Cross national study of perceived service quality in long-term care facilities

This cross-national study of 306 nursing home residents in the United States and the United Kingdom examines the similarities and differences in their evaluation of service quality. Service quality was defined as the differences between expectations about the service and actual perceptions of the service delivered in terms of five dimensions: tangibles, assurance, empathy, reliability and responsiveness. The SERVQUAL instrument was used to measure service quality. The two groups differed in their expectations for quality and their perceptions of service quality: US residents' ratings were lower in all respects.     

Parenting fostered adolescents: skills and strategies

This paper discusses findings from a recently completed study of adolescent foster care, which included a detailed assessment of the parenting approaches and strategies used by the foster carers of adolescents in long‐term placements. Sixty‐eight foster carers were interviewed at two points in time. The first interview was conducted two months after the start of a new adolescent placement and the second after the placement had been continuing for a year, or at the point of disruption if this occurred earlier. The interview schedules were designed specifically for this study and were based upon well‐established techniques developed in other studies of parenting. They enabled the researchers to make summary ratings for each carer on established dimensions of parenting such as control and discipline, responsiveness and the level of engagement with the child. The researchers assessed how these strategies changed and developed in relation to the young person's behaviour and whether these approaches influenced either the likelihood of placement disruption or the quality of the placement for the child. This paper describes the parenting strategies used by the foster carers, highlighting the areas of parenting that significantly affected the placement outcomes and the corresponding implications for policy and practice.     

The Association of Survey Setting and Mode with Self-Reported Health Risk Behaviors among High School Students

This study examined whether the prevalence of self-reportedhealth risk behaviors among high school students varied by surveysetting (school versus home) and mode of administration (paperand pencil versus computer). Students in grades 9 and 11 wereassigned randomly to one of four conditions—school paper-and-pencilinstrument (PAPI), school computer-assisted self-interview (CASI),home PAPI, and home CASI. During the spring of 2004, 4,506 studentscompleted identically worded questionnaires based on the YouthRisk Behavior Survey questionnaire. Logistic regression analysescontrolling for sex, grade, and race/ethnicity revealed thatsetting was associated significantly with the reporting of 30of the 55 risk behaviors examined, and mode was associated significantlywith the reporting of 7 of the 55 behaviors. For all behaviorswith a significant setting main effect, the odds of reportingthe behavior were greater among students who completed questionnairesat school than among students who completed questionnaires athome. For all behaviors with a significant mode main effect,PAPI mode students had lower odds of reporting the behaviorthan CASI mode students. Because social measurement researchassumes that higher prevalence estimates are more valid thanlower estimates, methodological factors shown to increase estimates,such as setting and mode, should be considered when planningsurveys.     

The DIRECTIONS nonprofit resource assessment model: A tool for small nonprofit organizations

Rapid growth in the number of nonprofits has created a shortage of trained staff and experienced volunteer leadership for nonprofit organizations. The Nonprofit Education Initiative (NEI) in South Carolina developed the DIRECTIONS nonprofit resource assessment model to provide tools to help nonprofits better meet the challenges facing our communities—tools that will help nonprofits develop effective plans, integrate resources, diversify revenue, communicate effective messages, and motivate constituents. These tools are also inexpensive and available close to home. The research and development process was a cooperative effort between the Department of Parks, Recreation, and Tourism Management and Clemson University Cooperative Extension Service, with funding from the W. K. Kellogg Foundation. Cooperative Extension is a component of the land grant university system, the largest educational delivery system in the world. Cooperative Extension's role is to plan, execute, deliver, and evaluate learning programs consistent with locally identified needs. It helps people acquire the understanding, capabilities, attitudes, and skills essential to solving farm, home, and community problems. This article gives a background of the challenges facing nonprofit organizations in South Carolina, the steps taken to develop this new assessment model, and results of research conducted throughout the development process.     

The protection of children exposed to marital violence

A review of the available research shows that children who witness violence between their parents have emotional and behavioural difficulties that mirror those of children currently identified as being abused. It is not clear whether these difficulties stem from the violence itself or the insecurity common in such families. However, current understanding of the experience of trauma suggests that some of these children are traumatized by the scenes they witness. Thus they fulfil the criteria for suffering from ‘significant harm’, within the guidelines of the Children Act. Current models of intervention in other areas of identified abuse could be applied to these children, offering adequate protection from further harm.     

