Mapping the Elder Mistreatment Iceberg: U.S. Hospitalizations With Elder Abuse and Neglect Diagnoses

Purpose: This study describes U.S. hospitalizations with diagnostic codes indicating elder mistreatment (EM). Method: Using the 2003 Nationwide Inpatient Sample (NIS) of the Healthcare Costs and Utilization Project (HCUP), inpatient stays coded with diagnoses of adult abuse and/or neglect are compared with stays of other hospitalized adults age 60 and older. Results: Few hospitalizations (< 0.02%) were coded with EM diagnoses in 2003. Compared to other hospitalizations of older adults, patients with EM codes were twice as likely to be women (OR = 2.12, 95% CI = 1.63–2.75), significantly more likely to be emergency department admissions (78.0% vs. 56.8%, p < .0001), and, on average, more likely to have longer stays (7.0 vs. 5.6 days, p = 0.01). Patients with EM codes were also three to four times more likely to be discharged to a facility such as a nursing home rather than “routinely” discharged (i.e., to home or self-care) (OR = 3.66, 95% CI = 2.92–4.59). Elder mistreatment–coded hospitalizations compared to all other hospitalizations had on average lower total charges ($21,479 vs. $25,127, p < .001), with neglect cases having the highest charges in 2003 ($29,389). Implications: Knowledge about EM is often likened to the “tip of the iceberg.” Our study contributes to “mapping the EM iceberg”; however, findings based on diagnostic codes are limited and should not be used to minimize the problem of EM. With the so-called graying of America, training is needed in recognizing EM along with research to improve our nation's response to the mistreatment of our elderly population.     

Measuring Usage: A Comprehensive Analysis of a Social Work Journal Collection

Abstract

This study examines what can be learned about a library’s electronic social work journal collection from usage statistics, survey data, faculty publications, and an examination of open access (OA) availability. A collections analysis was completed using data from two sources: a custom report by 1Science and results of a faculty survey on top journals for teaching. After creating a list of journals important to social work, top journals were identified by article downloads, faculty-authored publications, and references to faculty-authored papers. A publications analysis using faculty websites and author searches in Web of Science was also completed, to provide local, contextual data. SHERPA/RoMEO was used to determine the journals’ OA level and archiving policy. Library coverage for the journals was also included in the analysis. Results show that the McGill University Library has access to almost all of the journals identified as important to social work. Nearly one-third of publications authored by the McGill University School of Social Work since 2006 are OA, and more than half of the faculty in the school have at least one article published in an OA journal. While this is a good start for librarians who want to help faculty and students understand OA publishing and access, there is room for outreach in this area. While these results will aid librarians supporting faculty, students, and practitioners in the field of social work, a secondary aim of the study is to demonstrate a method that can be used by librarians undertaking similar analyses in other fields.     

Women,empowerment and development in Arab Gulf States: a critical appraisal of governance,culture and national human resource development (HRD) frameworks

This phenomenological study focuses on Western expatriates working in the Kingdom of Saudi Arabia and their experiences and perceptions of their cross-cultural adjustment. To this end, eight Western expatriates working and living in Saudi Arabia were interviewed face-to-face in an effort to explore and document their lived experiences of adjusting to life in Saudi Arabia, thus extending the current knowledge of this phenomenon. These in-depth face-to-face interviews and the subsequently employed rigorous methods of abstracting data led to the discovery of four critical themes that were viewed by all participants as having the greatest impact on their adjustment to working and living in Saudi Arabia. These themes were Adjustment of Spouses, Life on the Company Compounds, Lack of Activities Between Saudis and Westerners, and Relationship Between the Westerners and Saudis.     

