Maintaining professional integrity: experiences of case workers performing the assessments that determine children’s access to personal assistance

This qualitative study explores Swedish case workers experiences of decision making regarding disabled children's right to obtain assistance in their everyday life whereby they can live independently in the community. Data collection included seven focus-group interviews and 11 complementary individual interviews with case workers from different agencies responsible for decisions regardig access to personal assistance. Grounded theory methodology was used. Compromised professional integrity under shifting conditions emerged as a main concern and maintaing professional integrity was used as an approach to resolve it. The case workers are maintaining professional integrity by applying different strategies; struggling with division of responsibility, bureaucratizig, and justifying and protecting. The results indicate that present application of assessment criteria in combination with the utilization of precedent rulings has made it difficult for the case workers to make decisions that provide children access to assistance. Current practice raises questions about the case workers perspectives of professionalism.     

Long-term patterns of effort-reward imbalance and over-commitment: Investigating occupational well-being and recovery experiences as outcomes

The aim of this study was, first, to identify long-term patterns of effort-reward imbalance (ERI) and over-commitment (OVC), and, second, to examine how occupational well-being (burnout, work engagement) and recovery experiences (psychological detachment, relaxation, mastery and control) differ in these patterns. The study was based on follow-up data with three measurement points (2006, 2008, 2010) collected from Finnish managers (N=298). Latent Profile Analysis resulted in five long-term ERI-OVC patterns: a high-risk pattern (high ERI, high OVC), found in 20% of the participants; a low-risk pattern (low ERI, low OVC), found in 24% of participants; a relatively low-risk pattern (low ERI, moderate OVC), found in 47% of participants; a favourable change pattern (decreasing ERI and OVC), in 7%; and an unfavourable change pattern (high ERI with increasing linear trend, OVC with curvilinear trend) in 2%. The results showed, in line with the ERI model, that managers in the high-risk pattern showed higher burnout scores and poorer recovery experiences compared to those in the low-risk patterns. However, no differences were found in work engagement between the high and low-risk patterns. Thus, the ERI model seemed better to explain stress-related indicators of occupational well-being than motivational indicators.     

Can Changes to Gender Equality Be Sustained?

The aim of this paper is to discuss how changes to gender equality in organizing can be made sustainable. Numerous studies have reported on projects which have not succeeded in their efforts to implement gender equality. In this paper, we analyse the results from two programmes which aimed to increase equal opportunities among private and public sector organizations. Theoretically, the study is based on the framework of doing gender, which is combined with insights from studies using the translation model of organizational change. The translation model of organizational change enables investigation of formal and informal processes within an institutionalized setting. By studying those aspects that were stabilized into an institution within these two programmes, as well as those which were not, the approaches that had become sustainable for the programmes in the long term could be discerned. When comparing the two programmes, it became apparent that complications arose at the point at which the theoretical aims of gender equality were translated into actions. The analysis of the outcomes of these programmes indicates, however, that, even though the formal goals were not reached, equal opportunities within the participating organizations did benefit from these programmes.     

Population growth overshooting and trade in developing countries

This paper examines a developing economy using a family-optimization model in which the number of children is a normal good. Trade liberalization generates two effects: the income effect that increases population growth and the gender wage effect that, in the short run, increases, but, in the long run, decreases population growth. With higher income, families invest more in capital if the status of the capital is significant. Because female labor is complementary to capital, higher investment increases the relative wages of women and attracts them from child rearing into production. Ultimately, the population growth falls below the original level.      

Political instability, gender discrimination, and population growth in developing countries

This paper introduces gender discrimination and population growth into a model of political economy. The government keeps up the military for the sake of political instability in the country. It is shown that if the risk of internal conflicts is high, then the government needs a bigger military and a larger supply of young men for it. The government is then willing to boost population growth by keeping women outside the production (e.g. neglecting their education or restricting their movement). Some empirical evidence on the interdependence of political instability, population growth, and gender discrimination is provided.

Trade, population growth, and the environment in developing countries

We examine pollution in a developing country where fertility is endogenous and wealth increases welfare through status. When the country has defective environmental laws, it has a comparative advantage in capital-intensive “dirty” goods. Gains from trade due to trade liberalization then increase income and boost population growth. With strong incentives to save, they also stimulate investment, which hampers population growth. Because population growth crowds out labor supply, production of capital-intensive dirty goods first increases and then decreases. This yields a typical environmental Kuznets path: pollution increases at the earlier stages but decreases at the later stages of development.     