Back on Your Feet: An Interpretation of an EPUY

The Educational Programme for Unemployed Youth (EPUY) is a federal government scheme which assists the states to run courses for unemployed school leavers. The Queensland course, ‘Skills for Working and Living’, takes sixteen weeks. Participant observation provides an ethnographic look at one of these programmes at the Brisbane Catering College. From the time allocation by course planners, personal development was not officially considered crucially important, though it was to the teachers who were predominantly women. The staff were part time, consisting of Technical and Further Education, College of Advanced Education and temporary teachers. The fifteen students (seven girls and eight youths) ranged in age from 14 to 19 years. The course is selectively described in terms of two central events: the first two weeks; and the final weeks before graduation. A positive group climate developed only very slowly because of various constraints. However, the students reported increased feelings of self-worth and personal effectiveness and they acknowledged staff friendliness and perseverance. During the course and within a month of its completion, eight of the unemployed got jobs. Such schemes deserve encouragement.     

THE METRICS OF STYLE: ADAM SMITH TEACHES EFFICIENT RHETORIC

Does style matter for economic writing? Several stylistic characteristics of ninety-seven AEA presidential addresses, including word length, sentence length and percent of sentences in the passive voice, were computed and used to explain citations to these economists' work. Avoidance of the passive is an old stylistic norm given by Adam Smith. Word length and sentence length serve as modern stylistic norms. Only the percent passive matters to explain citations. Perhaps not coincidentally, while writing clarity in our data set has declined over time when measured by the new norm, it has improved when measured by the old norm.     

Unmet service needs of families of young children with chronic illnesses and disabilities

Data about health and educational services were collected from 187 families with young children (under two years) who have chronic illnesses and disabilities. The purpose was to assess parents' satisfaction with services their families received and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination and monitoring of services across service sectors are indicated. Her research interests include the effects of disability on family identity and families' responses to minority stress. She received her Ph.D. from the University of Minnesota. She gratefully acknowledges Shelley Blazis and Nadav Casuto for statistical consulting. Her research interests focus on the impact of chronic illness and disability on families. She received her Ph.D. from the University of Minnesota. Her research interests include families and health and chronic illness and disability in children. She received her Ph.D. in Family Social Science at the University of Minnesota. His areas of interest include neurodevelopmental outcomes of low birth weight infants and training in developmental pediatrics. He was graduated from the University of Minnesota Medical School. His areas of interest include adolescents with chronic illness and disabilities, adolescent sexual decision making, and international adolescent health care issues. He was graduated from Howard University College of Medicine was awarded his earned doctorate in Health Policy from the University of Minnesota. Preparation of this article was supported by the National Institute on Disability and Rehabilitation Research Grant #H133890012.     

Policy, planning and the state in rural localities

The study of planning and policy-making in rural areas has tended to follow conventional lines of approach until quite recently. Although not atheoretical in nature, there has been a lack of regard to the political processes involved in policy-making and decision-making and a crucial lack of interest in the context within which such processes occur. Rather, research has taken an inherently positivist and largely pragmatic road towards the study of rural policy. It is argued in this paper that concepts and theories of the state generated largely in urban and regional contexts, provide a very necessary backcloth for the study of policy in rural areas. Unless the form, function and mechanisms of the state are fully appreciated, research into policy-making and planning will be dogged by inherent but largely untested assumptions concerning why policies are made, and on whose behalf they are implemented.     

A Review of the Current State of Negotiated Order Theory: an Appreciation and a Critique*

It is argued that the theory of negotiated order, which has remained largely submerged within a series of fairly specific “grounded” case studies of occupations, professions, and complex organizations in the health field, has a number of attractive qualities to it. As such, it represents one of the more exciting recent developments in the study of organizations The present paper examines the more recent historical origins of the theory, summarizes its major points, and critically assesses its strengths and weaknesses. Since most of the substance of the theory is found in studies of health professionals working in hospital settings, the examples used here are also derived from this particular body of literature. Some future possible directions which we believe will improve the overall explanatory power of the perspective are presented in the concluding section.