Why nonprofit organizations are ripe for total quality management

This article reviews the core philosophy of Total Quality Management (TQM) and argues that TQM can enhance the accountability of nonprofit organizations to their many constituencies. A case study of TQM in the United Way of Allegheny County illustrates applications and results.     

Using management development for competitive advantage

Management development is a major strategic tool and should be integrated with business strategy to enhance organizational ability to compete in a complex and changing environment. The increasing internationalization of business and changing international organization structures make the development of the international manager a central task for management development. Putting management development at the heart of business strategy also enables the organization to build its collective international competence and to create the international learning organization essential for future global competition.     

Policy and research issues for small assisted living facilities

Dramatic growth in Assisted Living (AL) has resulted in increasing research and policy interest. This analysis compares smaller and larger AL facilities in four states to determine whether extant measures of four key concepts, used to distinguish the AL sector, give advantage to larger facilities. Quantitative comparisons predominantly show differences favorable to larger facilities; qualitative information raises the prospect that current measures overlook beneficial aspects of smaller facilities. If small facilities are included under the AL banner. both policy provisions and quality assessment must be carefully crafted to avoid placing small homes in funding and oversight jeopardy as AL develops.     

Domestic violence among male and female patients seeking emergency medical services

Gender differences among a cohort of injured patients seeking emergency medical services were examined with respect to their experiences as perpetrators and/or victims of domestic violence. Contextual issues, including violence initiation, emotional and behavioral responses to partner-initiated violence, and injury frequency and severity were analyzed. Women reported male partner-initiated violence more frequently than men reported female partner-initiated violence. Behavioral responses to partner initiated violence varied. Women were more likely to report using force back and to involve law enforcement. Women were more likely to be injured in a domestic assault over their lifetime, within the last year, and at the time of recruitment. Comparison of injury severity revealed that women reported higher rates of injuries than men in all possible severity categories. Women also reported experiencing more fear than men during partner-initiated violence, as well as being subjected to larger numbers of dominating and controlling behaviors, and greater intimidation secondary to their partner's size. Understanding contextual differences in partner violence for women and men has significant implications for policy development, identification, treatment, and referral of patients identified as living in violent relationships.     

Transitions to supported environments in England and Wales among elderly widowed and divorced women: the changing balance between co-residence with family and institutional care

In this article we examine changes in the proportion of older widowed and divorced women in England and Wales moving from 'independent' to two kinds of 'supported' household--supported private households and institutions--during the decades 1971-81 and 1981-91. Our main aim was to see whether observed increases in institutionalisation over this period were the result of a decreased propensity to move to the households of relatives. We used the ONS Longitudinal Study, a record linkage study including individual level data from the 1971, 1981 and 1991 censuses of England and Wales. A multinomial logit model was used to investigate the correlates of transitions from independent to supported private households versus institutions among elderly widowed and divorced women. While the overall rate of transitions to join either supported private households or institutions was largely the same in the two decades, the balance between the two shifted markedly in favour of transitions to institutions. In terms of the limited range of covariates it was possible to consider, owner-occupiers were significantly more likely than tenants to move to supported private households than to institutions.     

Touch,compliance, and interpersonal affect

This study investigated the effects of touch on compliance to a help request. The experimenter's initiation of touch during the request did increase compliance as measured by time spent scoring bogus personality inventories. The hypothesized role of attraction in mediating the touch-compliance link was not supported. Instead, touch may have served to indicate status or power differences that influenced subjects to comply. A sex of subject × sex of experimenter interaction was manifested in female subjects complying more to female experimenters than did subjects in any other sex pairing.The authors would like to thank James Daly and Kay McIntyre for their help in conducting this study. Completion of this project was supported by Weldon Spring Research Grant from the University of Missouri to the first author.