Evidence‐based Management in Practice: Opening up the Decision Process,Decision‐maker and Context

Evidence‐based management (EBM) has been subject to a number of persuasive critiques in recent years. Concerns have been raised that: EBM over‐privileges rationality as a basis for decision‐making; ‘scientific’ evidence is insufficient and incomplete as a basis for management practice; understanding of how EBM actually plays out in practice is limited; and, although ideas were originally taken from evidence‐based medicine, individual‐situated expertise has been forgotten in the transfer. To address these concerns, the authors adopted an approach of ‘opening up’ the decision process, the decision‐maker and the context (Langley et al. ( 1995 ). ‘Opening up decision making: the view from the black stool’, Organization Science, 6, pp. 260–279). The empirical investigation focuses on an EBM decision process involving an operations management problem in a hospital emergency department in Australia. Based on interview and archival research, it describes how an EBM decision process was enacted by a physician manager. It identifies the role of ‘fit’ between the decision‐maker and the organizational context in enabling an evidence‐based process and develops insights for EBM theory and practice.     

Density Estimation in Several Populations With Uncertain Population Membership

We devise methods to estimate probability density functions of several populations using observations with uncertain population membership, meaning from which population an observation comes is unknown. The probability of an observation being sampled from any given population can be calculated. We develop general estimation procedures and bandwidth selection methods for our setting. We establish large-sample properties and study finite-sample performance using simulation studies. We illustrate our methods with data from a nutrition study.     

Dispositifs d’intermédiation marchande et politique des marchés. La modernisation du marché des fruits et légumes en France, 1950-1980

As this study of experiments with organizing the fruit and vegetable market from the 1950s till the end of the 1970s shows, there were alternatives to the principle of distribution, for instance: the modernization of traditional wholesale marketplaces (carreau) or the establishment of veilings (marchés au cadran) controlled by producers. After exposing the rationale underlying each of these arrangements, the empirical conditions are examined for actually modernizing markets. Attention is drawn to the factors that weigh on players in the market, in particular the tensions, on the one hand, between homogenization and concentration and, on the other hand, the singularity of products and transactions.     

From Transitional to Permanent Uncertainty: Employability of Middle‐aged Workers in Hong Kong

Since the 1990s, Hong Kong has experienced increasing economic uncertainty. Middle‐aged workers, who often have little formal education and limited skills, have been the first casualties of economic restructuring. Initially, their unemployment was considered transitional. Limited government‐sponsored retraining programs were expected to improve their employability. Subsequent economic crises, however, have undercut the hopes of both workers and policy‐makers. Despite improvements in the job market since the mid‐2000s, the belief that unemployment was transitional has been replaced by a permanent state of uncertainty and consequent anxiety. Flexibility is considered the key to sustaining economic growth, and would relieve the insecurity and anxiety associated with unemployment. Policies have been modified, but they are still based on a narrowly defined concept of individual employability, which consolidates the sense of uncertainty. To address the factors contributing to the perception of permanent uncertainty among middle‐aged workers, we advocate a pragmatic approach that takes reference from the notion of flexicurity to mitigate this sense of uncertainty.     

The Infirmary as a Short-Term Psychiatric Facility

Abstract

The purpose of this study was to describe the role of the Oregon State University Infirmary (inpatient unit) in the provision of crisis intervention services for students with emotional problems. The focus was on the working assumptions of the infirmary program, the patient population which utilized the infirmary, the dimensions of treatment, and treatment outcomes.

Data were collected for a three year span on all patients who had contact with the infirmary for problems of an emotional nature. Records were reviewed for demographic variables, presenting symptomatology, diagnosis, treatment, disposition, and outcomes. Comparisons were made between these patients and those who received outpatient services through the Oregon State University Mental Health Clinic.

