Validation of the theory: satisfaction with time-delimited daily occupations

OBJECTIVES: This study examines the construct validity of the theory Satisfaction with time-delimited daily occupations (STO). The outcome of STO concerns how individuals perceive their occupational health status and to what degree the individuals experience satisfaction with their performance of time-delimited daily occupations. DESIGN: The "known-groups technique" was used for discriminating the occupational health status among four groups (n = 147) of full-time workers or sick-listed participants. A mailed ActivityLog-sheet was used for recording their occupational health 24 times during 24 hours. The computerized program ActivityLog was used for data registration. The data analysis were accounted by ANOVA, Tukey's HSD test with significance level of p < 0,05 using the SPSS program. RESULTS: The occupational health status did not differ significantly among the four groups, but the number of records concerning work (p = 0,00) and care (p = 0,02) time-delimited daily occupations were significantly different. The patterns of occupational health status during the 24-hour-records were visually separated for the four groups. CONCLUSION: There is need for refining the STO theory and then for undertaking further investigations of the STO construct validity.     

How Unpopular Policies are Made: Examples from South Africa,Singapore and Bangladesh

In this article we contribute to the emerging knowledge on migration policy‐making in two ways. Firstly, we address the relative lack of research on the gendered nature of migration policy‐making. Secondly we contribute to understanding migration policymaking in postcolonial contexts. Based on case studies from Bangladesh, South Africa, and Singapore, we trace the drivers of policy change in these contexts and how the gendered vulnerability of the intended beneficiaries impacted the policy process. We found that there were four main drivers of migration policy‐making in each of the countries. They were: the role‐players in the policy change process, the debates that shaped the policy change, the research involved, and the political context in which the policy change took place. While our research drew on existing policy frameworks, it also showed that policy development is shaped by complex socio‐political conditions.     

The sense-of-coherence and the capability of performing daily occupations in persons with chronic pain

OBJECTIVES: It may be helpful for occupational therapists who promote enabling occupations among persons with chronic pain, to understand the relationship between the persons feelings of meaningfulness, comprehensibility and manageability in life and their capability to perform daily occupations. AIM: The aim of this study was to describe and investigate how these concepts of person and occupational performance of 27 daily occupations in terms of "effort", "inconvenience", "avoidance", "give up", "frequency" and "satisfaction" were related to each other. DESIGN: A prospective correlative study was conducted. METHOD: A consecutive series of eighty-four patients with chronic pain completed a structured interview and responded to the self-assessment instruments Sense-of-Coherence Scale (SOC-13) and Capability of Performing Daily Occupations (CPDO). RESULTS: Weak but significant correlation (p < 0.05) were found between the SOC-13 sub-scale "manageability" and the specific occupations "physical exercise / training" (r = - 0.24), "climb stairs" (r = - 0.27) "social activity" (r= - 0.25) and "wash the laundry" (r = - 0.30), as well as between the SOC-13 sub-scale "meaningfulness" and the CPDO occupations "grocery shopping" (r = -0.22), "performing meals" (r = - 0.24), and "wash the laundry" (r = - 0.31) and the CPDO question "frequency of performing occupations" r = -0.22). The participants' mean value (mean = 58) of SOC-13 was below the other populations represented in a literature review. The mean values for CPDO (3.4-4.3) (optimal score is zero) showed that the participants perceived themselves having activity limitations concerning performance of daily occupations, and the performance area of work productive activities were experienced as more disabling. The degree to which the participants perceived themselves having a strong sense of coherence or being disabled by pain varied greatly both for the results of SOC-13 ( range 32-90 points) and CPDO (range 1.1-7.8 points). CONCLUSION: The expected significant relationship between a person's sense of coherence and the performance of daily occupations was partly verified with weak significant correlations. In clinical practice the assessment instruments are suggested to be of value in rehabilitation clinics for occupational therapists who work with people with chronic pain.     

Pilot Study Sleepiness in physicians on night call duty

Little is known about how physicians' feelings of sleepiness and sleep patterns are affected by night call duties. In the present pilot study, the authors followed a group of staff (hospital) physicians during and following night call duties. They recorded feelings of sleepiness and sleep patterns every third hour. Results show measurable effects on the sleepiness scale with residual effects lasting up to two days after the actual night call duty. The authors suggest that increased attention should now be given to studies of the psychophysiological effects of both present and alternative work schedules for physicians.     

