Conflict and Aggression as Stressors in the Work Environment of Nursing Assistants:

Elder abuse and mistreatment occuring in institutional settings is a phenomenon that is as yet poorly understood. In considering the context in which elder abuse and mistreatment may arise, understanding the caregivers' work environment is an important variable. As front line staff, nursing assistants are subject to multiple stressors that underscore the highly interpersonal nature of caregiving. This paper describes the results of a Canadian study that examined conflict, aggression, and burn-out in one group of nursing assistants. Nursing assistant burn-out scores were similar to scores reported for other health-care workers. Subjects reported that conflict with residents most commonly related to the resident wanting to go outside the facility or personal hygiene. An analysis of incident reports indicated that less than 0.3% of the physical and verbal aggression nursing assistants endure from residents is formally acknowledged. On average, a nursing assistant in this health care facility may expect to be physically assaulted by residents 9.3 times per month and verbally assaulted 11.3 times per month. Findings indicate a slight correlation between burn-out and conflict and also between burn-out and reported aggression from residents. A statistically significant relationship was noted between conflicts with residents and resident aggression from residents.     

The Relationship of Social Support to Functional Limitations,Pain, and Well Being Among Men and Women

The purposes of this study were to assess the relationships of functional limitations, pain and well being to social support (emotional, tangible, informational and integrative) and to assess gender differences in these relationships. Except for integrative support, significant positive relationships were found between types of functional limitations and specific types of social supports among 15 men and 15 women (M = 67 years) with end stage joint disease. Pain was not significantly associated with any social support, but well being was related to informational and emotional supports. As compared to men, the relationships of tangible and integrative supports to well being, pain and functional impairment were signficantly greater for women as was the association of emotional support to limitations in mobility and physical activity. In contrast, women had signif~cantlys maller relationships of emotional support to limitations in ADL and household activities.     

一个被忽略的抗争者——评《红与黑》中玛蒂尔德形象

一直以来,人们对玛蒂尔德的形象是忽视的,对她的认识和评价也仅仅停留在表层的触摸上。其实,玛蒂尔德在小说中不单单是个爱情的角色,她同于连一样,也是一个抗争者。如果说于连是千万个不满波旁王朝复辟,寻求个人抗争和出路的平民青年的代表,那么,玛蒂尔德就是法国王朝复辟末期、七月革命前夕不甘与波旁王朝一同毁灭的有为的贵族青年的代表。她以自己独特的方式抗争命运,实践生命的价值。她的悲剧同样具有深刻的社会内涵。忽略玛蒂尔德的抗争,对《红与黑》的解读将是不完整的。     

What parents value from formal support services in the context of identified child abuse

Parents whose children are identified as having experienced or being at risk of experiencing significant harm potentially provide an invaluable dimension to our understanding of the circumstances that result in child abuse or neglect and how best to respond to these invariably complex situations. This paper reports findings from a study of the experiences of six parents.
In-depth interviews were conducted with four mothers and two fathers who had been referred to an intensive family support service by the Queensland statutory child protection authority. Using a critical ecological perspective, the study focused on identifying and understanding the experiences of the parents in using formal family support services, including aspects of service delivery that were helpful or unhelpful. Parents also commented on their experiences of statutory child protection services.
Service components and worker qualities that parents identified as being helpful included being accessible, targeted and integrated and being able to meet a continuum of needs, from a micro to a broader level. Their reports provide invaluable insight into how formal family support services, including child protection services, can better meet the needs of parents in addressing the recurring problem of child maltreatment.     

PERCEPTION OF SENIOR CENTERS BY THE BLACK ELDERLY

This study explored the impact of the neighborhood senior center on the black elderly by determining their perception of senior centers. Three groups of black elderly were interviewed: attenders of a neighborhood senior center (n = 46), non-attenders in the same community (n = 33), and non-attenders in a comparable community without a neighborhood senior center (n = 27). A 29-item interview schedule was conducted that determined awareness of senior center activities and services. Significant differences were found among the three groups with the attenders and non-attenders in the same community having the highest level of awareness of senior center activities and services. Age, sex and marital status were not found to influence perception of senior centers. The findings suggest that the neighborhood senior center needs to be further examined as a model for serving minority elderly.     

The Effectiveness of Educational Programs to Improve Recognition and Reporting of Elder Abuse and Neglect: A Systematic Review of the Literature

Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals' recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeted a variety of health and social service audiences. Most evaluations were limited to satisfaction measures. These programs may result in increased awareness, collaboration, and improved case finding. However, using the published literature to guide new program planning is constrained by lack of details and limited evaluations.     

Mother Bear: A Relational Approach to Child Therapy

This paper explores the role and importance of the relationship in the treatment of a young foster child. Because of parental neglect and loss, the child related in an inauthentic manner in order to engage her parents. Her manner of relating arose from old patterns, which were defensive adaptations to traumatic situations. The authors employ a relational theory of the self to conceptualize the processes from an intrapsychic and interpersonal perspective. The paper emphasizes that all the interactions between child and therapist, both in and out of the traditional therapy office, converged into a multidimensional authentic relationship. The authors define this relationship experience as the life space and believe that the establishment of the life space contributed to progress in the therapy.     

The role of observation in the assessment of child neglect

This paper focuses on physical and emotional neglect from a social work perspective. Neglect is the highest category of registration on Child Protection Registers in England, and is therefore a significant preoccupation for social work. However, historically, social workers have found child neglect a difficult area of practice. In this paper, we suggest that neglect is best understood as an absence of care, that is, a breakdown in the relationship between the primary carer and child which results in difficulties in offering reliable and adequate care. One focus of assessment in cases of child neglect, therefore, needs to be on ascertaining the nature and degree of relationship failure. We set out a framework to inform such assessments which critically examines the relationship between primary carer and child/ren. We note that discussion of neglect often involves criticism of women/mothers, and seek to develop an approach to child neglect which challenges stereotypical ideas about gender and caring, ideas which can lead to inappropriate intervention and to mother‐blaming. Consideration is given to operationalizing this framework of ideas. Intentional, structured observation is identified as a particularly useful tool in accurately assessing the complexities of the mother – child relationship, and the discussion considers observation's contribution to the assessment of neglect at a number of different levels. Copyright © 2000 John Wiley & Sons, Ltd.     

Child care subsidy and child maltreatment

This study examined the relationship between receipt of child care subsidies and child maltreatment investigations in a sample of low‐income mothers in Illinois. We expected that receiving child care subsidies would have a protective effect on child maltreatment risk and therefore decrease the likelihood of child protective services investigations. Using structural equation modelling, we tested the direct and indirect paths of the receipt of child care subsidies to physical abuse or neglect. We found only direct effects of receiving child care subsidies on both physical abuse and neglect investigations. The findings suggest an important protective role of child care subsidies in the lives of low‐income families.