Safety training: An overview of current needs

Abstract

This article considers the changing nature of the demands and pressures faced by today's training practitioner. It emphasizes that safety is no longer a matter of ‘tin hats, safety guards and first aid boxes’, and explores the problems created by new legislation and rapidly changing technology. It also points up the skills required by the safety practitioner in effectively dealing with his/her organization, and the constraints placed on them by social and economic factors. The article reviews the training implications of this developing scenario.     

Do you see me? The complex experiences of women of color MSW students

Universities have increased the number of female students of color. However, inconsistency remains in terms of the number of women of color in positions of power and privilege. This discussion attempts to forward the dialogue about the challenges as well as the resilience of female students of color based on the experiences of four female African-American students in a graduate social work program at a predominantly white institution (PWI). Participants shared their daily experience of isolation and exclusion in their graduate programs compared to their experience in Historically Black College or Universities (HBCUs). Participants also discussed the divide that exists in institutions, as well as the sustaining forces and implications for education and research.     

Comparing Opinions of People with Developmental Disabilities and Significant Persons in their Lives Using the Individual Supports Identification System (ISIS)

Fifty-two people with developmental disabilities were interviewed using the Individual Supports Identification System (ISIS). This study reports on persons with developmental disabilities, served by the State of Washington Division of Developmental Disabilities, and includes persons whose onset of disability was prior to 18. To be eligible for services, an individual must have a disability that falls within one of the following categories: (1) mental retardation; (2) cerebral palsy; (3) epilepsy; (4) autism; and (5) other types of central nervous system impairment closely related to mental retardation. Interviews were conducted with two groups. The first comprised individuals with developmental disabilities and the second, significant persons in the life of each participant in the first group. A significant person was considered to be someone known by the individual with disabilities for more than 6 months, spending more time with him or her than others. In addition, the significant person must like the individual with disabilities, and have his or her best interests in mind. Seventy-five per cent of significant persons interviewed were parents. Significant persons also responded to a series of ISIS questions. Responses from the individual with disabilities and from the significant person in his or her life were compared in order to determine similarities and differences in perspective. Comparisons focus on issues pertaining to friends and relationships, living environment and daily care needs.     

Assessing small community groups

Many community groups in the UK do micro-project work to help families and young people in low-income neighbourhoods. This paper establishes a common set of criteria for assessing the effectiveness of small community groups and uses these as basis for developing an evaluation tool for community groups and those working with them. It draws on the literature to identify those factors that are seen to be important to the functioning of community groups, where necessary adapting these to smaller groups. These criteria are then ‘tested’ on a small number of community groups across the UK, using a participative approach and questionnaire to explore these issues with each group. Our framework appears to capture all the key aspects of the groups we visited, although some of the assessment criteria need to be interpreted carefully, helping to refine our own understanding of what makes a good community group. This approach is a useful way for community groups to identify their own strengths and weaknesses and, if developed further, has potential applications in the evaluation of capacity-building schemes.     

“Unexpected and Distressing”: Understanding and Improving the Experience of Transferring Palliative Care Inpatients to Residential Care

The survival of patients with advanced cancer, coupled with the increased presence of end-stage chronic illnesses in an aging population, is leading to a demand in palliative care. Due to the ongoing need for acute-pain and symptom control in hospice/palliative care units, few are able to offer long-stay admission for those whose symptoms have stabilized. When a patient no longer requires specialist palliative care services, transfer from an inpatient palliative care facility may then be necessary. A core component of the role of palliative-care social workers involves working with patients and their families/carers when the care pathway shifts and the option of residential aged care facility (RACF) needs to be considered. This research explored several issues, including the impact of this transition on the patient and their families and on the interdisciplinary health care team treating the patient. An investigation was undertaken to identify concerns and barriers regarding the transition from hospice care to RACF and opportunities were highlighted to improve clinical practice in this area. A tripartite approach was adopted conducting face-to-face interviews with patients, their families/carers, and health care professionals. Members of the interdisciplinary team were interviewed and social workers working in similar inpatient palliative-care facilities undertook telephone interviews to gauge their experiences. A thematic analysis discerned a number of themes highlighting the impact of this transition on key stakeholders and incorporated recommendations to improve or best manage this process. The research has highlighted the difficulties that patients/families encounter in this transition, as well as the emphases of protecting the integrity of the patient and family. This is achieved by holding open and ongoing dialogue, particularly through family meetings and working in collaboration with the patient, the family, and the team. Understanding the experience and impact of this transition on key stakeholders is helpful in building up a knowledge base and to ensure a more effective relationship occurs. This research incorporated the voices of terminally ill patients, families, and members of the health care team in order to understand their views and recommendations for best managing the transition from a hospice/inpatient palliative-care facility to a RACF. This enables their input to have some real impetus in clinical practice and service delivery.     