Service Provision for an Independent Life

How is an independent daily life possible for disabled people when relying upon professional service provision and the bureaucratic gate-keeping systems of the welfare state? This article discusses this question in relation to an interview study. Eighteen mobility disabled and 20 service providers in one local setting in Norway were interviewed. We point out at least three categories regarding how independence is interpreted among the disabled: the super-normal, the independent living activists, and those experiencing powerlessness and lack of support. The analysis points out how these categories are constructed in relations between the disabled person, professional service providers and the gate-keeping systems of the welfare bureaucracy.     

Ethnic nominalism and civic religiosity: Christianity and national identity in Britain

The relationship between religion and national identity is a contested topic in public debates about cultural diversity and immigration. In sample surveys only a minority the British population identify themselves as belonging to a Christian religion, and far fewer practise their faith. Nevertheless, nearly a quarter of the population think it is important to be Christian to be truly British. This study explores the complex relationships between religious and national identities in Britain, using data from the 2008 British Social Attitudes Survey. Three different forms of national identity were identified through factor analysis: civic‐symbolic, cultural‐aesthetic and ethnic national identity. Ethnic national identity is the only dimension of national identity that is positively associated with thinking it is important to be Christian to be British. While churchgoing Christians are more likely to feel national in response to secular cultural symbols, they are less likely to associate religion with nationality than those with a nominal Christian affiliation. The results indicate that Christianity has cultural significance for national identity primarily as a proxy for ethnic identity.     

The experience of giving birth with epidural analgesia

Problem and backgroundThere is a lack of literature about what constitutes good midwifery care for women who have epidural analgesia during labour. It is known that an increasing number of women receive epidural analgesia for labour pain. We also know that while women rate the painkilling effect of the epidural analgesia as high, in general, their satisfaction with labour is unchanged or even lower when epidural analgesia is used.QuestionHow do women experience being in labour with epidural analgesia, and what kind of midwifery care do they, consequently, need?MethodsA field study and semi-structured interviews were conducted on a phenomenological basis. Nine nulliparous women were observed from initiation of epidural analgesia until birth of their baby. They were interviewed the day after the birth and again 2 months later. The involved midwives were interviewed 2–3 h after the birth.FindingsInitiation of epidural analgesia can have considerable implications for women's experience of labour. Two different types of emotional reactions towards epidural analgesia are distinguished, one of which is particularly marked by a subtle sense of worry and ambivalence.Another important finding refers to the labouring woman's relationship with the midwife, which represents an essential influencing factor on the woman’ experience of labour. Within this relationship, some rather unnoticed matters of communication and recognition appear to be of decisive significance.ConclusionAfter initiation of epidural analgesia the requirements of midwifery care seem to go beyond how women verbalise and define their own needs. The midwife should be attentive to the labouring woman's type of emotional reaction to epidural analgesia and her possible intricate worries.     

Nonparametric location-scale models for censored successive survival times

Let (T₁,T₂) be gap times corresponding to two consecutive events, which are observed subject to (univariate) random right-censoring. The censoring variable corresponding to the second gap time T₂ will in general depend on this gap time. Suppose the vector (T₁,T₂) satisfies the nonparametric location-scale regression model T₂=m(T₁)+σ(T₁)?, where the functions m and σ are ‘smooth’, and ? is independent of T₁. The aim of this paper is twofold. First, we propose a nonparametric estimator of the distribution of the error variable under this model. This problem differs from others considered in the recent related literature in that the censoring acts not only on the response but also on the covariate, having no obvious solution. On the basis of the idea of transfer of tail information (Van Keilegom and Akritas, 1999), we then use the proposed estimator of the error distribution to introduce nonparametric estimators for important targets such as: (a) the conditional distribution of T₂ given T₁; (b) the bivariate distribution of the gap times; and (c) the so-called transition probabilities. The asymptotic properties of these estimators are obtained. We also illustrate through simulations, that the new estimators based on the location-scale model may behave much better than existing ones.