Exploring the intention-behavior relationship in the prediction of sexual risk behaviors: can it be strengthened?

Many theoretical models examining health risk behaviors, such as sexual risk taking, assume intentions directly predict behavior, and intentions are sometimes measured as a proxy for behavior. Given that there is often a discrepancy between intentions and behaviors (e.g., Sheeran, 2002 ), this study addressed factors that predict intention-behavior congruence. Specifically, utilizing a prospective design, the goal of the study was to determine if characteristics of university students' last sexual encounter predicted whether those students who intended to use condoms, contraception, or dual methods did so in their last sexual encounter with both relationship and casual partners. The seven tested variables were condom planning and preparatory behaviors, mood, sexual arousal, substance use, perceived partner attractiveness, intention certainty, and intention stability. Data were collected from 520 American undergraduate students at a medium-sized university. The six discriminant function analyses examining the intention-behavior relationship were able to correctly classify between 74% and 92% of the participants concerning whether intenders engaged in safe sex behaviors. The variables that best discriminated between behavior engagement over the six analyses were intention stability, intention certainty, and engagement in condom preparatory behaviors. The implications of these results for sexual risk prevention and intervention research are discussed.     

Enclosed versus open nursing stations in adult acute care psychiatric settings: does the design affect the therapeutic milieu?

Specific efforts by hospital accreditation organizations encourage renovation of nursing stations, so nurses can better see, attend, and care for their patients. The purpose of this study was to examine the effect of nursing station design on the therapeutic milieu in an adult acute care psychiatric unit. A repeated cross-sectional, pretest-posttest design was used. Data were collected from a convenience sample of 81 patients and 25 nursing staff members who completed the Ward Atmosphere Scale. Pretest data were collected when the unit had an enclosed nursing station, and posttest data were collected after renovations to the unit created an open nursing station. No statistically significant differences were found in patient or staff perceptions of the therapeutic milieu. No increase in aggression toward staff was found, given patients' ease of access to the nursing station. More research is needed about the impact of unit design in acute care psychiatric settings.     

Approaches used by employee assistance programs to address perpetration of intimate partner violence

Employee Assistance Programs (EAPs) are workplace resources available to employees with problems impacting work performance. EAPs are well-positioned to address intimate partner violence (IPV), a major public health problem with workplace impacts. A purposeful sample of 28 EAPs across the United States was surveyed to identify policies and programs to address IPV, including perpetration. Most EAPs did not report having standardized approaches for addressing IPV perpetration. EAPs also described significant barriers to identifying IPV perpetrators, with the majority relying on self-disclosure on the part of the perpetrator when contacting the EAP. These results suggest that many EAPs--even when interacting with employees who present with issues known to correlate with IPV--are missing a potential opportunity to assess and intervene with IPV perpetrators.     

Older adults' narratives about a flood disaster: Resilience, coherence, and personal identity

Older adults are a vulnerable group in a disaster and are more at risk of adverse effects as a result. This paper draws on the use of narrative theory in health and gerontology studies to examine how a disruptive disaster was storied. Narrative interviews were conducted with nine older adults aged over 65 years who had recently experienced a flood disaster. The participants' narratives about the disruptive event were integrated with past personal events that spanned more than seven decades. The disaster became a reference point for previous challenging experiences, which created biographical continuity, coherence and order over time. Furthermore, the disaster stories were about biography and identity, and showed how older adults made sense of the flood from a life-course perspective. The use of narrative approaches provides an insight into how the flood disaster was experienced, and reveals how four older adults storied their experiences of a significant life challenge.     

Specialisation and training for fire-fighters driving heavy rescue vehicles: consequences for the development of operators?

This work was undertaken in France at the request of a local fire and rescue school in order to conduct an analysis of driving two types of heavy rescue vehicle with a view to improving training. This study took place in a context of specialisation: the drivers of these vehicles will henceforth only perform this type of task. Consequently, specific training has been designed in advance. Our study concerns the improvement of this training, taking account of the particularities of driving these vehicles in emergency situations typical to the profession of fire-fighters. The results stress first that driving of rescue vehicles in emergency situations is a multidimensional collective activity. Driving strategies identified share certain common objectives: "optimising trajectories", warn other road users, anticipate their behaviour and leave room for manoeuvre to counter and react to any unexpected behaviour. They include risks management for the potential victims of the incident and the risk of accidents during the journey. These initial results help identify certain recommendations for the training courses dealing with driving vehicles in emergency situations. They also provide a warning concerning the possible consequences of driver specialisation.     

Can the New Deal solve the old problem of aid orphans and darlings? Aid effectiveness in fragile states

The New Deal for Engagement in Fragile States marks an important ideological shift in development co‐operation. Despite this progress, no practical response has been found to the problem of aid co‐ordination. This article traces the issue of aid allocation and highlights lessons from the ‘aid orphan’ and ‘aid darling’ debate. It examines the significant, yet under‐reported, policy process of the New Deal. It argues that deeper engagement with the concept of trust, and renewed focus on the political elements of the agreement, should be key priorities for the International Dialogue on Peacebuilding and Statebuilding.     

A movement of ‘subsidized capitalists’? The multi-level influence of the Bharatiya Kisan Union in India

This paper investigates the relationship between the state and India's rural informal sector by focusing on the collective mobilizations of middle-sized agricultural producers in Western Uttar Pradesh. These cultivators are involved in an economic sector which is at the same time capitalist, largely informal but also, to some extent, state-regulated. Through their mobilizations organized by the Bharatiya Kisan Union (BKU), they have attempted to influence state regulation of agricultural markets, obtaining increased input subsidies and better procurement prices for their produce, and thus an increase in the rates of return and profitability of their farming activity. The paper conceptualizes the modality of production of these farmers as ‘subsidized capitalism’, alluding to the self-employed and self-funded producers with holdings large enough to support a pair of bullocks defined as ‘bullock capitalists’ by Lloyd and Susanne Rudolph (1987), while denoting the crucial role of public subsidies in preserving this faction of informal agrarian capitalism. The paper also points to the ambivalent relationship between the ‘subsidized capitalists’ of Western Uttar Pradesh and the state: although they seek protection from the central government in the context of globalization, they confront and contest local state institutions by deploying collective strategies to distort local regulations of agricultural markets.