Home-based workers: Worker and work characteristics

The purpose of the study reported here is to describe the worker and work characteristics of 899 home-based business owners and wage earners, using a definition that excludes farmers, hobbyists, and persons taking work home from a job located elsewhere. Contrary to predictions by futurists of an influx of white-collar workers from the office to home, the home-based workers in this research are more likely to be marketing and sales persons, contractors, or mechanical and transportation workers. Full- or part-time employment status, home tenure, seasonality of work, and occupation are significantly associated with ownership status. Findings show significant group differences on age, education, years in the community, household size, and net annual home-based income. Business owners, on average, are older, have less education, come from larger households, have lived in their communities more years, and have lower net annual home-based incomes than their wage earner counterparts.This article reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural and Urban Families, partially supported by Cooperative States Research Service, U.S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and University of Vermont. Appreciation is expressed to Ana Marie Vargas and Johnny M. H. On for their assistance with the computer analyses, and to Florence Abe, Laraine Hoffman, and Meesok Lee for their help in the final preparation of this article. The authors acknowledge the patience and helpful suggestions of two anonymous reviewers.Her current research interests include home-based employment, multiple farm income families, and computer-based education. She received her Ph.D. from Oregon State University.Her current research interests include home-based employment, economic adjustments of farm families, and the interrelationship of management to an individual's quality of life. She received her Ph.D. from Purdue University.Her primary areas of research are rural households, the impact of employment on a family, learning theories as applied to financial education, retirement, and home-based employment. She received her Ph.D. from The Pennsylvania State University.     

Task analysis of healthcare delivery: A case study

Human error and medical error are highly known as contributors to patient safety [Institute of Medicine (IOM), November 1999. To err is human: building a safer health system. Available at: http://www.nap.edu/openbook/0309068371/html/11.html (accessed 05.03.07); Institute of Medicine (IOM), March 2001. Crossing the quality chasm: a new health system for the 21st century. Available at: http://www.nap.edu/openbook/0309072808/html (accessed 05.03.07); Joint Commission on Accreditation of Healthcare Organizations (JCAHO), 2007. Failure mode, effect, and criticality analysis (FMECA) worksheet. Available at: http://www.jcaho.org (accessed 24.06.07)]. A study was performed to identify the process flow affiliated with elder patients transitioning through different continuums of emergency and non-emergency care. This research is part of a larger research effort to develop and implement a web-based healthcare system that enables hospitals and nursing homes to share patient information resulting in increased knowledge of a patient's medical history, decreased errors and enhanced patient safety. Future research efforts for this study are also presented.     

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

The Aging in Place Project at the University of Missouri (MU) required legislation in 1999 and 2001 to be fully realized. An innovative home health agency was initiated by the Sinclair School of Nursing specifically to help older adults age in place in the environment of their choice. In 2004, an innovative independent living environment was built and is operated by a private long term care company, as a special facility where residents can truly age in place and never fear being moved to a traditional nursing home unless they choose to do so. With care provided by the home care agency with registered nurse care coordination services, residents receive preventative and early illness recognition assistance that have markedly improved their lives. Evaluation of aging in place reveal registered nurse care coordination improves outcomes of cognition, depression, activities of daily living, incontinence, pain, and shortness of breath as well as delaying or preventing nursing home placement. Links with MU students, faculty, and nearly every school or college on campus enrich the lives of the students and residents of the housing environment. Research projects are encouraged and residents who choose to participate are enjoying helping with developing cutting technology to help other seniors age in place.     

Paris in Bogotá: The Aid Effectiveness Agenda and Aid Relations in Colombia

This article uses an aid‐relationships perspective to explore the application of the Paris Declaration on Aid Effectiveness in Colombia. It argues that aid donors were subjected to an attempt to push them (back) into a technocratic corner, and that social actors' advocacy outcomes were put under threat. Both are worrying developments in a politically complex context marked by internal armed conflict and human‐rights abuses. Analysis of the Colombia case offers some useful insights into applying the Paris Declaration, and other global aid‐policy frameworks, to diverse settings.     

