Moral imagination in long-term care workers

Our study focused on the cultural construction of dying and death in long-term care facilities. This article centers on direct care workers' perspective of residents' deaths. The data on which this article is based were gathered in a multi-year, multi-site study through formal ethnographic interviews, informal conversations, and on-site observations of residents and staff members. During fieldwork, we noticed an aptitude of direct care workers to deal with residents' deaths, which we named "moral imagination." The term is borrowed from other disciplines to describe a "way of seeing" residents. The case studies presented--that of three direct care workers: a dietary aide, a nurse aide, and an assistant activities director--are suggestive of workers in each category. Our study offers implications for future research concerning direct care workers' value to residents' quality of life. We also propose questions for long-term care facilities about standards of formal caregiving at the end of life.     

Sexual health education group for adolescents with mental problems

1. Providing sexual health education for adolescents with mental health problems presents a difficult but important clinical task. 2. Using a group format for this task is an effective way to provide information about sexual health and promote positive coping strategies related to relationships and sexual issues. 3. Group leaders need to be aware of their own values related to sexual issues and have the ability to be frank and nonjudgmental.     

Machine gaming in Sydney clubs: characteristics of the supporting resident populations

This research provided background for surveys and interviews in later stages of a 3 part project. It aimed to identify, from secondary research, sociodemographic characteristics which tend to support registered clubs and their machine gaming activities in the Sydney Statistical Division. Using multiple methods including Pearson's Product Moment correlation, Principal Components factor analysis, and stepwise regression, the study profiled Sydney populations which spend highly on gaming machines. The most important sociodemographic predictors of Sydney statistical local areas where per capita gaming machine expenditure is high are large proportions of the adult resident population who were born in Malta, Greece, Lebanon, China, Italy, Vietnam, Yugoslavia, India or the Philippines; have no vocational or tertiary qualifications; or are unemployed.     

Effects of suicidal behavior on a psychiatric unit nursing team

1. Suicide of a psychiatric inpatient can have significant, although diverse, effects on the emotions and behavior of both individual nurses and team functioning. 2. The majority of participants in this study felt there was a need for formal debriefing or counseling for themselves and their colleagues after a critical incident, although there was less consensus about the timing and structure of such an intervention. 3. This research highlights the need for advanced training of critical incident stress management team members and for flexibility in the application of critical incident stress management techniques.     

Aging with HIV: Historical and Intra-Community Differences in Experience of Aging with HIV

Gay men living with HIV/AIDS face a complex of health issues, including those associated with the aging process, long-term HIV infection (25 years or more), and side effects from Highly Active Anti-Retroviral Therapy (HAART). If aging can increase marginalization, this is more likely for the aging HIV positive gay man, who is already marginalized for being queer and living with a stigmatizing disease. This article presents findings from a study of a long-running HIV support group. It locates the members, all gay men living with HIV, in a specific historical and political context to explore how feelings of loss and the struggle to sustain community affect long-term survivors and other older HIV+ gay men. We identify specific challenges presented by aging for men who contracted HIV early in the epidemic, contrasting them with those faced by men infected with the virus later in life. While both groups appear to struggle with a vision of what life could have been, had AIDS not forced loss and change, they also celebrate the community their shared plight has enabled.     

Symptoms of Mental Health Problems: Children’s and Adolescents’ Understandings and Implications for Gender Differences in Help Seeking

Amidst concerns that young people’s mental health is deteriorating, it is important to explore their understandings of symptoms of mental health problems and beliefs around help seeking. Drawing on focus group data from Scottish school pupils, we demonstrate how they understood symptoms of mental health problems and how their characterisations of these symptoms as ‘rare’ and ‘weird’ informed participants’ perceptions that peers, teachers and parents would respond to disclosure in stigmatising ways. Consequently, participants suggested that they would delay or avoid disclosing symptoms of mental health problems. We highlight subtle gender and age differences and outline implications for policy and practice.     

An integrative framework for studying sustainable practices and its adoption in the AEC industry: A case study

The diversity of priorities and differing awareness of sustainable practices among stakeholders in the architecture, engineering and construction industry is critically shaping the adoption of green technology, and the rate at which the industry is shifting towards more sustainable practices. In this paper, we develop an integrated framework that allows reorganization and integration of existing sustainability research in the architecture, engineering, and construction (AEC) industry, emphasizing the perspective of decision-makers and stakeholders. Further, an agent-based model is introduced that allows study of the decision-maker with the decision context, thus making them an integral part of the decision-making process rather than independent of it. The coupled system is adaptive and dynamically organizes itself to reflect complex bottom-up interactions between individual stakeholders, their contexts and the constraints driving their decisions even as they implement or respond to top-down decisions pertaining to the adoption of sustainable practices. The contention of this research is that an integrative systems approach to top-down decision-making and an understanding of bottom-up influences in stakeholder decisions is critical to the understanding sustainable practices and decisions that lead to their adoption in the AEC industry.     

Material hardship and self-rated health among low-income households in South Korea

Concerns over poverty and health inequality are growing in South Korea. Using advanced statistical methods including lagged-dependent variable and fixed-effects approaches, we investigated whether experiencing material hardship (MH) was associated with self-rated health (SRH) among low-income households in South Korea. This study found that the experience of MH was positively associated with higher likelihood of reporting poor SRH (OR = 1.42, p < .05) and that experiencing two or more items of MH presented more harmful influence on SRH (OR = 2.02, p < .001). This study also found that the negative association between MH and SRH was stronger among the unemployed households.