A qualitative study of innovations implemented to improve transition of care from maternity to child and family health (CFH) services in Australia

BackgroundThe transition of care (ToC) from maternity services, particularly from midwifery care to child and family health (CFH) nursing services, is a critical time in the support of women as they transition into early parenting. However significant issues in service provision exist, particularly meeting the needs of women with social and emotional health risk factors. These include insufficient resources, poor communication and information transfer, limited interface between private and public health systems and tension around role boundaries. In response some services are implementing strategies to improve the transition of care from maternity to CFH services.AimThis paper describes a range of innovations developed to improve transition of care between maternity and child and family health services and identifies the characteristics common to all innovations.MethodsData reported were collected in phase three of a mixed methods study investigating the feasibility of implementing a national approach to child and family health services in Australia (CHoRUS study). Data were collected from 33 professionals including midwives, child and family health nurses, allied health staff and managers, at seven sites across four Australian states. Data were analysed thematically, guided by Braun and Clarke's six-step process of thematic analysis.FindingsThe range of innovations implemented included those which addressed; information sharing, the efficient use of funding and resources, development of new roles to improve co-ordination of care, the co-location of services and working together. Four of the seven sites implemented innovations that specifically targeted families with additional needs. Successful implementation was dependent on the preliminary work undertaken which required professionals and/or organisations to work collaboratively.ConclusionImproving the transition of care requires co-ordination and collaboration to ensure families are adequately supported. Collaboration between professionals and services facilitated innovative practice and was core to successful change.     

Learning about Difference, Learning with Others, Learning to Transgress

Emerging work in intergroup contact has vitalized a focus on processes affecting the impact of interventions on outcomes. We theorized that intergroup learning—learning about other groups, educating others about one's own groups, intention to bridge intergroup differences, and reflecting on one's own group—mediates the effect of a combined enlightenment-encounter curricular intervention on assessments of importance and confidence in taking action to reduce prejudice and promote diversity. Results from a pretest/posttest design with a diverse group of undergraduate social welfare majors (n = 175) show (a) increased motivation for intergroup learning, and importance of taking action, and confidence in doing so, and (b) intergroup learning partially or fully mediates the impact of enlightenment and/or encounter on taking action .     

Left-Side strong increases in risk and their comparative statics

This paper introduces a new concept of left-side strong increases in risk (L-SIR) that extends the definition of strong increases in risk (SIR). We also provide somewhat stronger restrictive set of risk-averse decision-makers with a non-negative third derivative utility (prudence) to obtain an appealing comparative statics result for L-SIR.The authors gratefully acknowledge the helpful comments and suggestions of an anonymous referee     

Outcomes assessment of role-play scenarios for teaching responsible conduct of research

We describe the summative assessment of role-play scenarios that we previously developed to teach central topics in the responsible conduct of research (RCR) to graduate students in science and engineering. Interviews with role-play participants, with participants in a case discussion training session, and with untrained students suggested that role-playing might promote a deeper appreciation of RCR by shifting the focus away from wanting to simply "know the rules." We also present the results of a think-aloud case analysis study and describe the development of a behaviorally-anchored rating scale (BARS) to assess participants' case analysis performance.     

Relational Aggression in Middle Childhood: Predictors and Adolescent Outcomes

This study examined gender differences in the level and developmental course of relational aggression in middle childhood, as well as early predictors and outcomes of relational aggression, after controlling for concurrent physical aggression. Relational (RAgg) and Physical aggression (PAgg) scores for 558 boys and 545 girls at the ages of eight to 11 in the NICHD Study of Early Child Care and Youth Development (SECCYD) were created by combining the highest rating for each item across mother and teacher reports. Longitudinal analyses were conducted using latent curve models of RAgg with PAgg as a time‐varying covariate, with all parameters allowed to vary by gender. Boys and girls had different growth parameters of RAgg. Girls' RAgg intercept was higher, and the slope was not different from zero; boys' RAgg intercept was lower, and the slope declined. Mother–child conflict in early childhood predicted RAgg intercept for both boys and girls, but maternal harsh control and sensitivity were also uniquely predictive for girls whereas center care was uniquely predictive for boys. RAgg intercept predicted adolescent self‐reports of depression for girls and delinquency and risk‐taking for both boys and girls; the magnitude of the association with risk taking was significantly greater for boys.     

Static Numbers to Dynamic Statistics: Designing a Policy-Friendly Social Policy Indicator Framework

In line with the economic crisis and rapid socio-demographic changes, the interest in ??social?? and ??well-being?? indicators has been revived. Social indicator movements of the 1960s resulted in the establishment of social indicator statistical frameworks; that legacy has remained intact in many national governments and international organisations. With this background, this research examines whether existing social indicator frameworks are valid and effective enough to address increasingly complex social issues. The authors argue that, despite some improvements, current social indicators fail to provide an effective framework and tool for measuring the progress of social welfare and also for developing or reforming social policy to cope with newly emerging social problems. While proposing a new social indicator framework based on the Organisation for Economic Co-operation and Development??s pressure-state-response (PSR) model, the paper argues that the new framework should be more than displaying static numbers but should use dynamic statistics revealing causes and effects and shedding light on social and policy changes.     

Poverty among Working Families: New Insights from an Improved Poverty Measure

Objective . This article examines poverty among working families with children using a refined experimental poverty measure based on recommendations by the National Academy of Sciences Panel on Poverty and Family Assistance. Methods . Using data from the 1998 Current Population Survey, this research constructs an experimental poverty measure that takes into account noncash government benefits as well as job-related expenses, elements not included in the current official measure of family income. Results . We find that current statistics based on the official poverty line understate the extent of economic hardship, particularly among full-time working families with children, because expenses, such as child care costs, tend to outweigh noncash benefits, such as food stamps, that these families may receive. Furthermore, without the recent expansion of the Earned Income Tax Credit, poverty among full-time working families would be even higher. Conclusions . These findings highlight challenges faced by many families, especially those with adults moving off welfare and into the labor market.     

Outcomes Assessment of Role-Play Scenarios for Teaching Responsible Conduct of Research

We describe the summative assessment of role-play scenarios that we previously developed to teach central topics in the responsible conduct of research (RCR) to graduate students in science and engineering. Interviews with role-play participants, with participants in a case discussion training session, and with untrained students suggested that role-playing might promote a deeper appreciation of RCR by shifting the focus away from wanting to simply “know the rules.” We also present the results of a think-aloud case analysis study and describe the development of a behaviorally-anchored rating scale (BARS) to assess participants' case analysis performance.     

A theoretical perspective on “fear” as an organizational motivator for initiating public relations activities

This exploratory study identifies the correlation between perceived fear and the public relations activities of an organization. A survey of forty public relations professionals in Florida confirms that fear is a critical causal factor that motivates an organization to initiate or undertake public relations activities. The effect of fear on the public relations activities of an organization differed by public relations area. In addition, there was a gap between perception and actual public relations activities. Crisis and issues management were the areas most affected by perception, but in application media relations was the most practiced.     

Fire scheduling for planned artillery attack operations under time-dependent destruction probabilities

In this paper, we consider the fire scheduling problem (FSP) for field artillery, which is the problem of scheduling operations of firing at given targets with a given set of weapons. We consider a situation in which the number of available weapons is smaller than the number of targets, the targets are assigned to the weapons already, and targets may move and hence the probability that a target is destroyed by a firing attack decreases as time passes. We present a branch and bound algorithm for the FSP with the objective of minimizing total threat of the targets, which is expressed as a function of the destruction probabilities of the targets. Results of computational tests show that the suggested algorithm solves problems of a medium size in a reasonable amount of computation time.