A Mixed-Methods Evaluation of Social Work Learning Outcomes in Interprofessional Training with Medicine and Pharmacy Students

ABSTRACT

Social work has moved firmly into a need for partnership training models, as our newest Educational Policy and Accreditation Standards explicitly call for interprofessional education (IPE). Although IPE is not a new model, we have not been consistently involved in training partnerships. Three professional schools formed partnerships to provide IPE events for social work (n = 42), medicine (n = 108), and pharmacy (n = 49) students. Social work students showed positive change on a validated measure of attitudes and beliefs regarding interprofessional practice, and debriefing included rich discussions about challenges of communication and boundaries and perceptions of hierarchy and skills of other teammates in the context of case-based learning, guided by faculty from all three professions.     

Nitrogen retention and loss in unfertilized lawns across a light gradient

A desirable function for terrestrial urban ecosystems is the mitigation of nitrogen (N) pollution associated with cities and suburbs. To assist in maximizing this function, identifying locations of sources and sinks of N in the urban environment is crucial to inform management strategies. Lawns are an extensive land cover in urbanized landscapes, and in general, they have demonstrated the capacity to function as a sink for N inputs. How N is cycled by lawns, however, is likely not uniform across the physical heterogeneity or management activities that exist in lawns. We investigated the influence of heterogeneity in light availability on N cycling in lawns that were irrigated but not fertilized. Light availability is affected by tree canopy and built structures and is, therefore, heterogeneous both within individual lawns and among lawns. Light is expected to control N retention and loss through effects on primary productivity. We experimentally examined N regulation over one calendar year by measuring net primary production (NPP), N retention using an isotopic tracer, and N leaching in existing unfertilized lawns under heterogeneous light conditions. We used a budgetary approach to estimate gaseous N loss which we assume is primarily via denitrification. Light functioned as a limiting resource for primary productivity. From low to high light conditions, annual NPP increased 177 to 430 g C?m^?2?y^?1 and retention of N isotope tracer increased from 50 to 65% as a result of increased retention in plants. Nitrate leaching losses were low overall and were not affected by light levels. Light availability regulated the fate of N inputs and unfertilized lawns may function as substantial sinks for reactive N through storage in the terrestrial system and N loss by denitrification. However, whether or not denitrification is generally an N sink will depend on the ratio of non-reactive (i.e., N₂) to reactive (i.e., N₂O, NO) denitrification products. Overall, we find that effective strategies for managing N sources and sinks in cities will likely need to consider light availability, particularly in systems receiving water subsidies via irrigation.     

“It’s a generosity loop”: Religious and spiritual motivations of volunteers who glean produce to reduce food insecurity

Food insecurity is a common social issue and households look to assistance from food pantries, which often have difficulty supplying fresh or nutritious food. A substantial amount of produce is left in the fields, which can be collected through gleaning. In a focus group with volunteer gleaners at a faith-based nonprofit organization that attempts to fill the gaps of food insecurity, the motivations, challenges, and benefits of volunteering were examined. Volunteering in gleaning generated a sense of collective purpose and community; it addressed deeply held religious and spiritual impulses; and it puts volunteers directly in contact with nature.     

Elementary Preservice Teachers’ and Teacher Educators’ Perceptions of Financial Literacy Education

The authors conducted an online survey of elementary teacher education programs within a large midwestern state to assess preservice teachers’ and teacher educators’ beliefs about and preparedness to teach financial literacy. Very few preservice teachers had meaningful experiences with personal finance in high school, college, or personal decision making. No teacher educators reported ever teaching financial literacy in their higher education roles. Only 13% of teacher educators and 25% of preservice teachers thought that it was very important to teach financial literacy in elementary education. Most teacher education faculty and preservice teachers reported that they were not well qualified to use state economics standards or the JumpStart standards for financial literacy. Preservice teachers were more confident in meeting financial literacy standards than teacher educators. Both preservice teachers and teacher educators expressed openness to collaborating with other faculty members, members of the financial service industry, and parents to teach financial literacy. Follow-up phone interviews affirmed that elementary preservice teachers and teacher educators value social studies education (and financial literacy) less than reading and mathematics education. Qualitative results also suggest that elementary preservice teachers and teacher educators would like more easily accessible resources for teaching financial literacy.     

