Exploring the Michigan model: The relationship of personality, managerial support and organizational structure with health outcomes in entrants to the healthcare environment

Few studies have examined the role of managerial support in the adaptation of entrants to healthcare. The purpose of this study was to identify the job characteristic and role-related variables that mediate the effects of managerial support and personality on the mental and physical health and sickness absence in two independent groups of new recruits to a healthcare organization. Entrants to a healthcare environment (student nurses) were surveyed 25 weeks after entry. Latent variables represented neuroticism, demand, control, role clarity and affective outcome variables in a simplified version of the Michigan model of work stress (House, 1981). This study used a two-stage approach to structural equation modelling, exploring hypothesized structural models on an initial data set (N=195) prior to confirmation on an independent replication data set (N=239) using multi-sample methods. Finally the confirmed model of choice was evaluated using the combined data (N=434). Emotional distress reported at 6 months was found to be associated with dispositional characteristics of the entrant and indirectly, via job satisfaction, with managerial support from academic and clinical sources. Managerial support from academic and clinical sources had an indirect influence on job satisfaction, but by differing mechanisms involving role clarity and control. The demands perceived by the entrants arose from neuroticism and were independent of any other variable. Emotional distress had its deleterious association with sickness absence via somatic health. This study details a series of mechanisms that will subsequently be tested longitudinally.     

Higher‐Order Improvements of a Computationally Attractive k‐Step Bootstrap for Extremum Estimators

This paper establishes the higher‐order equivalence of the k‐step bootstrap, introduced recently by Davidson and MacKinnon (1999), and the standard bootstrap. The k‐step bootstrap is a very attractive alternative computationally to the standard bootstrap for statistics based on nonlinear extremum estimators, such as generalized method of moment and maximum likelihood estimators. The paper also extends results of Hall and Horowitz (1996) to provide new results regarding the higher‐order improvements of the standard bootstrap and the k‐step bootstrap for extremum estimators (compared to procedures based on first‐order asymptotics). The results of the paper apply to Newton‐Raphson (NR), default NR, line‐search NR, and Gauss‐Newton k‐step bootstrap procedures. The results apply to the nonparametric iid bootstrap and nonoverlapping and overlapping block bootstraps. The results cover symmetric and equal‐tailed two‐sided t tests and confidence intervals, one‐sided t tests and confidence intervals, Wald tests and confidence regions, and J tests of over‐identifying restrictions.     

Market-Type Mechanisms and Public Service Equity: A Review of Experiences in European Public Services

In seeking to benefit from the competitive pressures exerted through marketization, governments have hoped to gain improvements in public service efficiency. Yet, concerns remain about the effects of marketization on how equitably public services are provided. We consider evidence about the relationship between the introduction of market-type mechanisms in the European public sector and the efficiency and equity of service provision. Our analysis reveals that although market-type mechanisms sometimes result in worse service equity, there is only weak evidence of a trade-off between efficiency and equity.     

Adoption of electronic-cigarette-free,hookah-free and American College Health Association recommended tobacco-free policies among a national sample of postsecondary educational institutions

Abstract

Objective: To examine the prevalence of various types of tobacco-free policies among a US national sample of postsecondary educational institutions (PEIs). Participants: A national sample of US PEIs (N?=?605) attended by the participants of the NEXT Generation Health Study. Methods: Tobacco policies of these PEIs were reviewed to determine if they were e-cigarette-free (yes/no), hookah-free (yes/no), and ACHA-recommended tobacco-free (yes/no) in June–December 2017. Logistic regression models were used to examine the relationships between institutional characteristics and tobacco policies. Results: Overall, 39.2, 26.0, and 20.0% of the sample adopted e-cigarette-free, hookah-free, and ACHA-recommended tobacco-free policies, respectively. Proprietary PEIs (vs. public) were less likely to have ACHA-recommended tobacco-free policies, while PEIs in the South and Midwest (vs. West) were more likely to have ACHA-recommended tobacco-free policies (p?<?0.05). Conclusions: Most sampled PEIs did not have ACHA-recommended tobacco-free polices. Subsequent research needs to investigate how ACHA-recommended tobacco policies influence tobacco use.     

A Geometric Approach to Nonlinear Econometric Models

Conventional tests for composite hypotheses in minimum distance models can be unreliable when the relationship between the structural and reduced‐form parameters is highly nonlinear. Such nonlinearity may arise for a variety of reasons, including weak identification. In this note, we begin by studying the problem of testing a “curved null” in a finite‐sample Gaussian model. Using the curvature of the model, we develop new finite‐sample bounds on the distribution of minimum‐distance statistics. These bounds allow us to construct tests for composite hypotheses which are uniformly asymptotically valid over a large class of data generating processes and structural models.     

Research Ethics and the Concept of Children's Rights

This paper examines the arguments that have been put forward about the implications of children's rights for the ethics of research involving children. It begins by exploring the concept of rights, and the different kinds of right that have been identified in the philosophical literature. From this, the discussion moves to the nature and legitimacy of children's rights. Finally, the implications of the debates about children's rights are examined for research ethics. It is argued that these implications are more limited and problematic than is generally recognised.     

Erratum to: Token Reinforcement of Verbal Responses Controlled by Temporally Removed Verbal Stimuli

In the present study we examined the effects of token reinforcement on the convergent control of immediate and temporally removed verbal stimuli over the verbal behavior of three school-age children with autism who showed specific deficits in intraverbal responding. Throughout the study, participants were systematically introduced to a series of visitors to a university-based autism center, and subsequently probed for information about the visitor they had most recently met. Results show that contingent token reinforcement was effective at establishing control by temporally removed verbal stimuli.