Enhancing Competence in Health Social Work Education Through Simulation-Based Learning: Strategies From a Case Study of a Family Session

ABSTRACT

Simulation-based learning (SBL) is a powerful tool for social work education, preparing students to practice in integrated health care settings. In an educational environment addressing patient health using an integrated care model, there is growing emphasis on students developing clinical competencies prior to entering clinical placements or clinical practice settings. This article highlights the importance of SBL in the development of the clinical competencies of graduate social work students enrolled in a Social Work Practice in Health course. The development and implementation of an educational initiative using a family-based simulation scenario to enhance classroom learning for health social work practice is described, and recommendations for future educational initiatives using SBL are provided.     

Effect of the Imagination Library on caregiver–child literacy interactions and school readiness: findings from two quasi-experimental propensity score studies

The paper reports findings of two quasi-experimental, propensity score matched (PSM) studies on the effects of Imagination Library (IL). IL is a community book-distribution program targeting improved caregiver–child literacy interactions, which are hypothesized to lead to increased school readiness – consisting of improved emergent literacy skills and social-emotional school readiness. In Study One, interviews were used to examine proximal increases in the quality of child–caregiver literacy interactions with 112 PSM families (IL?=?56; non-IL?=?56). Small effects were observed in Study One favoring IL families on reading interactions (d?=?.043). In Study Two, 378 PSM kindergarten students (IL?=?189; non-IL?=?189) were compared with regard to standardized tests of emergent literacy skills and social-emotional school readiness – distal outcomes of IL. No effects were observed in Study Two. Taken together, these two studies run counter to prior reports on the effects of IL and suggest that more must be done to improve emergent literacy and school readiness beyond simply providing free books.     

“Understanding” as Support for Emerging Adults Whose Parents Have Chronic Health Conditions: A Life-Span Communication Perspective

To better understand the “chronic burden of care” in the United States, we focused on an underrepresented demographic of youth caregivers in families, emerging adults (EAs). EAs are a newly recognized population of youth, 18–25 years of age, who are developmentally between adolescence and young adulthood. Guided by the life span communication perspective, we interviewed 98 EAs (30 males and 68 females, M age = 19.09, SD = 1.72) about their experiences providing support to a parent with a chronic health condition. Many EAs in this study said they provided “understanding” and our interpretive thematic analyses uncovered two broad meanings of the word: it is a form of support that EAs both have and communicate. When EAs have understanding, they have knowledge about the health condition and how it affects their parent. They also have acceptance to some degree that the health condition is a fixture of their lives and that their parents are imperfect and fallible people. They communicate the understanding they have through reciprocating support, sacrificing, being obedient, avoiding sensitive topics, and projecting emotional strength. We discuss the findings and their implications for emerging adult development as well as parent-child relational development parallel to difficult long-term health issues in families.     

Area-based partnerships in rural Poland: The post-accession experience

The paper examines the characteristics of area-based partnerships in rural Poland. It is based on the study of partnerships created after the accession to the European Union in 2004. Partnership structures have been rapidly adopted in rural Poland due to opportunities provided by the LEADER+ Pilot Programme. However, the research showed that partnerships are frequently subject to elite domination by local authorities and hence fail to fully engage a range of community and private sector actors. Funding rules for LEADER, most notably the condition that money will only be paid on the completion of projects, has been particularly significant in perpetuating the domination of partnerships by organisations with existing access to financial and human capital. Hence funding arrangements can undermine the ability of Polish partnerships to operate in ways which harness the endogenous capacities of local communities. To date power differentials between notional ‘partners’ have been experienced to a greater extent than in advanced liberal democracies. The research found that overt domination of partnership structures by state agencies limited the possibilities for community led development initiative in rural Poland.     

Longitudinal Relations Among Parental Emotional Expressivity and Sympathy and Prosocial Behavior in Adolescence

Concurrent and longitudinal relations among parental emotional expressivity, children's sympathy and children's prosocial behavior were assessed with correlations and structural equation modeling when the children were 55–97 months old (N = 214; M age = 73 months, SD = 9.59) and eight years later (N = 130; ages 150–195 months old, M = 171 months, SD = 10.01). Parent emotional expressivity (positive and negative) and children's sympathy were stable across time and early parent‐reported sympathy predicted adolescents' sympathy and prosocial behavior. Parents' positive expressivity was positively related to sympathy and prosocial behavior, but in adolescence, this was likely primarily because of consistency over time. Early observed parental negative expressivity was negatively related to adolescents' prosocial behavior. Reported negative expressivity in childhood was negatively related to boys' sympathy in childhood and positively related to girls' sympathy behavior in adolescence. The later relation remained significant when controlling for the stability of parental expressivity and sympathy, suggesting an emerging positive relation between the variables for girls.     

Variability and Uncertainty Meet Risk Management and Risk Communication

In the past decade, the use of probabilistic risk analysis techniques to quantitatively address variability and uncertainty in risks increased in popularity as recommended by the 1994 National Research Council that wrote Science and Judgment in Risk Assessment. Under the 1996 Food Quality Protection Act, for example, the U.S. EPA supported the development of tools that produce distributions of risk demonstrating the variability and/or uncertainty in the results. This paradigm shift away from the use of point estimates creates new challenges for risk managers, who now struggle with decisions about how to use distributions in decision making. The challenges for risk communication, however, have only been minimally explored. This presentation uses the case studies of variability in the risks of dying on the ground from a crashing airplane and from the deployment of motor vehicle airbags to demonstrate how better characterization of variability and uncertainty in the risk assessment lead to better risk communication. Analogies to food safety and environmental risks are also discussed. This presentation demonstrates that probabilistic risk assessment has an impact on both risk management and risk communication, and highlights remaining research issues associated with using improved sensitivity and uncertainty analyses in risk assessment.     

Some Recent Developments in the Analysis and Design of Quantitative Genetic Experiments

The design and analysis of experiments to estimate heritability when data are available on both parents and progeny and the offspring have a hierarchical structure is considered. The method of analysis is related to a multivariate analysis of variance and to weighted least squares. It is shown that genetical theory gives a simple interpretation of both maximum likelihood (ML) and Rao's minimum norm quadratic unbiased (MINQUE) methods of estimation of variance components in unbalanced designs.     

Insurance exposure and investment risks: Management and regulatory implications

By exposing itself to greater risks on invested funds the company can also increase its expected returns. Because there are risks involved with both the insurance and investment operations, a major problem for an insurance company is to determine just how the two types of risks are to be balanced. In an earlier paper the authors dealt with the relationships among growth in premiums written, insurance loss and investment return. In this paper the questions are revisited from a policyholder and regulatory point of view, and suggestions are made concerning the reaction of the firm under various postures the management may take towards risk.     

Risk factors for suicide attempts among African American women experiencing recent intimate partner violence

The purposes of this study were to identify risk factors for suicide attempts among 200 African American abused women (100 attempters, 100 nonattempters) and to test a cumulative risk model to determine if a woman's likelihood of making a suicide attempt increased as the number of risk factors increased. Results revealed that attempters were significantly more likely than nonattempters to report high levels of depressive symptoms, hopelessness, drug abuse, and childhood abuse and neglect. Results from the cumulative risk model revealed a linear association between the number of risk factors and the odds of making a suicide attempt. Compared to women with no risk factors, women with two risk factors, women with three risk factors, and women with four to five risk factors were 10, 25, and 107 times, respectively, more likely to attempt suicide. The identification of risk variables highlights the importance of designing interventions to address these factors in order to reduce the risk of suicidal behavior in abused, African American women.