The development and construct validation of a consumer satisfaction questionnaire for psychiatric inpatients.

A consumer satisfaction scale was developed for psychiatric inpatients. The scale was administered to a state-wide sample of (n = 366) patients discharged from acute psychiatric units throughout Missouri. The scale was factor analyzed and given to another sample of (n = 390) discharges. Three out of five factors that were found in the first sample were replicated in a factor analysis of data from the second sample. Acceptable coefficient alphas were obtained on all three factors, demonstrating internal reliability. The three factors were labeled Treatment Effectiveness, Trust of Staff, and Hospital Environment. Comparable levels of satisfaction with prior studies were found on the first general satisfaction factor of Treatment Effectiveness. Subjects discriminated areas of satisfaction by expressing higher levels of dissatisfaction on the factors of Trust of Staff and Hospital Environment.     

Discourses of community: challenges for social work

The ambiguity of community allows it to be a space for a vast range of imposed and 'organic' social reproduction functions, and an accessible site for meaningful collective action, but it also has the potential for disempowerment. The breadth of the concept of 'community' allows for it to be critiqued as ephemeral or as romantic fiction, but also used and exploited by government. It is because it retains such power to evoke reaction and contest that we need to understand the power that drives it, and the ideological purpose for which it may be used or misused. The notion of discourse immediately becomes useful. We can recognise competing discourses of community, and examine how they are used politically. We can recognise ways in which social work can engage with community discourses of empowerment rather than control. The article will explore a number of discourses and examine their usefulness for practice.     

Does the Organization of Emotional Expression Change Over Time? Facial Expressivity From 4 to 12 Months

Differentiation models contend that the organization of facial expressivity increases during infancy. Accordingly, infants are believed to exhibit increasingly specific facial expressions in response to stimuli as a function of development. This study tested this hypothesis in a sample of 151 infants (83 boys and 68 girls) observed in 4 situations (tickle, sour taste, arm restraint, and masked stranger) at 4 and 12 months of age. Three of the 4 situations showed evidence of increasing specificity over time. In response to tickle, the number of infants exhibiting joy expressions increased and the number exhibiting interest, surprise, and surprise blends decreased from 4 to 12 months. In tasting a sour substance, more infants exhibited disgust and fewer exhibited joy and interest expressions, and fear and surprise blends over time. For arm restraint, more infants exhibited anger expressions and anger blends and fewer exhibited interest and surprise expressions and surprise blends over time. In response to a masked stranger, however, no evidence of increased specificity was found. Overall, these findings suggest that infants increasingly exhibit particular expressions in response to specific stimuli during the 1st year of life. These data provide partial support for the hypothesis that facial expressivity becomes increasingly organized over time.     

Revisiting the Rural-Urban Contrast: Personal Networks in Nonmetropolitan and Metropolitan Settings1

Abstract To revisit the rural-urban contrast, we use data from non-metropolitan and metropolitan subsamples of the 1985 General Social Survey to test whether, compared to personal networks in urban settings, personal networks in rural settings contain ties of greater intensity and role multiplexity, are based more on kinship and neighborhood solidarities rather than on friendship, are smaller, are denser, and have greater educational, race-ethnic, and religious homogeneity, but less age and gender homogeneity. Our results are generally consistent with these predictions. We then present evidence for rural diversity by comparing data from residents of a two-parish nonmetropolitan area in southwestern Louisiana to the nonmetropolitan subsample of the GSS. After discussing possible mechanisms for this covariation of spatial and aspatial communities, we conclude by commenting on the potential of network analysis to contribute to the resolution of these and other substantively important problems in rural sociology.     

INTERPROFESSIONAL RELATIONS AND THE EMERGENCE OF A NEW PROFESSION: Software Engineering in the United States, United Kingdom, and Canada

This article explores the conditions under which interprofessional relations may be characterized by conflict and/or cooperation through a case study of the rise of a software engineering (SWE) profession in the United States, United Kingdom, and Canada. Analysis of professional journal publications produced by the primary computing organizations in all three countries reveals that the development of a SWE profession in the United Kingdom, and to a lesser extent, the United States, has been a collaborative project pursued by engineering and computing organizations. In contrast, the development of SWE in Canada has been characterized by intense interprofessional conflict. The investigation suggests that interprofessional conflict may be mitigated when professionalizing groups seeking to lay claim to the same jurisdiction are similar in terms of their organizational size, outlook, and regulatory status.     

Managing Potential Health Risks from Electric Powerlines: A Decision Analysis Caught in Controversy

Over the past 20 years, several epidemiological studies have found an association between exposure to electromagnetic fields (EMFs) and health effects, including childhood leukemia and adult brain cancer. However, experts strongly disagree about whether this association is causal and, if so, how strong it is. In this article, we examine several alternatives to reduce EMFs from sources of the California power grid, including undergrounding distribution and transmission lines and reconfiguring or rephasing lines. The alternatives were evaluated in terms of the potential health risk reduction, cost, impacts on service reliability, property values, and many other consequences. Because of the uncertainty about an EMF-health link, the main effort was to determine the sensitivity of the decisions to the probability and seriousness of an EMF hazard. User-friendly computer models were developed to allow stakeholders to change the model assumptions and parameters to analyze the impacts of their own assumptions and estimates on the decision. The analysis clearly demonstrated that only four of the many concerns raised by the stakeholders could make a difference in the decision: health risks, costs, service reliability, and property values. Whether undergrounding, moderate alternatives for EMF reduction, or no change was the best decision depended on a few key factors, including the probability that EMF exposure is a hazard, the severity of this hazard, how the EMF reduction measures are financed, and the impacts on property values. While the analysis did not resolve the EMF issues, it showed that even in the most controversial settings, a little analysis goes a long way to clarifying the issues and to focus the debate.     

Parental views of surveillance for early speech and language difficulties

Objective : To investigate parents' experiences of surveillance for early talking difficulties. Design : Qualitative study nested within a randomised controlled trial. Setting : Interviews with the parents of 20 children identified as having early difficulties. Results : Most parents were in favour of surveillance of children's language. Parents do not totally welcome surveillance, however, as it also potentially medicalises their children's early lives. The study also revealed that many of the parents felt stigmatised by their children's difficulties. Conclusions : Listening to parents' accounts can increase professionals' understanding of their responses to monitoring of their child's development and referral to specialist services.     

Researching the arts

As the social, economic, educational, political, and international significance of the creative arts is increasingly recognized by American society, the need for insightful research on the arts, their organization, production, and impact becomes more evident. But the diversity of arts disciplines and organizations can make it difficult for the researcher to identify and locate useful and reliable information on the arts. This article provides a broad summary of resources available to scholars and practitioners to inform their research on artists, arts organizations, audiences, and arts support systems.     

Control, stress, and job satisfaction in Canadian nurses

The main effects of four domains of control (task, decision, resource, physical environment) on job satisfaction and their interactions with three types of job stressors (task demands, role conflict, interpersonal conflict) were examined in a sample of 765 Canadian nurses. Multiple regression analyses were conducted to determine the proportion of variance in job satisfaction that could be accounted for by job stressors, control, and the interaction of stressors and control in that order. The job stressors were analysed separately and as a composite job demands score, as were the four domains of control. The results indicated that the proportion of variance in job satisfaction increased with the addition of control for the composite scores and for task, resource, and physical environment control. However, decision control did not account for additional variance in job satisfaction above that for any of the job stressors. In addition, none of the stressor x control interactions were significant. The results support previous attempts to test the moderating effects of control, suggesting that perceived control is not a moderator of job stress but rather that it has a direct influence. The relevance of the different domains of control for nurses is discussed.