Staff and family attitudes to fences as a means of detaining people with dementia in residential aged care settings: The tension between physical and emotional safety

This study investigates staff and family attitudes towards the use of the fences that surround many aged care facilities in Australia, in the context of indefinite detention of people with dementia. This indefinite detention has been described in a report from an Australian Senate Inquiry as “a significant problem within the aged care context”, which “is often informal, unregulated and unlawful”. Five focus groups comprising direct care workers, family members, nurse unit managers and facility managers discussed the reasons for and their attitudes towards fences. The results show a tension between the provision of physical and emotional safety. This is to say that even while it is illegal to detain people with dementia against their will, and even while participants understood the negative impact of fences on the well‐being and emotional safety of people with dementia, they accepted and supported the presence of perimeter fences because they provided the perception that fences kept people with dementia physically safe. This has implications for redressing the balance between physical and emotional safety in policy and practice.     

Rising food security concerns among New Zealand adolescents and association with health and wellbeing

The current paper explores recent changes in food insecurity among adolescents and determine if food security concerns are associated with poorer wellbeing. Data were collected as part of two nationally representative surveys of the health and wellbeing of high-school students in New Zealand in 2007 and 2012. In 2012, 11% of young people reported food security concerns often or always, with 33% reporting food security concerns occasionally/sometimes. The prevalence of food security concerns at both frequencies increased significantly from 2007 (8% and 28%, respectively). Young people with food security concerns were more likely to report poor indicators of health and wellbeing, including truancy, poor general health, mental health concerns and obesity. Our findings highlight the growing concerns of food insecurity reported by adolescents in New Zealand. Interventions that address food security for families may provide a tangible means of promoting the healthy development of children and young people.     

The Journey Around My PhD: Pitfalls,Insights and Diamonds

Embarking on postgraduate research involves making a transition from practitioner to researcher. While there is a well established body of knowledge to address research methodology, it is presented in a fashion that suggests the research process is straightforward and linear and fails to offer insights into the ways postgraduate students construct their researcher identities. This paper will draw on the authors' experiences as PhD students and highlight what was learned about the research process from involvement in a research project. The paper will highlight some of the challenges of undertaking postgraduate research as well as some of the insights gained.     

How Objects Believe for Us: Applications in Organizational Analysis

This paper analyzes the concept of belief in contemporary organizations. Most studies tend to envisage belief as something internal to the thinking and feeling person. We argue, however, that belief does not only reside ‘inside’ the individual subject but also in an external economy of objects and rituals. What we call the ‘objectivity of belief’ highlights how various things such as commodities, artefacts, machines and even other people may believe in our place. We develop these ideas by drawing on a rich tradition of social theory that includes Marx and ?i?ek, and apply it to the study of objects, belief and power in contemporary organizations.     

Teaching Communication in a Statistical Collaboration Course: A Feasible,Project-Based,Multimodal Curriculum

Many schools offer a statistical collaboration curriculum using standard instructional methods such as lectures whereby students are taught to successfully apply their training. The process of building statisticians' collaborative skills and characteristics can be challenging due to logistical issues, time constraints, unstructured research problems, and resources. Instructors vary in their pedagogy and topics taught, and students' experiences vary. There is a dearth of literature describing how to implement a course integrating communication skills, critical thinking, collaboration, and the integration of team members in a learner-centered format. Few courses integrate behavior-based learning using role-playing, video demonstration and feedback, case-based teaching activities, and presentation of basic statistical concepts. We have developed and implemented a two-semester biostatistics collaboration course, of which the purpose is to develop the students' knowledge, skills, attitudes, and behaviors necessary to interact effectively with investigators. Our innovative curriculum uses a multimodal, project-based, experiential process to address real-world problems provided by real and/or simulated collaborators while minimizing usual challenges. Rubrics and peer evaluation forms are offered as online supplementary materials. This article describes how a collaboration curriculum focusing on communication and team practice is feasible, how it enhances skill and professionalism, and how it can be implemented at other institutions.     

Reporting quality of health care to the board

The reporting of quality of health care to the governing board has long been an enigma. Now we are in the midst of a revolution in health care, as we shift our focus from solely the clinical performance of individuals to a broader scope of assessing and improving all activities around patient services and patient care--i.e., management outcomes integrated with clinical outcomes to help identify opportunities to improve patient care. In addition, apprised of corporate liability for the quality of care provided in health care organizations, governing boards are raising questions and demanding more information. To maintain this high degree of interest in quality of health care, information should be restricted to what the board needs to know. This article will be confined to the hospital's organizationwide quality system of monitoring and evaluating. While medical staff credentialing and privileging are also board responsibilities and quality management activities should be used in the privileging and credentialing process, they will not be addressed in this article.     

The future of U.S. government—corporate relations

The future of government—corporate relations in the United States was studied using the Delphi research methodology. An expert panel estimated the dates of occurrence for 55 events, forming a futures scenario. The events were grouped into the five topic areas of the natural environment, employment, corporate governance, the economy and regulation/planning. The findings from the research indicated that the federal government will play an increasingly active and important role in the regulation of business over the next 20 years. However, there will not be drastic changes in structure or major discontinuities in the institutional relationships.