Expanding the Family Economic Stress Model: Insights From a Mixed‐Methods Approach

The current study used a mixed‐methods approach to examine how low‐income mothers managed their household economies, their experiences of economic pressure, and the consequences for family and child functioning. Qualitative analyses (N = 32 families) revealed that experiences of economic pressure were associated with an inability to afford both basic needs and some modest but highly valued “extras.” To meet demands, mothers reported using a variety of strategies, including instrumental support from friends and family members and other financial strategies. Results from the quantitative analyses (N= 516 families; 800 children, ages 6 – 15) were generally consistent with patterns observed in the qualitative analyses and extended the findings to include effects on parenting practices and children’s behavioral functioning.     

Examination of the neural substrates activated in memories of experiences with resonant and dissonant leaders

Given the relevance of leadership in organizational life, we designed an exploratory study to assess the neural mechanisms involved in memories of interactions with resonant and dissonant leaders (a follower-centric study). Subjects in advanced professional roles were asked about previous incidents with both types of leaders, and functional magnetic resonance imaging (fMRI) scans were then conducted with cues developed from these recollections. Recalling experiences with resonant leaders activated neural areas such as the bilateral insula, right inferior parietal lobe, and left superior temporal gyrus; regions associated with the mirror neuron system, default mode or social network, and positive affect. Recalling experiences with dissonant leaders negatively activated the right anterior cingulate cortex and activated the right inferior frontal gyrus, bilateral posterior region of the inferior frontal gyrus, and bilateral inferior frontal gyrus/insula; regions associated with the mirror neuron system and related to avoidance, narrowed attention, decreased compassion, and negative emotions.     

Domestic violence and child abuse: developing sensitive policies and guidance

Domestic violence is everywhere and nowhere. No statutory organization or health service has work with either perpetrators or survivors of domestic violence (usually women and children) as the primary focus of their service, yet all agencies will have very significant numbers among their clients/service users. It is therefore crucial that the policy framework is developed both within and between agencies to address the need, and scope, of intervention in this area and particularly the impact on children. Currently, significant steps have been taken by some agencies in the UK to address this previously neglected issue, though the developments are patchy. This paper draws on a UK‐wide research study which mapped the extent and range of service provision for families where there is domestic violence and also developed a framework of good practice indicators for provision in this area. This article examines one of the indicators of good practice arising from the research—that of policy development—within social service departments and within the multi‐agency arena. Copyright © 2001 John Wiley & Sons, Ltd.     

Australian women's experiences of living with gestational diabetes

PurposeThe purpose of this study was to describe Australian women's reflections on the experience of having a pregnancy affected by GDM.MethodsParticipants were women aged ≥18 years, diagnosed with GDM ≤3 years previously and registered with the National Diabetes Services Scheme. Data was collected from a cross-sectional written postal survey which included the opportunity for women to document their experiences of living with GDM. Thematic framework analysis was undertaken to determine underlying themes.ResultsOf 4098 invited eligible women, 1372 consented to participate. Of these, 393 provided feedback on their experiences of living with GDM. Eight key themes emerged from the data (1) shock, fear and anxiety (8.9%), (2) uncertainty and scepticism (9.4%), (3) an opportunity to improve one's health (9.6%), (4) adapting to life with GDM (11.6%), (5) the need for support (17.2%), (6) better awareness (3.5%), (7) abandoned (14.9%), (8) staying healthy and preventing diabetes (13.7%). Women taking insulin were more likely to experience shock, fear or anxiety (p = 0.001) and there was a trend towards women who spoke another language also being more likely to report this experience (p = 0.061). Those diagnosed with GDM in a previous pregnancy (p = 0.034) and younger women (p = 0.054) were less likely to view the diagnosis as an opportunity to improve their health.ConclusionsThis study provides an insight into the experience of the pregnant woman diagnosed with GDM. It emphasises the importance of health professional support and provides insight into the challenges and opportunities for future diabetes risk reduction.     

World Class Manufacturing: Further Evidence in the Lean Production Debate1

This paper reports the results of a study into the performance and management practices of 18 autocomponents plants, nine of which were located in the UK and nine in Japan. The study compared the performance of these plants and used quantitative measures to test the use of lean production techniques among the high performers. Five plants displayed high performance on measures of both productivity and quality. All of these were located in Japan. Several measures of management practice provided some support for the lean production model, particularly in the area of process discipline and control; measures of human resource management policy and work organization proved less significant. Contextual factors pointed to the conditions necessary to support lean production; higher performing plants had more stable demand and lower absenteeism.     

Supervising self-supervision: constructive inquiry and embedded narratives in case consultation

The development of self-supervision has been suggested as a universal supervisory goal. However, the principle of isomorphism suggests that supervisors from different orientations will view this practice quite differently. This article elaborates an approach to self-supervision that is consistent with constructive therapies, though the intention is to provide flexible guidelines that can accommodate a range of supervisory activities. Case consultation is viewed as an "embedded narrative" involving the case story, the therapist story, and the supervision story. A process of "constructive inquiry" is used to connect these stories in order to construct the identity of a self-sustaining therapist. This process requires a conceptual shift from supervising practice to supervising self-supervision.     

The relationship between organizational factors and resident satisfaction with nursing home care and life

We examined the relationships between nursing home (NH) resident satisfaction and NH organizational characteristics, while controlling for the effect of resident characteristics within facilities. We used a stratified, random sample of NHs (N = 72) from two states and a prescreened and randomized sample of 1496 residents. Data sources included resident interviews, an administrator survey, the Minimum Data Set (MDS), and the Online Survey, Certification and Reporting System (OSCAR). Using Hierarchical Linear Modeling (HLM) techniques, we found that non-chain affiliation, certified nursing assistant staffing, and provision of a family council had significant positive effects on total resident satisfaction. The presence of a special care unit was associated with lower levels of satisfaction.