Health care,social care or both? A qualitative explorative study of different focuses in long-term care of older people in France,Portugal and Sweden

Challenges with an ageing population are increasingly becoming a reality in the Western world. Since cognitive impairment increases with age, we can expect an increasing number of older people in need of care. The aim of this article is to describe, analyse and compare different focuses on care of older people with dementia, using examples from France, Portugal and Sweden. The questions are principally focused on the participants’ view about their tasks, the organisation of work, the professional role and cooperation with other professions. Everyday care was studied through observations and participant observations and the staff's opinion was explored by means of interviews. Twenty-two care settings for older people were included. The findings showed that France provided mainly ‘health care’, Sweden ‘social care’ and Portugal an integrated ‘health care and social care’. In a comparative perspective the Portuguese general care of older people, which focuses on integration of health care, social care and social work, also seems to provide care for older people suffering from dementia which best corresponds to the previously developed group living model.     

The stability of job and family involvement: applying the multi-wave, multi-variable technique to longitudinal data

The main aim of the study was to examine the stability of job and family involvement, applying multi-wave, multi-variable modelling within the framework of LISREL models. The abbreviated job and family involvement scales based on Kanungo's (1979, 1982) motivational model were examined on the basis of 3-year longitudinal data. The study was carried out by means of questionnaires, which were filled in by Finnish employees (n = 109) on three occasions. The results show that both job and family involvement remained relatively stable during the follow-up period. Further, the scales showed reasonable unidimensionality across time. In addition, the item reliability of the scales was found to be adequate. Of the demographic characteristics studied (i.e. gender, age, socioeconomic status, presence of children at home, age of the youngest child) only gender had a significant effect on involvement: men were found to be more involved with their jobs than were women.     

Work-to-family conflict and its relationship with satisfaction and well-being: a one-year longitudinal study on gender differences

The present study produced new knowledge about gender differences with respect to work-to-family conflict and its longitudinal relations with indicators of satisfaction and well-being. The study examined the longitudinal relations between work-to-family conflict and self-reported satisfaction and well-being in the domains of work (job satisfaction), family (marital satisfaction, parental distress) as well as overall (psychological and physical) symptoms. Data were obtained from a random sample of Finnish men (n=208) and women (n=218) who were employed and had either a partner or/and children. A survey was conducted at two points in time, in 1999 (Time 1), and one year later, in 2000 (Time 2). The results revealed that, among women, work-to-family conflict perceived at Time 1 significantly predicted job dissatisfaction, parental distress as well as psychological symptoms at Time 2. However, among men, a low level of satisfaction or well-being at Time 1 (marital dissatisfaction, parental distress, psychological and physical symptoms) functioned as a precursor of work-to-family conflict perceived at Time 2. In addition, the experience of work-to-family conflict turned out to be relatively stable for both genders over the time period of one year. It is likely that work-to-family conflict will continue to affect employees, and should be a central focus for organizations.     

Comparing customer satisfaction across industries and countries

Although aggregate satisfaction measures continue to proliferate, their value in making broad-based comparisons remains unclear. This study uses arguments from the economics, psychology, sociology and marketing domains to predict systematic differences in aggregate customer satisfaction across both industries and countries. These predictions are tested using a database created from three broad-based national satisfaction surveys in Sweden, Germany and the United States. The results reveal that, across countries, satisfaction is highest for competitive products, lower for competitive services and retailers, and lower still for government and public agencies. However, the differences vary by country. Satisfaction is also predictably lower in Sweden and Germany compared to the US, and shown to change systematically in Sweden over time. Methodological differences do not appear to limit the comparability of the aggregate satisfaction measures. Overall the study supports the use of national indices for making meaningful comparisons of satisfaction on a broad scale.     

Exploring work- and organization-based resources as moderators between work-family conflict, well-being, and job attitudes

In modern Western life it is difficult to avoid work-family conflict. Therefore the resources that might reduce its negative outcomes on well-being and job attitudes come into focus. Our study contributes to the work-family conflict literature by exploring the indirect (moderator) and direct role of three work- and organization-related resources, i.e., job control, family supportive climate, organization-based self-esteem (OBSE), in the work-to-family conflict and well-being/job attitude relationship. Theoretically, the study tested the recently developed Job Demands-Resources (JD-R) model in the Scandinavian context. Data for the study were gathered from three differing Finnish organizations (health care district, ICT company, Cardboard mill; n=1252). In line with the predictions of the JD-R model, job demands (time- and strain-based work-to-family conflict) were more robustly associated with strain-based outcomes (physical symptoms), whereas job resources (job control, family supportive climate, OBSE) were more strongly linked to motivational-based outcomes (job satisfaction, organizational commitment). Both job control and family supportive climate moderated the relationships studied; high job control and family supportive climate buffered against the aversive effects of work-to-family conflict on well-being and job attitudes. These indirect effects also varied in relation to the independent, moderator, and dependent variables. However, OBSE did not operate as a buffering factor, although it showed significant direct effects. From a practical viewpoint, our findings suggest that job control and family supportive climate are resources that help employees to reduce the negative effects related to work-family conflict.     

Work-home interaction from a work psychological perspective: Development and validation of a new questionnaire, the SWING

This paper reports on the stepwise development of a new questionnaire for measuring work-home interaction, i.e. the Survey Work-home Interaction—NijmeGen, the SWING). Inspired by insights from work psychology, more specifically from Effort-Recovery Theory (Meijman & Mulder, 1998), we defined work-home interaction by differentiating between the direction and quality of influence. Four types of work-home interaction were distinguished and measured by using 22 (including 13 self-developed) items. By using data from five independent samples (total N=2472), validity evidence was provided based on the internal structure of the questionnaire. The results showed that the questionnaire reliably measured four empirically distinct types of work-home interaction, and that this four-dimensional structure was largely invariant across the five samples as well as across relevant subgroups. Validity evidence was also provided based on the relations with external (theoretically relevant) variables (i.e. job characteristics, home characteristics, and indicators of health and well-being). The results generally supported the hypothesized relationships of these external variables with negative work-home interaction. Less support was found, however, for the hypothesized relationships with positive work-home interaction. This contributes to current literature as it employs a relatively broad conceptualization of work-home interaction and offers a promising tool that measures its multiple components across a wide variety of workers.     

School Meals Policy: The Problem with Governing Children

This paper seeks to explore the role of school meals policy in the UK, and more particularly its articulation in England. It will outline the history of this policy and examine a number of changes that have taken place over time. The focus will be on nutrition and how the emphasis has shifted from issues of quantity to the composition of food eaten by children. The nutritional argument will be examined by exploring the changes in the governance of the population, as represented by school meals policy. Finally, the paper will address the awkward relationship between the state and children, as evinced by school meals policies.     

Decision-making on social assistance in major cities in Sweden

It is desirable to strive for uniformity in decisions on social assistance. By presenting hypothetical new clients to social workers and asking for decisions, we investigated the occurrence of lack of agreement in decision-making. Surveys were made in Stockholm, Göteborg and Malmö. The results demonstrated variation in the assessment of applications for social assistance between the cities as well as within parts of the same city and between individual social workers in the same office. The reasons for these variations are discussed.