Not <Emphasis Type=Italic>Merely</Emphasis> TLC: Nurses’ Caring Revisited

The profession and practice of nursing has been studied from quite diverse scholarly perspectives in the United States and abroad. Feminist critiques focus on the gendering of caring and its knowledge/skill features, while professionalization advocates view emotive caring as secondary to other critical activities necessary for the occupational advancement of nursing. Based on ethnographic observations 30 in-depth, semi-structured interviews with nurses across different units working at a large urban hospital, this paper examines how nurses define caring as knowledge-based, skilled work. Specifically, nurses described four types of skills—observational, analytical, interactional, and comforting—that they deploy in the accomplishment of caring work at the bedside. My findings go beyond previous literature in this area by showing how nurses think of caring work in line with occupational strategies that emphasize their biomedical knowledge and diagnostic skills and uphold an advocacy or intermediary role in health care. I argue that while this ideological work may reassure nurses of their professional identity and critical role in health care, it may also reinforce the dilemma of nurse professionalization by obscuring the organizational nature of caring, as it remains an unsupported dimension of their work.     

Skilled Immigrants in Rome

Skilled migration, taking the forms of brain drain, movements of professionals and job transfers, has become an important component of contemporary migration flows. However, it does not necessarily follow that incoming flows of highly qualified immigrants automatically translate into an effective supply of skilled labour, since immigrants are often prepared to accept underemployment and working conditions that nationals from the local market have refused.
This study aims to verify whether the phenomenon of brain waste exists in Rome. We analysed the data of 147,587 foreigners recorded in the City Register Office as being residents on 31 August 1999. Of these, 68,539 indicated their educational level and 73,746 their occupation.
The data also revealed that the more stable segment of immigrants to Rome, i.e. those who have taken up residency, is composed mainly of qualified, or highly qualified, persons. Many foreign residents possess university degrees and are employed in managerial and/or intellectual professions. Alongside this important datum, however, we observe that the majority of foreign residents are employed in unqualified jobs, a considerable percentage of whom possess much higher qualifications than those required for the job they do.
Analysing the temporal evolution of these data on the qualifications and professions of foreign residents leads us to believe that the phenomenon of underemployment is decidedly on the upturn.
In order to understand the cause of this phenomenon, qualitative data from case study interviews have also been analysed. The most common reason why immigrants take on under-skilled jobs is lack of job offers appropriate to their academic or professional qualifications due to the peculiar situation of the Roman labour market. Other problems, such as the lack of protocols concerning the recognition of the academic qualifications of non-EU citizens and the language barrier, also play a role.     

Perceived Similarity With Gay Men Mediates the Effect of Antifemininity on Heterosexual Men’s Antigay Prejudice

This research examined the hypothesis that heterosexual men’s motivation to differentiate themselves from gay men mediates the relationship between the antifemininity norm of masculinity and antigay prejudice. We assessed masculinity through three concepts: status, thoughness, and antifemininity. Participants then reported their perceived similarity with gay men and their antigay prejudice. The results showed that antifemininity was the best predictor of both perceived similarity and antigay prejudice: The more people endorsed the antifemininity norm, the more they perceived themselves as dissimilar from gay men and showed antigay prejudice. More important, perceived similarity mediated the effect of antifemininity on antigay prejudice. These findings provide direct evidence for the link between masculinity and the motivation to differentiate oneself from gay men, and they suggest that antigay prejudice accomplishes the identity function of maintaining unambiguous gender boundaries.     

A Test of Exogeneity Without Instrumental Variables in Models With Bunching

This paper presents a test of the exogeneity of a single explanatory variable in a multivariate model. It does not require the exogeneity of the other regressors or the existence of instrumental variables. The fundamental maintained assumption is that the model must be continuous in the explanatory variable of interest. This test has power when unobservable confounders are discontinuous with respect to the explanatory variable of interest, and it is particularly suitable for applications in which that variable has bunching points. An application of the test to the problem of estimating the effects of maternal smoking in birth weight shows evidence of remaining endogeneity, even after controlling for the most complete covariate specification in the literature.     

