The grief experiences of certified nursing assistants: personal growth and complicated grief

The grief that certified nursing assistants (CNAs) experience following the deaths of nursing home residents has received scant attention in past research, particularly from an empirical standpoint. The purpose of this quantitative study was to investigate the grief experiences of CNAs in the nursing home setting and to identify and evaluate factors that may mediate or exacerbate grief. Participants (N=136) from 12 nursing homes completed self-administered surveys. Regression analyses revealed that CNAs with lower levels of perceived disenfranchised grief reported higher levels of personal growth, while CNAs with greater fear of death and those who experienced fewer deaths on the job reported higher levels of complicated grief. Practitioners and future researchers may benefit from these findings through the construction and implementation of interventions aimed at effectively enfranchising the grief experiences of this important group of healthcare workers.     

Promoting Well-Being Through Relationship Building: The Role of Smartphone Technology in Foster Care

Mindful of the tremendous risk factors that foster youths encounter, a federal demonstration project sought to increase their protective factors and to mitigate their adverse experiences. The ability to form and maintain healthy relationships is a key protective factor as it helps youths navigate life’s challenges, especially those challenges that result from unresolved loss and grief as a result of being in care. The study was guided by a relational competence framework. The youths were issued smartphones, and their social service providers were given a Web-based application designed to increase communication between the foster youths, their providers, and their mentors. Findings reveal several favorable outcomes associated with the use of the smartphones but also several unintended negative consequences. Recommendations for balancing youths’, caregivers’, and providers’ needs, positions, and rights are discussed. Likewise, the authors discuss the study’s implications for program development that utilizes smartphone technology to increase youths’ ability to experience healthy relationships.     

Measuring strategic decision making efficiency in different country contexts: A comparison of British and Turkish firms

This paper compares the relative efficiency of the strategic decision making (SDM) processes of British and Turkish firms. The technique of data envelopment analysis (DEA) is used to measure the relative efficiency of these firms. The evidence obtained by the DEA analysis reveals that the Turkish firms tend to be superior to the British firms in terms of their SDM efficiency. There is a significant difference in scale returns with respect to the country of origin of the firms. The analysis of the improvement potential of inputs indicates that Turkish firms place more emphasis on managing environmental turbulence to enhance their SDM efficiency, while British firms tend to overly focus on the design of an appropriate organizational structure. However, no significant difference was noted between the two groups of firms with regard to the level of resources and effort exerted on formal strategic planning practices. The analysis of output deficits reveals that there is a significant difference between British and Turkish firms in the sources of inefficiency.     

Shaped by place? Young people's aspirations in disadvantaged neighbourhoods

This paper aims to better understand the relationship between young people's aspirations towards education and jobs, and the context in which they are formed, especially to understand better the role of disadvantaged places in shaping young people's aspirations. Policy makers maintain that disadvantaged areas are associated with low aspirations and there is support for this position from academic work on neighbourhood effects and local labour markets, but evidence is slim. Using a two-stage survey of young people in disadvantaged settings in three British cities, the paper provides new data on the nature of young peoples’ aspirations, how they change during the teenage years, and how they relate to the places where they are growing up. The findings are that aspirations are very high and, overall, they do not appear to be depressed in relation to the jobs available in the labour market either by the neighbourhood context or by young people's perceptions of local labour markets. However, there are significant differences between the pattern of aspirations and how they change over time in the three locations. The paper then challenges assumptions in policy and in the literature that disadvantaged places equal low aspirations and suggests that understanding how aspirations are formed requires needs a nuanced approach to the nexus of class, ethnicity and institutional influences within local areas.