Charismatic Leadership

This case study deals with the difficulties that may be encountered in the transition from a charismatic leader/founder to a more professionally focused executive director in a human service organization. Resistance to change and obstacles confronting such an organizational change are explored.     

Hospital design and the temporal and spatial organization of nursing activity

The effectiveness of health care delivery in hospitals is determined, in part, by the design of the physical environment and by the spatial organization of work. This paper presents an analysis of the spatial and temporal organization of the work of nurses in the medical and surgical units of French hospitals. In both cases the units were designed around a 'U' shaped configuration. The data from these analyses focused on the number of trips undertaken by nurses in completing the various aspects of their work. The results, it is argued, are useful towards the redesign of the units.     

Spouses in mixed-orientation marriage: a 20-year review of empirical studies

Empirical studies on mixed-orientation marriage in social science journals from 1988 to 2008 were reviewed. Fifteen articles published in eight peer-reviewed journals were identified and discussed in terms of sampling, design, measures, rigor, theoretical framework, and literature review. An overview of each study is provided along with a summary of critical findings. Implications and recommendations for future research and education are offered.     

Crisis nursery effects on child placement after foster care

The results of a study of the relationship between receiving crisis nursery services and the placement outcomes for young children leaving the child welfare system in Illinois are reported in this paper. The placement outcomes for children leaving foster care whose families received crisis nursery support prior to the children's placement in foster care is compared to the placement outcomes for children whose families received only foster care services. The children in two samples were identified by matching crisis nursery children's data from FY 2006 with children's data in the Illinois Child Abuse and Neglect Tracking System and Children Youth and Services Information System databases. After children served by crisis nursery and foster care services were identified, a comparison group of children with like-characteristics whose families received only foster care services was identified using propensity score matching. The children were followed until their out-of-home placement was terminated or until June 30, 2009. The placement outcomes and the length of stay were compared for the two groups. Using logistical regression analysis the results showed that children whose families received crisis nursery services prior to foster care placement were twice as likely to be reunited with their biological families (birth or extended family members) when compared to children whose families received only foster care services. The difference in the length-of-stay in foster care was not statistically significant when the two groups were compared. This preliminary study using administrative data shows that receiving crisis nursery services may have positive effects on the children's ultimate placement outcome after foster care. Additional research is needed to further explore the relationship between placement outcome and crisis nursery services.     

Women’s Experiences with Emotional Eating and Related Attachment and Sociocultural Processes

This study explored the experiences, influences, and concerns of women who eat for emotional reasons with an emphasis on relational and cultural factors. Colaizzi’s (1978) guidelines to analyzing phenomenological research were utilized to explore participants’ lived experiences and gain a deeper understanding of emotional eating. A number of unique themes connecting attachment‐related influences with emotional eating were identified. The following 10 theme clusters were developed: Personal and Cultural Foundation, Preoccupation With Food and Eating, Relationship History, Addiction as Coping Mechanism for Insecure Attachment, Moments of Empowerment and Acceptance, Self‐Judgment About Eating and Weight, Social Influences on Eating and Weight Gain, Secretive Eating, Emotional Eating as Reminiscent of Ambivalent Attachment, and Emotional Hunger. Clinical interventions and future research are discussed.     

Job Durations With Worker- and Firm-Specific Effects: MCMC Estimation With Longitudinal Employer–Employee Data

We study job durations using a multivariate hazard model allowing for worker-specific and firm-specific unobserved determinants. The latter are captured by unobserved heterogeneity terms or random effects, one at the firm level and another at the worker level. This enables us to decompose the variation in job durations into the relative contribution of the worker and the firm. We also allow the unobserved terms to be correlated in a model that is primarily relevant for markets with small firms. For the empirical analysis, we use a Portuguese longitudinal matched employer–employee dataset. The model is estimated with a Bayesian Markov chain Monte Carlo (MCMC) estimation method. The results imply that unobserved firm characteristics explain almost 40% of the systematic variation in log job durations. In addition, we find a positive correlation between unobserved worker and firm characteristics.     

The water is wide

Before you build your bridge to the future, stop and take time to lay a good foundation. Discover your own core beliefs and, perhaps more importantly, discover those of your employees.     

The practice of clinical research in accredited marriage and family therapy programs

This study aims to explore the prevalence of clinic-based research among accredited marriage and family therapy (MFT) programs and reveal rationales explaining why academic settings may or may not be conducting clinical research. Findings of this project are the result of electronic-mail surveys completed by 26 accredited MFT programs. Approximately one-half of the respondents reported currently conducting clinic-based research. Open-ended responses reveal factors that lead to research success and failure, as well as reasons research was not being conducted at training programs.     

Ready for the storm

The coming decade is likely to be more turbulent than any we have faced. In fact, the basic structures and roles of health care may begin to shift and dissolve in ways that we cannot begin to predict. In turbulent times, long-term plans are vulnerable to fundamental shifts in the environment. Planning recedes in importance compared to preparing--nurturing the institutional and individual capacity for change. Rigid planning is about power and control. Preparing is about unleashing the strengths of each person on the crew. Self-development is largely a matter of recognizing what your strengths are, learning to live in those strengths, while nurturing the abilities that do not come naturally. Leadership is largely a matter of creating an environment that helps your crew work from their strengths and supports them in their weaker areas.