Complex home care: challenges arising from the blurring of boundaries between family and professional care

Over the last 50 years, increasingly complex care (such as tracheostomy management, dialysis or enteral feeding) has shifted from hospital to home, with a concomitant rise in patient self-management and care given by family members. Recognition of the importance of the contribution of family care to the health system is also growing. This article reports the findings of a New Zealand study which explored the experiences of family carers who manage technical health procedures at home. It then draws attention to some broader issues raised by shifting complex care from professional management in hospital settings to family care at home, namely the ways in which complex home care blurs the boundaries between professional and family care (creating the ambiguous position of the expert carer) and questions of safety and responsibility in family care. We also discuss the implications for policy around family caregiving in New Zealand. Given the potential physical and mental health impacts of caring, it is time for renewed consideration of what family carers should be expected or allowed to manage and how the health system can support them in their important role.     

Demands and Devotion: Cultural Meanings of Work and Overload Among Women Researchers and Professionals in Science and Technology Industries

How do cultural meanings influence how people experience work‐life demands? Much research, especially quantitative research, on the effects of structural work and family conditions does not account for employees’ cultural beliefs about the meaning of work in their lives. This article uses unique survey data to investigate the effects of employee embrace of elements of the “work devotion schema”—a cultural model that valorizes intense career commitment and organizational dedication—on their sense of “overload,” an experience that includes feeling exhausted and overloaded by all one's roles, net of actual hours on the paid job and family responsibilities. We argue that by cognitively, morally, and emotionally framing work as a valued end, the work devotion schema reduces feelings of overload. Using a case of senior women researchers and professional service providers in science and technology industries, we find that those who embrace work devotion feel less overloaded than those who reject it, net of work and family conditions. However, this effect is curtailed for mothers of young and school‐aged children. We end by discussing implications for flexibility stigma and gender inequality.     

Developing a model of disability that focuses on the actions of disabled people

Disabled people, writers on disability and disability activists stress the importance of disabled people being included in all aspects of society. I argue that a major omission from this inclusiveness is that no current model of disability focuses on the impact of the actions of disabled people on disability. Disabled people are not passive bystanders, powerless to reduce the restrictions of disability. On the contrary, we are central to actively limiting its constraints. I develop a model of disability, called ‘active’, which focuses on the effects on disability of the individual and collective actions of disabled people. I describe published findings which indicate that engaging in self-help, using support groups and deploying assistive technology can all reduce the limitations of disability. Recent increases in the number of disability support groups and developments in assistive technology have substantially augmented the potential for disabled people to combat the effects of disability.     

The state and the development of an information society: Greek policy and experience

The paper looks into the dynamics of information society policy and its implementation in the Greek context. It argues that information society development is a contested process, influenced by pre‐existing state, economy and society relations. Based on this, it looks into the different aspects of the idiosyncratic path which the evolution of the Greek information society has followed, particularly after 2000. Using Bob Jessop's strategic‐relational approach (SRA) to the state as an analytical framework and drawing on a number of in‐depth interviews with relevant political actors, it provides insights into policy implementation by examining: the public management of information technology projects, how such projects were received in bureaucratic structures and practices, as well as the relationship between the state and the information and communication technology (ICT) sector in public procurement processes. The emphasis is on the period 2000–2008, during which a major operational programme on the information society in Greece was put into effect. The paper also touches upon the post‐2008 experience, suggesting that information society developments might include dynamics operating independently and even in contradiction to the state agenda.     

The ‘digital glimpse’ as imagining home

This paper proposes the concept of the ‘digital glimpse’, which develops the existing framing of imaginative travel. Here it articulates the experiences of mobile workers digitally connecting into family life and everyday rituals when physically absent with work. The recent embedding of digital communication technologies into personal relationships and family life is reconfiguring how absence is experienced and practiced by workers on the move, and through this, new digital paradigms for life on-the-move are emerging. This paper explores how such social relationships are maintained at-a-distance through digital technology – using evidence from qualitative interviews with mobile workers and their families. Digital technology now enables expressive forms of ‘virtual travel’, including video calling, picture sharing, and instant messaging. This has implications for the ways in which families can manage the social and relational pressures of being apart. Experiences of imaginative travel created through novel media can enrich the experience and give a greater sense of connection for both those who are at home and those who are away. While technology is limited in its ability to replicate a sense of co-presence, ‘digital glimpses’ are an emergent set of sociotechnical practices that can reduce the negative impact of absence on family relationships.     