Attitudes to prioritization in selected health care activities

The aim of this study was to measure attitudes to health care prioritization in various Finnish population groups. Three study groups were established: 1) the general public (n=4260); 2) politicians (n=1427); and 3) medical and social work professionals (n=1055).
The following background data were obtained: sex, year of birth, marital status, number of children, education, profession, personal income, self-perceived health, and how subjects viewed their own future and whether they were satisfied with their lives. Information on activities involving prioritization of health service was elicited by presenting a list of 16 health care activities. Respondents evaluated these activities as 1) more important than average, 2) of average importance, or 3) less important than average (indicated as numbers 1-3).
The response rate was 59.3%, and 57.2% (n=3858) of the original sample was accepted for analysis. The politicians and profes-sionals showed almost identical attitudes. All groups prioritized treatment of life-threatening diseases among children. The general public prioritized high-tech surgery more highly than professionals or politicians. Alternative medicine and cosmetic surgery were the two least important activities. All groups agreed about prioritization of serious diseases among children, care of dying patients, prevention, surgery which helps people to perform their everyday tasks, and home care for the disabled elderly. Professionals and politicians prioritized mental health more highly than the population. The general public prioritized intensive care for premature babies with a low birth weight (less than 800 g). Professionals prioritized family planning more highly than politicians and the population. The results resemble those obtained in Britain, indicating that attitudes towards priorities in health are similar between Britain and Finland, and that the respondents' professions determine attitudes more strongly than does cultural background.     

Social work practitioners' experience of the clinical utility of the Home Observation for Measurement of the Environment (HOME) Inventory

Clinical utility of an assessment instrument can provide important information about the potential value of that instrument when used in practice. The aim of this study was to describe social work practitioners' experiences of the clinical utility of a Swedish version of the Home Observation for Measurement of the Environment (HOME) Inventory. Because knowledge of clinical utility in this area is scarce, a qualitative method based on semi‐structured interviews was used to gain a deeper understanding of the phenomenon. Data were collected through 16 interviews and then analysed by qualitative manifest content analysis. The analysis yielded five categories: improves quality of child protection investigations, supports practitioners, HOME has drawbacks and difficulties, certain issues are important for future applications and basic conditions are crucial. The findings supported the clinical utility of the HOME Inventory though some critical issues have to be addressed, especially concerning the category basic conditions are crucial. A thorough education, the possibility to practice activities related to the administration of the method and support from management were found to be essential. Replication and further studies are needed in the Swedish context to confirm the applicability of the HOME Inventory.     

Urban ecosystems and sustainable urban development—analysing and assessing interacting systems in the Stockholm region

In order to build competence for sustainability analysis and assessment of urban systems, it is seen as essential to build on models representing urban form, landuse and transportation, urban metabolism, as well as ecological processes. This type of analysis of interacting sub-systems requires an advanced model integration platform, yet open for learning and for further development. Moreover, since the aim is to increase urban experience with ecosystem management in the wide sense, the platform needs to be open and easily available, with high visualisation capacity. For this purpose, the LEAM model was applied to the Stockholm Region and two potential future scenarios were developed, resulting from alternative policies. The scenarios differed widely and the dense urban development of Scenario Compact could be visualised, destroying much of the Greenstructure of Stockholm, while Scenario Urban Nature steered the development more to outer suburbs and some sprawl. For demonstration of the need for further development of biodiversity assessment models, a network model tied to a prioritised ecological profile was applied and altered by the scenarios. It could be shown that the Greenstructure did not support this profile very well. Thus, there is a need for dynamic models for negotiations, finding alternative solutions and interacting with other models. The LEAM Stockholm case study is planned to be further developed, to interact with more advanced transport and land use models, as well as analysing energy systems and urban water issues. This will enable integrated sustainability analysis and assessment of complex urban systems, for integration in the planning process in Stockholm as well as for comparative sustainability studies between different cities, with the goal to build more sustainable urban systems and to increase urban experiences in ecosystem management.