Individualism and Marriage: Ideal Types for Making Sense of the Relationship between Self and Sacrifice

The question of how the individual and group relate is one that has long interested social theorists. Changes in family form and structure in the contemporary West resituate this question in a contentious public debate regarding how the prevalence of new family forms may contribute or be deleterious to the well-being of individuals and families. Sociological discourse on marriage and the family generally tends to mirror this debate by dichotomizing individualism and commitment and self and marriage, resulting in an obfuscation of our understanding of the forms and styles in marriage. In order to clarify and advance this discussion, we show how individualism and commitment are mutually required in a modern world. We follow this by outlining a logically-derived typology that, along with a committed individualist and a group conformer, includes two intermediate types: a self-regulator and a relationship negotiator. We empirically demonstrate the utility of these types by showing how they correspond with the ways that interviewees talk about marriage in six local congregations, and we suggest various social factors that may particularly impact the development of local marriage cultures. These types provide a theoretical frame for understanding how individualism and commitment are intertwined and require each other.     

The role of empathy in training social work students in motivational interviewing

Motivational interviewing (MI), an evidence-based approach with empathy as a key principle, effectively addresses client concerns found in the child welfare population. Training social workers in MI, and to be empathic, would increase the likelihood of better service delivery. Live supervision (LS) is a form of training that provides real-time feedback by clinical supervisors. This randomized comparison trial compared the effectiveness of LS or Teaching as Usual (TAU) on empathy in 54 MSW and BSW social work students. TAU involved students receiving online modules and assigned readings. Data were collected at baseline, after the interventions, and at five months follow-up. Differences in perceived empathy and empathic behaviors were measured by the Motivational Interviewing Treatment Integrity (MITI) and Toronto Empathy Questionnaire (TEQ). The study also assessed whether demographic variables or perceived empathy (TEQ) predicted empathic behaviors (MITI). Results indicate that, while both groups improved on empathy as measured by the MITI and TEQ, the LS group demonstrated more improvement. Demographic variables had no impact on empathy. The TEQ and MITI also did not demonstrate predictability suggesting the complexity of measuring empathy. The implications for social work education and future training are discussed.     

Ice pack induced perineal analgesia after spontaneous vaginal birth: Randomized controlled trial

Background

Ice-pack is widely used for alleviating postpartum perineal pain sustained after birth related perineal trauma. However, it lacks robust evidence on timing and frequency of applications, to ensure the effective and safe use of this therapy.

The Network Survival Method for Estimating Adult Mortality: Evidence From a Survey Experiment in Rwanda

Adult death rates are a critical indicator of population health and well-being. Wealthy countries have high-quality vital registration systems, but poor countries lack this infrastructure and must rely on estimates that are often problematic. In this article, we introduce the network survival method, a new approach for estimating adult death rates. We derive the precise conditions under which it produces consistent and unbiased estimates. Further, we develop an analytical framework for sensitivity analysis. To assess the performance of the network survival method in a realistic setting, we conducted a nationally representative survey experiment in Rwanda (n = 4,669). Network survival estimates were similar to estimates from other methods, even though the network survival estimates were made with substantially smaller samples and are based entirely on data from Rwanda, with no need for model life tables or pooling of data from other countries. Our analytic results demonstrate that the network survival method has attractive properties, and our empirical results show that this method can be used in countries where reliable estimates of adult death rates are sorely needed.     

Elements of cultural competence in an Australian Aboriginal maternity program

Background

Pregnancy, labour and neonatal health outcomes for Australian Aboriginal women and their infants are frequently worse than those of the general population. Provision of culturally competent services may reduce these differences by improving access to timely and regular antenatal care. In an effort to address these issues, the Aboriginal Maternity Group Practice Program commenced in south metropolitan Perth, Western Australia, in 2011. The program employed Aboriginal Grandmothers, Aboriginal Health Officers and midwives working in a partnership model with pre-existing maternity services in the area.