WOMEN'S WORK IN THE INFORMATION ECONOMY: The case of telephone call centres

This paper is concerned with the work experiences and career opportunities of women employed in technology-intensive offices known as telephone 'call centres'. Call centres have grown rapidly across Europe in recent years, creating a significant number of new jobs and receiving considerable attention within the media, business and academic communities. However, despite the fact that the majority of call centre jobs have been taken by women, researchers have so far paid little attention to their position in this new 'industry'. The article addresses this research gap. In particular, it is concerned with the question of whether call centre work is offering women new opportunities for skill development and career progression, or whether a more familiar trend is taking place in which women are being drawn into a highly routinized, 'de-skilled' and de-valued area of work. The paper also uses the specific example of call centre work in order to reflect on broader issues about the changing nature of women's work and employment in the so-called 'information economy'.     

The structure of fuzzy preferences: Social choice implications

It has been shown that, with an alternative factorization of fuzzy weak preferences into symmetric and antisymmetric components, one can prove a fuzzy analogue of Arrow's Impossibility Theorem even when the transitivity requirements on individual and social preferences are very weak. It is demonstrated here that the use of this specification of strict preference, however, requires preferences to also be strongly connected. In the absence of strong connectedness, another factorization of fuzzy weak preferences is indicated, for which nondictatorial fuzzy aggregation rules satisfying the weak transitivity requirement can still be found. On the other hand, if strong connectedness is assumed, the fuzzy version of Arrow's Theorem still holds for a variety of weak preference factorizations, even if the transitivity condition is weakened to its absolute minimum. Since Arrow's Impossibility Theorem appeared nearly half a century ago, researchers have been attempting to avoid Arrow's negative result by relaxing various of his original assumptions. One approach has been to allow preferences – those of individuals and society or just those of society alone – to be “fuzzy.” In particular, Dutta [4] has shown that, to a limited extent, one can avoid the impossibility result (or, more precisely, the dictatorship result) by using fuzzy preferences, employing a particularly weak version of transitivity among the many plausible (but still distinct) definitions of transitivity that are available for fuzzy preferences. Another aspect of exact preferences for which the extension to the more general realm of fuzzy preferences is ambiguous is the factorization of a weak preference relation into a symmetric component (indifference) and an antisymmetric component (strict preference). There are several ways to do this for fuzzy weak preferences, all of them equivalent to the traditional factorization in the special case when preferences are exact, but quite different from each other when preferences are fuzzy (see, for example, [3]). A recent paper in this journal [1], by A. Banerjee, argues that the choice of definitions for indifference and strict preference, given a fuzzy weak preference, can also have “Arrovian” implications. In particular, [1] claims that Dutta's version of strict preference presents certain intuitive difficulties and recommends a different version, with its own axiomatic derivation, for which the dictatorship results reappear even with Dutta's weak version of transitivity. However, the conditions used to derive [1]'s version of strict preference imply a restriction on how fuzzy the original weak preference can be, namely, that the fuzzy weak preference relation must be strongly connected. Without this restriction, I will show that the rest of [1]'s conditions imply yet a third version of strict preference, for which Dutta's possibility result under weak transitivity still holds. On the other hand, if one accepts the strong connectedness required in order for it to be valid, I show that [1]'s dictatorship theorem can in fact be strengthened to cover any version of transitivity for fuzzy preferences, no matter how weak, and further, that this dictatorship result holds for any “regular” formulation of strict preference, including the one originally used by Dutta. Received: 13 May 1996 / Accepted: 13 January 1997