Dissemination to research subjects: operationalizing investigator accountability

Recent articles have argued from principles of bioethics for the right of research subjects to receive the results of the studies in which they have participated. We argue that accountability is a powerful tool of meso-level analysis appropriate to reasoning about answerability in research ethics, and that it captures the responsibility of researchers to disseminate study results to research subjects. We offer the following features of the research situation as relevant to the manner of dissemination to study subject, in addition to factors already proposed in the literature (risk and impact on health outcome): (a) features of the research subject in relation to identity, personal investment, disease, and community; (b) characteristics of the research study and field of inquiry in relation to certainty and significance; and (c) relationships among the research subjects and the healthcare workers involved in their care and in the research.     

更富裕是否意味着更幸福?基于横截面时间序列数据的分析(2003-2013)

四十年前,经济学家伊斯特林提出了“幸福感悖论”:短时期内个人和国家的财富水平与幸福感都正向相关,而在长期背景下,经济增长并不会显著提高整体幸福感水平。本文使用横跨十年的全国代表性横截面时间序列数据直接检验了财富与幸福感的关系,结果证实了“幸福感悖论”。研究发现,虽然在短时期内,无论是家庭人均收入还是省份的人均生产总值都与幸福感有显著的正相关,但在经济高速发展的十年内(2003-2013),省份人均生产总值的变化与幸福感的变化之间并没有显著相关。     

The South-to-North migration of women

"This article challenges the conventional wisdom that, since the circa 1974 discontinuation of policies encouraging temporary labor migration, female migration has significantly outnumbered male migration. Drawing on data from Belgium, Germany, the United Kingdom and the United States, the article shows that the proportion of women in gross immigration is lower when the flows originate in developing rather than in developed countries. Women outnumber men only in terms of net migration. Each receiving country has its own variations on these generalizations, with the chief variables being the receiving countries' admission policies and the stage in migration history of the expatriate population."     

NASW’s Supervisory Leaders in Aging: An Acceptable and Feasible Model for Training and Supporting Social Work Supervisors

Social services are instrumental in addressing challenges associated with aging. Yet, practitioners report needing expanded gerontological knowledge and better supervision. The Supervisory Leaders in Aging (SLA) program of the National Association of Social Workers (NASW) was designed to improve gerontological services by strengthening supervision of the social service workforce. With support from the John A. Hartford Foundation, the program was adopted between 2015 and 2017 in four regions, where NASW trained 134 MSW supervisors who support 1200 social service staff, potentially enhancing the well-being of 264,000 clients annually. The SLA curriculum and in-person educational approach constitute a model for supervisor professional development. Quality improvement evaluations suggested feasibility of program adoption and acceptability. Participants rated each of 10 workshops and 97% agreed that instructors were effective, that knowledge was expanded, and that content was relevant, appropriate, and likely to be used. Implications of this model for enhancing supervisory practice are discussed.     

相对收入与主观幸福感:检验农民工的多重参照群体

尽管社会经济地位低于城市居民，农民工的主观幸福感却更高。这种客观经济地位与主观福利评判的不一致有两种解释：同质性参照群体假设和向上流动期望假设，暗示农民工在进行社会比较时会选择不同的参照群体。基于一项大规模全国代表性的调查数据，本文通过建构农民工的多个参照群体检验了上述假设，结果验证了同质性参照群体假设：控制个人收入后，同省其他农民的平均收入越高，农民工的生活满意度越低；加入农民的平均收入后，农民工相对于城市就业居民的生活满意度优势消失，甚至转为劣势。向上流动期望假设未获支持：城市就业居民的平均收入对农民工的生活满意度没有显著影响，而且这样的“零效应”可能并非由于向上流动期望的压抑影响造成的。     

Psychosocial Care in Nursing Homes in the Era of the MDS 3.0: Perspectives of the Experts

Meeting psychosocial needs of nursing home residents is increasingly regarded as a critical component of care, and the nationally-mandated nursing home care screening instrument— the Minimum Data Set (MDS) 3.0—was modified and implemented in 2010 to promote better assessment of psychosocial needs and health. Recognizing the importance of psychosocial well-being among nursing home residents, and the promise of MDS 3.0 for improving psychosocial care, this article reports recommendations derived from a conference of stakeholders representing diverse disciplines and organizations regarding next steps following MDS 3.0 screening. Results relate to seven areas of psychosocial care and address cross-cutting recommendations to improve psychosocial care.     

Psychosocial care in nursing homes in the era of the MDS 3.0: perspectives of the experts

Meeting psychosocial needs of nursing home residents is increasingly regarded as a critical component of care, and the nationally-mandated nursing home care screening instrument- the Minimum Data Set (MDS) 3.0-was modified and implemented in 2010 to promote better assessment of psychosocial needs and health. Recognizing the importance of psychosocial well-being among nursing home residents, and the promise of MDS 3.0 for improving psychosocial care, this article reports recommendations derived from a conference of stakeholders representing diverse disciplines and organizations regarding next steps following MDS 3.0 screening. Results relate to seven areas of psychosocial care and address cross-cutting recommendations to improve psychosocial care.     

Evidence-based practice for youth in supervised out-of-home care: a framework for development, definition, and evaluation

Adolescents comprise more than half of the children in child welfare supervised out-of-home care. This article considers the evidence-base for an array of services to adolescents in out-of-home care and evaluates the existing research base for each program. This review advances a framework for considering the critical need to develop, define, and evaluate the essential elements of out-of-home care services for older foster youth. Policy, program, and evaluation recommendations are forwarded.     

Poverty and Pediatric Palliative Care: What Can We Do?

It has been recognized that families of children with life-limiting health conditions struggle with significant financial demands, yet may not have awareness of resources available to them. Additionally, health care providers may not be aware of the socioeconomic needs of families they care for. This article describes a mixed-methods study examining the content validity and utility for health care providers of a poverty screening tool and companion resource guide for the pediatric palliative care population. The study found high relevance and validity of the tool. Significant barriers to implementing the screening tool in clinical practice were described by participants, including: concerns regarding time required, roles and responsibilities, and discomfort in asking about income. Implications for practice and suggestions for improving the tool are discussed. Screening and attention to the social determinants of health lie within the scope of practice of all health care providers. Social workers can play a leadership role in this work.