Figuring out whether they can be trusted: older widows' intentions relative to hired non-professional home-care helpers

The purpose of this phenomenological study was to describe the experience of older women relative to trusting hired non-professional home-care helpers. Open-ended interviews were done about the home-care experience with 25 women over three years, and 14 women (age 80-93) shared data about hiring and trusting helpers. The women perceived risks to personal safety that adversely influenced willingness to seek new helpers. After hiring a helper, the women were still trying to discern whether the helper could be trusted. Primary-care providers should enable older women to recognize and reduce the risk of having helpers and to monitor helpers' behavior, as well as assessing the psychosocial status of women who have such helpers.     

Contact with Family Members and its Impact on Adolescents and Their Foster Placements

This paper discusses findings from a recently completed studyof adolescent foster care, which included a detailed assessmentof the fostering skills and supports of carers and of the contactthat adolescents had with parents, siblings and other familymembers during a long-term foster placement. Sixty-eight fostercarers, young people and their social workers were interviewedat two points in time, 3 months after the start of a new fosterplacement and again at 12 months or at the point of disruptionif this occurred earlier. Detailed questions about contact whichwere asked of foster carers, young people and their social workersenabled the researchers to make summary ratings about the quantityand the quality of contact and its effect on the young peopleand on their placements. This paper describes the contact theyoung people had with their families, its impact on them andon the foster families and how it changed over time. The findingsrevealed that contact for the majority of adolescents was problematicand had a significant impact on placement outcomes. Ways ofmanaging contact are highlighted, and the corresponding implicationsfor policy and practice discussed.     

What is child protection? Historical and methodological issues in comparative research on lastensuojelu/child protection

This article addresses comparative research on what has come to be called, in (British) English, 'child protection' or, rather differently, in Finnish ' lastensuojelu '. In developing a cross-national research project on lastensuojelu /child protection practices in England and Finland, we found it necessary to go back a few steps, to address what might usually be considered as 'background issues'. This article discusses the welfare state traditions in both countries, especially with respect to families and children, in order to contextualise the focus of ongoing qualitative research on micro comparisons. When comparing the mundane practices of child protection and the ways problems and clienthoods are constructed, as in this study, historical, social, cultural and linguistic issues matter. Indeed, very basic concepts such as 'child protection' and 'child protection case' become problematic in the comparison.     

Panel data and models of change: A comparison of first difference and conventional two-wave models

The method of first differences as an approach to modeling change is described and it is compared to more conventional two-wave panel models. Substantial advantages are found to the first-difference approach, especially if there are unmeasured, unchanging predictor variables in the model. It is also argued that there are substantial problems in the interpretation of results from the conventional two-wave models. Some of the analytic results are illustrated with a number of applications to the area of stressful life events.     

Point-of-expansion,structure, and selection in multivariable polynomial regression

This article discusses three issues important in multiple linear regression analysis when a polynomial response function is used. These are (1) the role of the point of expansion, about which the response function is formulated, (2) the effect of polynomial structure among the predictor variables, and (3) the appropriate use of methods for selecting predictors. Two examples are included for illustration.     

Cross sectional study of Australian midwives knowledge and use of sterile water injections for pain relief in labour

BackgroundThe effectiveness of sterile water injections (SWI) to relieve back pain in labour is supported by a number of randomised controlled trials. Although the procedure is available in a number of Australian maternity units, there is no information regarding the use of SWI by midwives, in terms of knowledge and availability, clinical application or technique used. Neither is there any data on midwives who do not use SWI nor the specific challengers and barriers encountered by midwives introducing SWI.MethodAn invitation to participate in an online survey was emailed to 4700 members of the Australian College of Midwives (ACM) and 484 members of CRANAplus (Remote Health Organisation). Nine hundred and seventy midwives completed the survey (19%).ResultsFour hundred and seven (42.5%) midwives currently used SWI in their practice and five hundred and fifty-one (57.5%) indicated they did not. Eighty-six percent (n = 478/548) indicated they would consider using SWI and 90% (n = 500/547) were interested in obtaining further information about SWI. The main reasons cited for not using SWI was the lack of a policy or guideline (n = 271, 57.5%) and being unable to access workshops or resource material (n = 68, 14.4%).ConclusionThis study indicates that SWI is not being used by the majority of midwives participating in the study, although there is a strong desire by midwives to learn about and explore its use. Greater access to information and workshops on SWI is highlighted. In response to the findings of this survey the authors are currently developing an online resource and training to support units to introduce SWI.