Self-Initiated Smoking Cessation in College Students

Abstract

Smoking cessation behaviors of college students using a university health service were examined. Forty successful and 32 unsuccessful quitters were interviewed through an open-ended questionnaire. Elements important in successful, self-initiated cessation were sought. Results demonstrated many similarities between the groups. Differences seemed related to techniques used to remain abstinent from cigarette smoking, expectations of ease or difficulties in quitting, and the influence of a boyfriend/girlfriend. These differences should be studied in a larger sample. Questions raised for further study include: examining the influence of the health service and physician; identifying differences in attitudes toward cessation between quitters and recidivists; and evaluating what use smokers make of the knowledge gained through previous cessation attempts.

“Postprandial Glucose and Insulin Responses to Meals Containing Different Carbohydrates in Normal and Diabetic Subjects,” John P. Bantle, et al. To examine whether the form of dietary carbohydrate influences glucose and insulin responses, we studied the glucose and insulin responses to five meals–-each containing a different form of carbohydrate but all with nearly identical amounts of total carbohydrate, protein, and fat–-in 10 healthy subjects, 12 patients with Type I diabetes, and 10 patients with Type II diabetes. The test carbohydrates were glucose, fructose, sucrose, potato starch, and wheat starch. In all three groups, the meal containing sucrose as the test carbohydrate did not produce significantly greater peak increments in the plasma concentration of glucose or greater increments in the area under the plasma glucose-response curves than did meals containing potato, wheat, or glucose as test carbohydrates. Urinary excretion of glucose in patients with diabetes was not significantly greater after the sucrose meal. The meal containing fructose as the test carbohydrate produced the smallest increments in plasma glucose levels, but the differences were not always statistically significant. In healthy subjects and patients with Type II diabetes, peak serum concentrations of insulin were not significantly different in response to the five test carbohydrates.

Our data do not support the view that dietary sucrose, when consumed as part of a meal, aggravates postprandial hyperglycemia. (New England Journal of Medicine 1983;309:7–12.)     

Vital Connections: Using Literature to Illustrate Social Work Issues

Abstract

This paper introduces a four stage teaching model which encourages students to use fiction as a source of mental imagery and insight into social work issues. Teachers can use the stages flexibly for different courses and levels of student expertise. The model has been developed by the authors during three years of formally implementing it in a range of undergraduate and graduate syllabi. The authors present this approach following detailed observation of the quality of written assignments, classroom interaction and student feedback. This is an exciting way of teaching traditional courses which generates a lively atmosphere for learning.

“We shall not cease from exploration And the end of our exploring Will be to arrive where we started And know the place for the first time.”

T.S. Eliot

(“Little Gidding,” The Four Quartets)     

Social work in rural areas: a personal and professional challenge

Australians live in diverse areas, city and country, coast and hinterland, desert and rainforest, urban and remote areas. While much social work practice is located in large population centres, the problem of providing a social work service in rural and remote areas is a challenging one. This article examines some of the issues for rural social workers practicing where networks are small and multilayered, anonymity, privacy and safety for the social worker cannot be guaranteed, and a broad range of knowledge and skills are demanded. As a profession, it is important to acknowledge the complexity of delivering an ethical, responsive and appropriate service in rural areas. For rural social workers, this challenge impacts in both their professional and personal roles.     

Video conferencing applications in social work: Work locally,think globally

Abstract

Video conferencing is a technology that facilitates the provision of high quality education, health-care and consultation to clients and families served by rural area health professionals via visual and audio transmissions. It also plays an important role in the education, and training of rural health professionals and the development of a multidisciplinary team dialogue between rural and metropolitan partners. This paper describes our experience of a video conferencing program conducted at the Goulburn Valley Mental Health Service and St George's Older Persons Mental Health Service. We have found a number of benefits of this technology for clients, their families and for health professionals themselves. The development of expertise in the use of video conferencing technology has empowered social workers in their work places. Video conferencing has been extended to other aspects of social work practice. A pertinent example of this is the use of video conferencing in Guardianship and Administration hearings for patients who would otherwise be unable to attend because of health problems (physical, mental and mobility).