Too sexy too soon,or just another moral panic? Sexualization,children, and “technopanics” in the Australian media 2004–2015

In this paper, I analyze the discourse of what I argue are two moral panics that played out in the Australian media during the period 2004–2015: the sexualization of children debate, and the sexting panic, which appeared some years later. I argue that while the issue of the alleged sexualization of children is nothing new, the way that the issue has been constructed in the media has shifted during the last decade, with greater focus on children’s use of technology. By comparing these two panics, we can diagnose a shift in the nature of mass-media-based panics, from concerns about external sources of sexualization to concerns about children’s own practices of self-representation via contemporary technologies. Both panics mobilized a range of broader social anxieties about the commodification and sexualization of culture and the increasing agency of children, and panics in relation to contemporary mobile technologies are a collective response to shifts in the power relations between children, their parents, and other figures of authority.     

Late Adapters? How Social Workers Acquire Knowledge and Skills About Technology Tools

Little is understood about the scope of information and communication technology (ICT) use in practice for agency-based social work professionals, and still less is known about how such practitioners acquire and avail themselves of opportunities to learn about ICT tools. This study asked a sample of social work field supervisors (n?=?371) to describe their personal and professional ICT use, to rank the technological sophistication of their agency, to describe the barriers and facilitators to ICT use in their organizations and to operationalize environmental opportunities for acquiring new skills and knowledge. The authors examine factors that may influence technology use: asking if organizational culture is related to uptake in the professional context, and if self-reported individual resistance to innovation and change can explain voluntary adoption of ICT tools. The results offer a portrait of how agency-based social workers are using technology in personal and professional life, describe how these supervisors learn about developing technologies for practice, and highlight the gaps in technology infrastructures among agencies, pointing to directions for further exploration.     

高职院校煤矿开采技术专业课程模块化教学研究

根据高职院校煤矿开采技术专业人才的培养目标以及以此确立的职业岗位所需的知识结构和能力、素质要求,提出了在高职院校煤矿开采技术专业课程中实施模块化教学的基本思路和课程体系改革的基本原则,着重阐明了课程模块化设置的结构和各模块的课程设置。     

天津科技服务业发展研究——产业协同和制度谐振的视角

在界定科技服务业内涵的基础上,提出了科技服务业发展动因的理论框架,认为科技服务业与其他高技术行业的产业协同和科技服务业与制度的谐振是科技服务业发展的主要动因。运用统计数据分析了天津市科技服务业的发展历程和现状,对比了天津、深圳、北京和上海的科技服务业发展。分析了天津高新技术产业和制度环境对科技服务业发展的影响,以及这两方面动因与其他城市的差别。天津科技服务业发展与其他城市相比还有差距,主因在于高新技术产业发展和制度环境滞后,未来的发展需要从借力金融创新和滨海新区建设、加大政策倾斜和投入、推进市场化改革等方向入手。     

One step further from detected contradictions in a child welfare unit—a constructive approach to communicate the needs of social work when implementing ICT in social services

Unintended consequences were detected when a new client data system was taken into use in a child welfare unit in the City of Helsinki, the capital of Finland. This paper describes how social work was practiced during this period of change and analyses the phenomena involved. The concept of agency is central in the theoretical frame of this research. The data consist of written documents, participatory observation and the researcher's cooperation with the unit. Based on the data and by using the tools of semiotic sociology, the period of change was described in the form of four intersecting and parallel stories, each with a specific theme. These stories formed the basis for more theorising in which models of action theories were used. The results of this study showed that in the situation of inadequate human resource allocation for social work the data system took on a role of an agent. There was evidence of unintended consequences on the basic task in child welfare as the data system affected the work processes.