Charismatic,ideological, and pragmatic leaders: An examination of leader–leader interactions

Although a number of researchers have examined and demonstrated the unique relationships different types of leaders develop with their followers (Dansereau, F., Graen, G.B., & Haga, W.J. (1975). A vertical dyad linkage approach to leadership within formal organizations: A longitudinal investigation of the role making process. Organizational Behavior and Human Performance, 13, 46–78.; Dienesh & Liden, 1986; Mumford, 2006), relatively little is known regarding how outstanding leaders interact or work together (Hunter, Bedell-Avers, Mumford, 2009-this issue). Given the particular importance of such questions, especially when considering leaders who have the potential to influence national and worldwide developments, the intent of the present study was to examine the leader–leader exchange relationships of charismatic, ideological, and pragmatic leaders. Due to the difficulty associated with examining high-level leader–leader exchanges, a hybrid qualitative–quantitative approach was taken to assess the interactions of Frederick Douglas, W.E.B. Dubois, and Booker T. Washington – three high-level leaders who responded to the same crisis, in the same time period, in the same region of the world. The results provide preliminary evidence regarding the interactions of charismatic, ideological, and pragmatic leaders; in fact, they indicate that leaders interact in a manner consistent with their mental model.     

“Feeling Warmth and Close to Her”: Communication and Resilience Reflected in Turning Points in Positive Adult Stepchild–Stepparent Relationships

With the goal of understanding the development of positive stepchild–stepparent relationships, the researchers focused on turning points characterizing the interaction of adult stepchildren who have a positive bond with a stepparent. Engaging a relational turning points perspective, 38 stepchildren (males and females, ages 25 to 52 years old) who reported a positive stepparent relationship were interviewed, generating 269 turning points which were categorized into 15 turning point types and coded by valence. Turning points occurring most frequently were: prosocial actions, quality time, conflict/disagreement, changes in household/family composition, and rituals. Findings are discussed, including implications for developing and enacting resilient and positive stepchild–stepparent relationships and future directions for researchers wanting to focus on positive family interaction.     

QUALITY‐ADJUSTED HUMAN CAPITAL AND PRODUCTIVITY GROWTH

This article examines the influence of quality‐adjusted educational attainment on growth and tests whether it facilitates the transfer of technology developed at the frontier for a panel of 60 countries. Using outcomes of pathogen stress as instruments, the results show that quality‐adjusted educational attainment and its interaction with distance to the frontier play important roles for growth. (JEL I20, O30, O40)     

Gender and jockography: post-feminism and resistance in female sports autobiographies

While research consistently shows news media’s devaluation of female athletes, “the jockography,” or sports autobiography, is one form of widely-consumed media through which female athletes can construct their own representation. However, there has been little consideration of the genre. This essay addresses this gap by analyzing how thirty women’s jockographies published since 1992 rhetorically construct female athletic identity and sports practice. It finds that most athletes, regardless of their sport or racial or class background, constitute their identities and participation in ways that reinforce post-feminist notions of upward mobility and heterosexual femininity while failing to confront inequalities affecting women in sport. Nevertheless, a few recent jockographies challenge normalizing discourses, asking readers to recognize differences between women and confront inequities shaping their athletic experiences.     

Young Adolescents' Patterns of Involvement with Siblings and Friends

We identified different patterns in young adolescents' experiences with their siblings and their friends and investigated the connections between these relationship patterns and both young adolescents' psychosocial functioning and the characteristics of their family and neighbourhood contexts. Participants were 141 families, including mothers, fathers, young adolescents (M = 11.4 years), and their younger siblings (M = 8.3 years). Cluster analysis revealed three groups of young adolescents: (1) high intimacy and involvement with sibling, high intimacy with friend but low involvement with friends ('Differentiated'); (2) high intimacy and involvement with friend but not sibling ('Incongruent'); and (3) low involvement and intimacy with both sibling and friend ('Congruent'). The Congruent pattern was associated with young adolescents' personal characteristics and their parent-adolescent relationship experiences. In contrast, the Incongruent and Differentiated profiles were linked to contextual factors (i.e., family and neighbourhood resources). Findings suggest that individual differences exist in the associations between young adolescents' relationships with siblings and friends.     

On the importance of getting even: A study of the origins and intention of revenge

This essay is an abbreviated study of revenge; its ubiquity, its function in maintaining biological and psychological order, balance and stability of one's sense of self, and its place with respect to a community's laws, religions and culture. Also commented on are its connections to feelings of spite, envy and guilt, and to the concepts of fairness, justice and harmony.