Factors associated with advance care planning among older women in Southwest Florida

As the nation's population continues to age, many older women will face care needs that can be anticipated in advance. However, little is known about the advance care plans of older women and the characteristics of those who plan. This study utilized a stratified random sampling design to survey older women (n = 124) in the state of Florida regarding their attitudes toward future care and planning behavior in social-environmental, health, and financial domains. Regression analyses were conducted to determine factors most predictive of attitudes toward future care and planning behavior by domain. Results suggest that advanced age predicts greater planning behavior, while living alone is associated with less advance care planning behavior. Other factors associated with less planning by domains of care needs include income status, chronic health conditions, educational attainment, and religious status. Nonaccepting attitudes toward planning were associated with a decreased likelihood to have advance care planning documents.     

An application of attribution and equity theories to tax evasion behavior

Traditional economic theory often has been utilized in an attempt to explain tax evasion behavior. Although economic consequences are important factors in the understanding of tax evasion behavior, they alone do not appear adequate to describe and predict the phenomenon. The results of two experiments which apply two social psychological theories, attribution theory and equity theory, to tax evasion judgments are reported. In the first experiment, the effects of personal need and degree of societal consensus were investigated. Both variables significantly affected recommended penalty judgments. In the second experiment, the effects of societal need and distinctiveness were studied. Neither societal need nor distinctiveness affected recommended penalty judgments. However, a significant interaction effect was found concerning subjects' behavioral intentions to evade. The present research suggests that both attribution theory and equity theory may be helpful in formulating hypotheses and enhancing our understanding of tax evasion behavior.     

Managing Care and Joined Up Thinking in the Curriculum

This paper discusses the curriculum development of a level three undergraduate course in managing care. It was produced and is presented by The Open University. The course is aimed at frontline managers in health and social care. The course team made consultation with service users, carers and managers a priority in developing the curriculum. The paper discusses this consultation process and the learning gained from it. A major contribution was to clarify debates about how far the course should have one core curriculum and how far it should offer specialist options for managers in different settings. Service users and carers had strong views on the need for better co‐ordination of services and recognition of individual needs rather than divisions into service‐led categories. Managers stressed the importance of reflecting the reality of frontline management. This helped the course team to develop a framework that stresses the commonality in the work and the importance of ‘practice‐led’ management. Service users and managers were involved as critical readers of course texts to ensure that the consultation process continued through the course development. A second strand is the need for the course to be accessible to those not yet in management positions, and extracts from an interactive CD‐ROM which presents case study material demonstrate the innovative joined up and accessible approach taken to student learning needs.     

Preparing for social work with refugees using enquiry and action learning

Internationally there is a need for social workers to be prepared to work with refugees and displaced persons. In many countries including the UK it may be difficult to ensure this is included in basic professional courses, especially if these are based on traditional disciplines, or if curriculum content is already overloaded. An approach to learning is described which is problem-led, and based on self-directed small group study, through which teaching and learning about work with refugees has successfully been included at a British school of social work.     

Patterning in Citations: An Analysis of References to George Herbert Mead

Abstract

Family work in dual-earner families has been studied extensively, but the focus has been primarily on household tasks and child care, neglecting the component of health care behavior. In this paper, I introduce scales to study the performance of family health care behaviors in dual-earner families. The items assess topics such as who arranged and accompanied family members to health care appointments, who left work early or took time off from work for health care, and who handled the paperwork of medical expenses. The sample consisted of 174 married women employed in health care and education. The study results indicate that the health care scales are reliable. They are also not highly correlated with demographic variables that might affect the utility of the scales to examine how health care behaviors are linked to other family work.     

‘Colour and communion’: Exploring the influences of visual art-making as a leisure activity on older women's subjective well-being

Research into the subjective experience of art-making for older people is limited, and has focused mostly on professional artists rather than amateurs. This study examined older women's motives for visual art-making. Thirty-two participants aged 60-86 years old were interviewed. Twelve lived with chronic illness; twenty reported good health. Nearly all had taken up art after retirement; two had since become professional artists. Participants described their art-making as enriching their mental life, promoting enjoyment of the sensuality of colour and texture, presenting new challenges, playful experimentation, and fresh ambitions. Art also afforded participants valued connections with the world outside the home and immediate family. It encouraged attention to the aesthetics of the physical environment, preserved equal status relationships, and created opportunities for validation. Art-making protected the women's identities, helping them to resist the stereotypes and exclusions which are commonly encountered in later life.     

Adult resilience among maltreated children: A prospective investigation of main effect and mediating models

Studies examining resilience to child maltreatment reveal that maltreatment victims can achieve adaptive functioning in several areas of development; however, few of these individuals persistently demonstrate resilience across multiple domains. The majority of these investigations define adjustment with a limited number of outcomes measured proximal in time to the maltreatment experience. In contrast, this study measured adjustment across a diverse set of domains during early adulthood (ages 16–24), a number of years after the occurrence of childhood maltreatment (ages 0–11).