Parental leave benefits and breastfeeding in Germany: effects of the 2007 reform

While breastfeeding is associated with health benefits for both mothers and children, it may also make it difficult for mothers to return to the labor market early. Maternity and parental leave regulations have been developed to mitigate this conflict. In 2007, Germany passed a reform introducing a new parental leave benefit (Elterngeld). In this paper, we address the question of whether the new parental leave benefit impacts breastfeeding initiation and duration in Germany. We use the reform as an exogenous policy variation to obtain causal evidence on breastfeeding behavior, applying a difference-in-differences approach. Mothers in particular benefit from the reform especially if they were employed prior to childbirth or if they have a household income above the income threshold of the previous parental leave scheme (treatment group). The reform did not bring significant changes within the first year of a child’s life for all other mothers (control group). We draw on representative survey data from the Socio-Economic Panel (SOEP) study. Three breastfeeding measures are used for the 2004 to 2009 cohorts: (1) breastfeeding at birth; (2) breastfeeding for at least 4 months; and (3) breastfeeding for at least 6 months. We find no effect of the Elterngeld reform on breastfeeding initiation but do observe an effect on breastfeeding duration. Our results are robust over various sensitivity tests, including placebo regressions, the application of matching approaches, and controlling for regional indicators, among others. Thus, our empirical results provide evidence that the reform’s goal of allowing parents to spend more time with their children during the first year of life also impacted breastfeeding behavior.     

Generations learning together: pilot study for a multigenerational program

Generations need to spend time in meaningful activities to facilitate more healthy interactions. An interdisciplinary team worked together to implement an enriching, intergenerational project with 4 year olds, college students, and older adults. College students played an active role in planning/facilitating activities. The overall objective of the research was assessing perceptional change between the generations using pre/posttests with college students, pre-post interviews with older adults, and pre-post teacher led discussions with children. Findings suggest that older adults and college students had improved perceptions. Children’s perceptions remained negative with some positive perceptions.     

‘No one believed us: no one came to help’: caregivers' experiences of violence and abuse involving children with fetal alcohol spectrum disorder

Child and adolescent-to-parent violence and abuse (CAPVA) refers to abusive and violent behaviours by children towards their parents or primary caregivers. The abuse and harmful behaviours can include a full range of physical, emotional, verbal, financial, and material actions over prolonged periods of time, from childhood to young adulthood. Parents and caregivers of children with neuro-developmental conditions are vulnerable to CAPVA, and little research has been undertaken exploring the experiences of caregivers of children with fetal alcohol spectrum disorder (FASD). In Aotearoa New Zealand, 56 caregivers were interviewed using semi-structured interviews, and over half identified significant levels and impacts of CAPVA, including dealing with physical violence and frequent emotional abuse. Health and stress issues were present in all caregivers interviewed. Caregivers also identified how systemic ignorance and a lack of understanding from caring professionals led to parent blaming, a sense of shame and isolation. Yet, caregivers also showed resilience and implemented strategies of de-escalation and distraction. More specialised practice is needed in this emerging field of family violence and in how to support families with children who have FASD.     

Everyday life of persons with intellectual disability living in residential settings: a systematic review of qualitative studies

This article presents a systematic review of studies published between November 2010 and November 2014 about the everyday life of adults with intellectual disability as viewed from their own perspective. Everyday life refers to an interdisciplinary concept including approaches attentive to the mundane and to ordinary routines of social relations and practices. Twelve studies met the inclusion criteria. The review was carried out as an interpretive synthesis. Findings from the included studies revealed neglect of participation regarding the wishes, self-determination, choice and control of persons with intellectual disability in their everyday lives. This neglect demonstrates the limitations persons with intellectual disability face as agents and adult citizens in their everyday life, and shows violation of fundamental human rights.     

Buffering Effects of a Family-Based Intervention for African American Emerging Adults

This study focused on the buffering effects of Adults in the Making (AIM), a family-centered preventive intervention, on the link between life stress and increases in risk behaviors among 347 rural, southern African Americans as they left high school. Of the families, 174 were assigned to the prevention condition and 173 to a control condition. Emerging adults reported risk behaviors at pretest, posttest (7 months after pretest), and long-term follow-up (10 months after posttest). A significant Life stress × Prevention condition interaction emerged: Increases in risk behaviors were significantly greater among emerging adults in the control condition who experienced high stress levels than among those in the prevention condition who experienced equally high stress levels.     

MULTIPLE ECONOMIES AND YOUTH LIVELIHOOD

In this paper we present a model of multiple economic spheres in order to understand and explain the income-generating activities of young people. These spheres include the formal sector, the informal waged sector, the informal non-waged sector, the welfare sector and the criminal sector. We conclude that, due to changes in the labour market that affect them in particular ways, young people are engaged in a diverse range of activities within and across each economic sphere.     

The Effectiveness of Management‐By‐Walking‐Around: A Randomized Field Study

Management‐by‐walking‐around (MBWA) is a widely adopted technique in hospitals that involves senior managers directly observing frontline work. However, few studies have rigorously examined its impact on organizational outcomes. This study examines an improvement program based on MBWA in which senior managers observe frontline employees, solicit ideas about improvement opportunities, and work with staff to resolve the issues. We randomly selected hospitals to implement the 18‐month‐long, MBWA‐based improvement program; 56 work areas participated. We find that the program, on average, had a negative impact on performance. To explain this surprising finding, we use mixed methods to examine the impact of the work area's problem‐solving approach. Results suggest that prioritizing easy‐to‐solve problems was associated with improved performance. We believe this was because it resulted in greater action‐taking. A different approach was characterized by prioritizing high‐value problems, which was not successful in our study. We also find that assigning to senior managers responsibility for ensuring that identified problems get resolved resulted in better performance. Overall, our study suggests that senior managers' physical presence in their organizations' front lines was not helpful unless it enabled active problem solving.     

Providing nursing leadership in a community residential mental health setting

The worldwide burden of mental illness is increasing. Strong leadership is increasingly emerging as a core component of good mental health nursing. The aim of this article is to demonstrate the ways in which nurses can provide strong and consistent leadership in a values-based practice environment that embodies respect for individuals' dignity and self-determination within a community residential mental health service, which provides a structural foundation for effective action. This is accomplished through the presentation of two vignettes, which highlight how the seemingly impossible becomes possible when an economic paradigm such as agency theory is exchanged for a sociological and psychological paradigm found in leadership as stewardship at the point of service. It is through stronger nursing leadership in mental health that stigma and discrimination can be reduced and better access to treatments and services can be gained by those with mental illness. Nurse leadership in mental health services is not new, but it is still relatively uncommon to see residential services for "high needs" individuals being led by nurses. How nurses meet the challenges faced by mental health services are often at the heart of effective leadership skills and strategies.     

Reflections on Designing and Teaching a Social Work Research Course for Distance and On-Campus Students

Social work educators are increasingly challenged to train future social workers who can both value research and believe in themselves as capable researchers. One way to achieve this is the teaching of a specific social work research course at a basic qualification level. At Otago University, such a course was introduced in late 2005, and early 2006, for both on-campus and distance (off-campus) students. This Ideas in Action piece reveals the thinking behind and strategies used to help future social workers overcome their reluctance about social work research and enable them to take practice-related research skills into their future work.