The Social Work Assessment Tool (SWAT)

This paper reports on the last of three National Hospice and Palliative Care Organization initiatives to move hospice and palliative care social workers into the patient/family outcomes arena: the development of the Social Work Assessment Tool. The experience of a team of practitioners and researchers is described, including results of two pilot studies and subsequent SWAT revisions. The major focus is on the current model performance improvement project, in which 19 social workers from 14 hospice and palliative care programs used the SWAT with 101 patients and 81 primary caregivers for a median of 44 days. Quantitative analysis indicated significant improvement in SWAT scores for patients from the first to the second social work visit (t = -2.60, df = 47, p .01). Qualitative interviewing of the social workers indicated some lack of readiness in the field to conduct quantitative outcomes measurement. Additional measures are needed in addition to the SWAT, including qualitative measures, and measures of mezzo and macro practice. Participants indicated that the SWAT was appropriate for use with economically and culturally diverse clients.     

Truth® ads,receptivity, and motivation to use or quit tobacco among college students

Abstract

Objective: Examine receptivity and motivation to use/quit tobacco among college students after viewing Truth ads. Participants: Random sample of 10,000 college students invited to complete online survey February 2016 (8.5% response rate). Methods: Quasi-experimental. Participants (N?=?854) watched four ads and answered survey items for each ad. Results: Students rated ad receptivity and decreased motivation to use tobacco higher for the Catmageddon ad than the others. Regardless of ad, men and current cigarette smokers reported lower receptivity. Younger age was associated with lower motivation to use tobacco for all ads. Tobacco users reported greater motivation to quit with the Catmageddon ad. Conclusions: College students were receptive to the Truth ads, and many indicated lower motivation to use tobacco. Men, older college students, and current cigarette smokers were less receptive to the ads, reinforcing the need to develop tailored campaigns to reach these subgroups.     

The Role of Empowerment in Home Care Work

ABSTRACT

The home care industry experiences similar problems with the recruitment and retention of direct care workers (DCWs) as those faced by institutions, and it is important to identify strategies to help retain and grow this important workforce. The empowerment of DCWs has been shown to be an effective strategy for increasing job satisfaction and decreasing turnover in nursing homes but has not been studied in home care. Using Kanter’s organizational theory of empowerment, including structural empowerment (structure of opportunity, access to resources, access to information, and access to support) and psychological empowerment (meaning, competence, self-determination or autonomy, and impact) this study examined whether home care workers (HCWs) feel empowered in carrying out their jobs. An exploratory, qualitative study of 12 HCWs, recruited from two states in the United States, found high levels of both structural and psychological empowerment among research participants, as well as a number of disempowering aspects of their job. Findings suggest ways to support elements of the work that HCWs find empowering and decrease elements that contribute to job dissatisfaction and turnover.     

A Circumplex Model of Couple Configurations in Relational Trauma Context: An Example of Practice‐Based Model Development

We propose a circumplex model and typology of patterns of couple engagement to help therapists assess and shape positive couple engagement, prerequisite to successful resolution of relational trauma. View or value of self in relation to other (VSIRO) is conceived as a primary engine organizing couple relationships and patterns of engagement. VSIRO is conceptualized along a continuum anchored at opposite poles by inflated (self‐aggrandizing) versus collapsed (self‐negating) VSIRO, with a balanced (egalitarian) VSIRO as the target position, consisting of self and other mutuality, respect, and equality. Two axes (one for each partner) form the circumplex model of five couple configurations—four quadrants plus a balanced, mid‐axes region. Using couple configuration conceptualization to address patterns of engagement is an essential prerequisite to resolving couple relational trauma.     

The programmable society and the individual as a unit of data

The authors commence this paper with discussion of an extract from H.G. Wells' novel of 1920. They use this extract to remind the reader that social innovation is not a new problem and that imaginative writers may be a source of guidance on such matters. Specifically they deal with the social options created by ‘computer-driven’ information systems. They argue that this aspect of the problem of science and people is one which has a great and seriously under-estimated potential to influence the quality of life in a future society.     