Demographic data indicated that patients who were treated in the infirmary differed only slightly from either the general student population of the university or from students receiving outpatient services. Presenting symptoms reflected a wide range of emotional problems. The severity of psychopathology was demonstrated by the finding that one-quarter of the patients manifested symptoms of acute psychosis, suicidal preoccupation, acute drug reaction, or toxic alcohol reaction. Consistent with the working assumptions of the program, the focus of treatment was short-term, intensive, and symptom directed. Treatment outcomes as determined by followup data were generally positive.

It was concluded that the infirmary provided an important treatment option which extended rather than duplicated outpatient services. The need for such an option was clearly demonstrated. The study was supportive of the concept that a university infirmary has the potential for utilization as a multipurpose facility.     

A Review of Language: The Cultural Tool by Daniel L. Everett

The Analysis of Verbal Behavior - Language: The Cultural Tool by Daniel Everett covers a broad spectrum of issues concerning the nature of language from the perspective of an anthropological...     

Parental Depression in the Context of Divorce and the Impact on Children

The impact of divorce on children has been well documented over the past 30 years. Divorcing parents who are also experiencing clinical depression often have a compromised ability to parent well and to give the children needed support. Children are then impacted both by the divorce itself and the effects of parental depression. They are at higher risk of numerous problems including poorer physical health, deficits in academic performance not attributable to intellectual limitations, poor social functioning, conduct disorder and other disruptive behavior problems, phobias, and other anxiety disorders. Because children of depressed parents are at higher risk for depression themselves, they should be monitored for depressive symptoms. If there are concerns, the child should be assessed by a mental health professional.     

Outreach approaches in the private domain: an international study

The aim of this article is to present the results of an international study on outreach approaches in the private domain in social work with a focus on moral dilemmas. The reason to start the study was to investigate if a trend in Dutch social work toward outreach approaches can be recognized in other European countries and what can be learned from other outreach practices. First, a definition of outreach approaches in the private domain was discussed. Next, data were collected by interviews with social workers in four different countries, executed by social work students and researchers. Although no evidence was found that outreach approaches in other countries than the Netherlands are increasing, many similarities were found in social workers' interpretation of their outreach work. All the interviewees emphasized that outreach approaches are intended for excluded people who are at risk or a risk and who are not in contact with social services. All workers stress the importance of gaining trust and staying in touch. A dilemma is that workers often find themselves between two fires. They tend to give priority to the relation with the client and accept that this can contradict rules of organizations or society.     

‘Africanisation’, African identities and emancipation in contemporary South Africa

This article problematises the concept of ‘Africanisation’ as a response to colonial conquest and apartheid rule, bearing both political and knowledge consequences. It aims to rescue ‘Africanisation’ from essentialist notions, but at the same time to show how paradigms cannot be simply applied where they derive from quite different experiences. The article introduces modes of differentiating concepts that are dynamic, as opposed to static, singular and unmediated meanings that bedevil any emancipatory project. The tendency to see a moment in the life of a concept as having a settled and finalised meaning renders the qualities of democracy, and other similar liberating concepts, as settled though their meaning is never finally realised. While colonialism marginalised and devalued local knowledges, the national liberation project sought unity/homogenisation, which tended to deny distinct identities, as is largely the case today. There remains hostility to pluralism at a social and political level and a failure to recognise autonomous identities unconnected to the state or the ruling organisation, the African National Congress (ANC). The tendency towards static notions of custom and paradigms that do not derive from the experiences of African women, in particular, has tended to erase the voices of women or prejudice the emancipation of women from patriarchal oppression. Africanisation, the article proposes, must be located through an ongoing dialogue between dynamic local knowledges and a range of other explanatory tools.     

Latino Immigration,Interaction, and Homicide Victimization

As Latinos spread across the United States, many Americans have begun to fear that their arrival will spark an increase in crime. Unfortunately, early explanations of the immigration-crime link, which found that immigrants disorganized communities, focused on the experience of Eastern European immigrants. This article updates previous literature by focusing on the experience of Latino immigrants. I find that (1) Latino immigration is linked to crime only in new Latino destinations, (2) this link is mitigated by increased interaction among Latinos, and (3) Latino interaction lowers victimization regardless of destination.