Factors that may influence midwives work-related stress and burnout

Research questionTo determine the incidence and level of work-related stress and burnout in midwives and contributing and protective demographic factors that may influence those levels.Participants and methodAll registered midwives (152) working in two public hospital maternity units within the same health service district in NSW completed the Maslach Burnout Inventory Human Services Survey and a demographic survey including care model, shift work, lifestyle data and exercise level.FindingsThere was a response rate of 36.8% with 56 (56/152) midwives completing the surveys. Almost two thirds (60.7%) of midwives in this sample experienced moderate to high levels of emotional exhaustion, a third (30.3%) scoring low personal accomplishment and a third (30.3%) experiencing depersonalization related to burnout. Significant differences were found among groups of midwives according to years in the profession, shifts worked, how many women with multiple psychosocial issues were included in the midwife's workload and the midwife's uptake of physical exercise. Those midwives who had spent longer in the profession and exercised scored low burnout levels.ConclusionThe impact of years in the profession, shifts worked, how many women with multiple psychosocial issues were included in their workload and the midwife's level of exercise significantly affected how these midwives dealt with burnout and provided care for women. As the response rate was low, and the study cannot be generalised to the entire midwifery workforce but provides important insights for further research. Understanding factors related to burnout can benefit health care institutions financially and in terms of human costs, especially in view of consistent international shortages of midwives.     

Social class as a dimension in casework judgment 1

With few exceptions, outcome studies evaluating batterer treatment groups are inconclusive at best and, at worst, label such treatment programs as ineffectual. This qualitative research study was developed in an effort to understand the forces behind how positive change either happens or is subverted. Through analysis of treatment groups for batterers, the study investigated two questions: How do batterer treatment groups affect the psychological defenses of the members? What types of group dynamics emerge in offender treatment that might be unique to this population and promote defensive change? The theoretical frameworks used in this project include constructs from ego psychology related to defensive maturity and the curative factors in group process, articulated by Yalom (2005).     

Promising Innovations in Child Welfare Education: Findings From a National Initiative

For many years, schools of social work have engaged in partnerships, especially with public child welfare agencies, to prepare a competent and professional child welfare workforce through the mechanism of Title IV-E training. In 2008 the National Child Welfare Workforce Institute (NCWWI) established an additional resource for preparing students in social work schools for child welfare practice. Twelve NCWWI traineeship programs supported a diverse group of BSW and MSW students from 2008 to 2013 and prepared them for client-centered practice informed by child welfare and leadership competencies. This article highlights a curriculum innovation in an MSW program and a field innovation in a BSW program that were designed to increase the readiness of BSW and MSW students for child welfare practice.     

Examining Skin Color and Discrimination Among Ethnic Minority Adolescents

Discrimination based on skin color is illegal, yet preferential treatment based on skin color persists and there is less clarity on how one’s nativity and parents play a role between skin color and discrimination. This study examined the associations among skin color and subtle discrimination (i.e., microaggressions) among Latina/o (63.5%) and Asian American (36.5%) adolescents (N?=?244; M_age?=?17.12, SD?=?.73; 55% female). This study also examined whether nativity status, parent ethnic racial socialization, and parental acculturation (via parent language proficiency) moderated the association between skin color and microaggressions. Adolescents with darker skin color reported more microaggressions. In addition, the association between skin color and microaggressions was found among foreign-born adolescents, but not US-born adolescents. Neither parental acculturation or parent ethnic racial socialization moderated the association between skin color and microaggressions. These results suggest that, like race and ethnicity, skin color may be a marker for adolescents receiving subtle discrimination, particularly among foreign-born youth.     

Knowledge Structures, Social Information Processing, and Children's Aggressive Behavior

Although a multitude of factors may be involved in the development of children's violent behavior, the actual aggressive act is preceded by a decision-making process that serves as the proximal control mechanism. The primary goal of this longitudinal study was to understand the nature of this proximal control mechanism involved in children's aggressive acts by focusing on two aspects of social cognitions: social information processing and stored knowledge (i.e., internal knowledge structures that are the latent memories of past events). It was hypothesized that: (1) children with hostile knowledge structures will display more biased patterns of aggressive social information processing than children whose knowledge structures are less hostile and negative; (2) children who display hostile knowledge structures will behave in chronically aggressive ways; and (3) the development of hostile knowledge structures and hostile patterns of social information processing contribute to the stability of aggressive behavior and thus partially mediate the relation between early and later aggressive behavior. 585 boys and girls (19% African-American) were followed from kindergarten through eighth grade. Results from this investigation support the hypotheses and are discussed in terms of the significance of the inclusion of knowledge structures in our theories of the mental processes involved in children's violent behaviour.     

Mind the Gap,Please! The Effect of Temporary Help Agencies on the Consequences of Work Accidents

Using data from a Spanish register on work-related accidents, this paper analyses the effect of contract types on two consequences of accidents: the probability of suffering a serious/fatal accident and the number of working days lost after an accident has happened. The focus is on the difference among temporary workers hired through temporary help agencies, direct temporary workers and open-ended workers. We find that workers hired through temporary help agencies are less likely to suffer serious/fatal accidents and the durations of their absences are shorter when they do, compared with workers holding either open-ended contracts or direct temporary contracts once personal, job and accident characteristics are controlled for.     

Drought and disproportionate disease: an investigation of gendered vulnerabilities to HIV/AIDS in less-developed nations

Environmental change and climate-related disasters are an under-examined factor impacting women’s health, globally. Drawing on ecofeminist theory, we conduct analyses examining if the HIV burden among women is higher in nations that experience suffering from droughts. Specifically, we posit that droughts, which typically impact more people and for greater lengths of time than other climate-related disasters, have a unique impact on women’s vulnerability to HIV/AIDS. We use a cross-national dataset of less-developed countries and ordinary least squares (OLS) regression to explore and compare relationships between suffering from drought and total HIV prevalence and suffering from drought and women’s proportion of HIV cases. Overall, the results demonstrate that while droughts have an inconsistent impact on total HIV prevalence, suffering from drought significantly increases the proportion of HIV cases among women in comparison to men, net of the impact of common economic, social, cultural, and political predictors. The findings suggest that suffering from drought differentially impacts women’s health in less-developed countries, where a number of mechanisms, such as transactional sex or displacement, likely underlie the associations identified.