How Organizational Cognitive Neuroscience Can Deepen Understanding of Managerial Decision‐making: A Review of the Recent Literature and Future Directions

There is growing interest in exploring the potential links between human biology and management and organization studies, which is bringing greater attention to bear on the place of mental processes in explaining human behaviour and effectiveness. The authors define this new field as organizational cognitive neuroscience (OCN), which is in the exploratory phase of its emergence and diffusion. It is clear that there are methodological debates and issues associated with OCN research, and the aim of this paper is to illuminate these concerns, and provide a roadmap for rigorous and relevant future work in the area. To this end, the current reach of OCN is investigated by the systematic review methodology, revealing three clusters of activity, covering the fields of economics, marketing and organizational behaviour. Among these clusters, organizational behaviour seems to be an outlier, owing to its far greater variety of empirical work, which the authors argue is largely a result of the plurality of research methods that have taken root within this field. Nevertheless, all three clusters contribute to a greater understanding of the biological mechanisms that mediate choice and decision‐making. The paper concludes that OCN research has already provided important insights regarding the boundaries surrounding human freedom to act in various domains and, in turn, self‐determination to influence the workplace. However, there is much to be done, and emerging research of significant interest is highlighted.     

Multistate Survival Models as Transient Electrical Networks

In multistate survival analysis, the sojourn of a patient through various clinical states is shown to correspond to the diffusion of 1 C of electrical charge through an electrical network. The essential comparison has differentials of probability for the patient to correspond to differentials of charge, and it equates clinical states to electrical nodes. Indeed, if the death state of the patient corresponds to the sink node of the circuit, then the transient current that would be seen on an oscilloscope as the sink output is a plot of the probability density for the survival time of the patient. This electrical circuit analogy is further explored by considering the simplest possible survival model with two clinical states, alive and dead (sink), that incorporates censoring and truncation. The sink output seen on an oscilloscope is a plot of the Kaplan–Meier mass function. Thus, the Kaplan–Meier estimator finds motivation from the dynamics of current flow, as a fundamental physical law, rather than as a nonparametric maximum likelihood estimate (MLE). Generalization to competing risks settings with multiple death states (sinks) leads to cause‐specific Kaplan–Meier submass functions as outputs at sink nodes. With covariates present, the electrical analogy provides for an intuitive understanding of partial likelihood and various baseline hazard estimates often used with the proportional hazards model.     

Top issues and responsive strategies in public relations practice: An empirical assessment in the Greater China area

An online survey of 132 public relations practitioners in Mainland China, Hong Kong, and, Taiwan revealed three issues (i.e., finding, developing and retaining highly talented communication, professionals, managing the digital revolution and rise of social media, and dealing with the speed and, volume of information flow) as the most urgent ones to deal with in today's public relations practice. Consequently, various responsive strategies have been applied to deal with emerging critical issues.     

A visual methodology in pursuit of liveliness: Looking at Whyte's work

The sight of blood and wounds is described as crucial by individuals who self-injure, especially those who practise self-cutting. An understanding of the visual mode is therefore important to get a deeper understanding of why people choose to cut themselves. In this article, visual aspects of first-hand experiences of self-cutting are investigated. Cutting is understood as having a purpose and a function for people who injure themselves; it releases overwhelming feelings or communicates inner states to the individuals themselves and to others. Material was taken from autobiographical accounts describing cutting episodes and from photographs documenting the act. The analysis was carried out using content and discourse analytic methods. The results were interpreted using a discourse theoretical perspective. A semiotic model is proposed to understand the communicative meaning of the acts. An important finding is the role of conceptual metaphors such as ‘the-body-is-a-container’ and ‘feelings are fluid’, which make self-cutting a logical coping strategy. The role of blood as a central sign in the act was manifest in the written and visual accounts of the self-cutting experience. Blood was related to a wide range of meanings, such as realness and true self, and to feelings such as anger and sadness. Through the drawing of blood, feelings were expressed and understood. Blood was also often aestheticised and rearticulated by self-cutters who acknowledged their deviancy as a group in relation to a hegemonic culture. Concurrent themes were the verbal and visual articulations of cutting in a control discourse as a means to regain control or, sometimes, to give oneself up to an experience of chaos.