professionals valued that the program provided a calm moment for reflection in hectic times and that the playfulness in which the program addressed trauma-related topics. However, mothers find it difficult to attend the program in the beginning of their shelter stay, therefore hampering the applicability of the program. Our findings suggest that integrating the topic of discussing father in a program in crisis shelters is complex and deserves more attention.     

Estimating African-American mortality from inaccurate data

This paper evaluates the quality of vital statistics and census data for estimating African-American mortality over a period of six decades. The authors employ intercensal cohort comparisons and extinct generation estimates to demonstrate that conventionally constructed African-American death rates may be seriously flawed as early as age 50. Using the crude death rate at ages 50+ for 1978-1982 in conjunction with estimated growth rates and two model life table systems, the authors estimate black age-specific death rates in 1978–1982. These results suggest that if a racial crossover in death rates occurs, the age pattern of mortality among African-Americans must be far outside the range observed in populations with more accurate data.     

Paris in Bogotá: The Aid Effectiveness Agenda and Aid Relations in Colombia

This article uses an aid‐relationships perspective to explore the application of the Paris Declaration on Aid Effectiveness in Colombia. It argues that aid donors were subjected to an attempt to push them (back) into a technocratic corner, and that social actors' advocacy outcomes were put under threat. Both are worrying developments in a politically complex context marked by internal armed conflict and human‐rights abuses. Analysis of the Colombia case offers some useful insights into applying the Paris Declaration, and other global aid‐policy frameworks, to diverse settings.     

The Impact of Salmon Bias on the Hispanic Mortality Advantage: New Evidence from Social Security Data

A great deal of research has focused on factors that may contribute to the Hispanic mortality paradox in the United States. In this paper, we examine the role of the salmon bias hypothesis—the selective return of less-healthy Hispanics to their country of birth—on mortality at ages 65 and above. These analyses are based on data drawn from the Master Beneficiary Record and NUMIDENT data files of the Social Security Administration. These data provide the first direct evidence regarding the effect of salmon bias on the Hispanic mortality advantage. Although we confirm the existence of salmon bias, it is of too small a magnitude to be a primary explanation for the lower mortality of Hispanic than non-hispanic (NH)-White primary social security beneficiaries. Longitudinal surveys that follow individuals in and out of the United States are needed to further explore the role of migration in the health and mortality of foreign-born US residents and factors that contribute to the Hispanic mortality paradox.