Clinical and behavioral evaluation of pathological gambling in Barcelona,Spain

This paper assesses both the clinical characteristics and gambling behavior of 45 pathological gamblers (40 male, 5 female, average age 41) in a psychiatric hospital in Barcelona, Spain. These pathological gamblers tend to have other addictions and psychiatric disorders in addition to their pathological gambling. Suicidal ideation and attempts were one of the most frequent complications with these patients. Slot and fruit machines were found to be the most preferred form of gambling. Loans and crime were frequently used by the gambler to finance his or her gambling. Nevertheless, the gambler is rarely aggessive, and legal problems resulting from serious crimes are the exception. The profile presentes is similar to that found among pathological gamblers in other countries.     

Robust multivariate control charts based on Birnbaum–Saunders distributions

Multivariate control charts are powerful and simple visual tools for monitoring the quality of a process. This multivariate monitoring is carried out by considering simultaneously several correlated quality characteristics and by determining whether these characteristics are in control or out of control. In this paper, we propose a robust methodology using multivariate quality control charts for subgroups based on generalized Birnbaum–Saunders distributions and an adapted Hotelling statistic. This methodology is constructed for Phases I and II of control charts. We estimate the corresponding parameters with the maximum likelihood method and use parametric bootstrapping to obtain the distribution of the adapted Hotelling statistic. In addition, we consider the Mahalanobis distance to detect multivariate outliers and use it to assess the adequacy of the distributional assumption. A Monte Carlo simulation study is conducted to evaluate the proposed methodology and to compare it with a standard methodology. This study reports the good performance of our methodology. An illustration with real-world air quality data of Santiago, Chile, is provided. This illustration shows that the methodology is useful for alerting early episodes of extreme air pollution, thus preventing adverse effects on human health.     

Voluntary childlessness in a society reluctant to change

Voluntary childlessness constitutes a social and generational rupture from tradition and culture, with significant effects on the reproduction of the so-called life and family cycle. This study aims at understanding the reasons why people decide to remain childless and the social pressures that this decision generates. A qualitative phenomenological study was conducted on the emerging decision of non-motherhood and non-fatherhood based on semi-structured interviews with 56 people who autonomously made the decision to opt out of parenthood. This paper underscores the multiple biographical situations involved in the decision, in addition to the concerns about personal development and future. The current social crisis context serves as a means of justification to lessen social and family pressure. We conclude that people who have made this decision promote a different meaning from that of reproduction as a mechanism of the social order.     

Being Under Pressure to Sext: Adolescents' Experiences,Reactions, and Counter-Strategies

This study explored adolescents' experiences of being under pressure to sext (sending nude images), offering insights into what situations adolescents view as pressuring, how adolescents react to the pressure, and what counter-strategies they use. Written statements from 225 adolescents (age 13–16 years, M = 14.4 years, SD = 0.93) were analyzed using thematic analysis. Results indicated a range of situations including both explicit and implicit pressure. The pressure elicited different emotional responses, including severe physical and psychological reactions, becoming distressed, and being seemingly unconcerned. A majority of the adolescents reported successful strategies on how to ward off the unwanted sexual requests. This study provides insight into how young people cope with potentially harmful situations online.     

Variations in horizontal and vertical individualism-collectivism in four regions of Mexico / Variaciones en el individualismo-colectivismo horizontal y vertical en cuatro regiones de México

Cultures can be analysed through cultural syndromes (shared patterns of beliefs, attitudes, norms, roles and values organized around a theme). One of these syndromes, individualism-collectivism, distinguishes collectivist cultures, which prioritize collective over individual interests, from individualist cultures, which value individual autonomy, achievement and freedom. These dimensions intersect with the horizontal-vertical syndrome, where verticality means the preference for a society organized by hierarchies, in contrast to a horizontal culture, which privileges equality. This paper explores these dimensions using a new instrument in a sample of 990 participants from four regions in Mexico. The results of exploratory and confirmatory factorial analyses show four theoretically congruent factors with adequate levels of internal consistency reaching metric equivalence criteria in three of the four samples. The scores show greater support for horizontal individualism and less support for vertical collectivism. These results are discussed within the context of a cultural shift towards individualism.