Restoring Meaning to Supervision Through a Peer Consultation Group in Rural Australia

The establishment of a cross-discipline peer consultation group in regional Australia is described. A research project, which explored the impact of the peer consultation on participants, using pre-group and post-group evaluation surveys along with data from an externally facilitated group evaluation session is discussed. Key findings reveal the value of access to varied modes of supervision; the importance of supervision not feeling like being subjected to surveillance; and the contribution that positive experiences of peer consultation have for our participants' well-being. The potential for improved connection and mutual benefits for practice and academia in sponsorship of professional peer consultation by regional universities also emerges from this research. The effectiveness of contemporary workplace counselling supervision arrangements, and of what, precisely, the enjoyment of engaging in case discussions in peer consultation groups is constituted are areas for more exploration.     

On tail behaviour of kth upper order statistics under fixed and random sample sizes via tail equivalence

For a fixed positive integer k, limit laws of linearly normalized kth upper order statistics are well known. In this article, a comprehensive study of tail behaviours of limit laws of normalized kth upper order statistics under fixed and random sample sizes is carried out using tail equivalence which leads to some interesting tail behaviours of the limit laws. These lead to definitive answers about their max domains of attraction. Stochastic ordering properties of the limit laws are also studied. The results obtained are not dependent on linear norming and apply to power norming as well and generalize some results already available in the literature. And the proofs given here are elementary.     

Correlates of physical activity in a community sample of older adults in Appalachia

Although much has been learned about the global determinants of physical activity in adults, there has been a lack of specific focus on gender, age, and urban/rural differences. In this church-based community sample of Appalachian adults (N = 1,239), the primary correlates of physical activity included age, gender, obesity, and self-efficacy. Overall, 42% of all participants and 31% of adults age 65 years or older met recommended guidelines for physical activity, which suggests that most participants do not engage in adequate levels of physical activity. Of participants who met physical activity guidelines, the most common modes of moderate and vigorous activity were walking briskly or uphill, heavy housework or gardening, light strength training, and biking. These particular activities that focus on building self-efficacy might be viable targets for intervention among older adults in rural communities.     

Water Insecurity: A Case for Social Policy Action by Social Workers

Abstract

This article discusses the nationally and internationally urgent water insecurity issue, and why it represents a highly relevant area for social policy action by social workers, both at local and global levels. Drawing on secondary data analysis, the paper explores the nature and scope of water insecurity as a global social work issue, discusses its social policy dimensions, and suggests a framework for social policy action by social workers. It argues that, due to the complex nature of the water insecurity issue and its consequences, particularly on the poor and disadvantaged groups, and on ecosystems, it is critical to analyse it from conservation, distribution, and access perspectives and to act. Social workers need to think creatively about the application of their knowledge, skills, and virtues to the water insecurity issue in order to bring about necessary changes in human and institutional behaviour relating to water.     

Food Insecurity in Regional Rural Australia

ABSTRACT

This study explores food relief recipients' and providers’ experiences and perceptions of food insecurity in a large regional town in Australia. The cross-sectional qualitative methods research design incorporated survey-based interviews of four food relief services, a focus group of food relief recipients and two biographical interviews of food insecurity experience. Qualitative thematic data analysis provided insight into the respondents’ experience and perceptions of the causes of food insecurity, the provision of food relief and the limitations of a charity model. An ecological-model-based analysis shows that food insecurity is the product of multiple complex causes including chronic and situational poverty. Political dimensions emerged in terms of the policies that are developed or omitted.

IMPLICATIONS

• Social workers need to advocate for the human right to food and strengthen capacity at multiple levels to improve food security.

• Improving access to quality and culturally appropriate food requires the implementation of multiple strategies.

     

Creating & sustaining a blame-free culture: a foundation for process improvement

Discover steps that physician leaders can take to end the blame game and begin working as a much more functional and focused team.     

The distribution of the product of two independent generalized trapezoidal random variables

ABSTRACT

In this article, we derive the probability density function (pdf) of the product of two independent generalized trapezoidal random variables having different supports, in closed form, by considering all possible cases. We also show that the results for the product of two triangular and uniform random variables follow as special cases of our main result. As an illustration, we obtain pdf of product for a suitably constrained set of parameters and plot some graphs using MATLAB, which express variation in pdf with change in different parameters of the generalized trapezoidal distribution.     

Supply chain configuration conundrum: how does the pharmaceutical industry mitigate disturbance factors?

How a supply chain (SC) is configured can have a significant impact on the performance of global firms. More specifically, disturbance factors (i.e. those factors associated with uncertainty and risk) are increasingly important considerations. This paper focuses on endogenous, exogenous and environment-related SC disturbance factors and their relative importance when configuring global SCs. Three alternative scenarios of SC configurations for European-based pharmaceutical firms are identified – insource nearshore, outsource nearshore and outsource offshore. Through a multi-phase, mixed-methods approach we find that the top five disturbance factors managers should be aware of while configuring their SCs are quality defects, unforeseen and random interruptions in manufacturing processes, order processing difficulties, untimely delivery of products and a mismatch between market demand and supplier responsiveness. This study is able to provide insights into the impact of disturbance factors on the SC configuration strategy for Big Pharmas (BPs). We show that SC disturbances influenced the decision to bring production back home (reshoring) or to a closer location (nearshoring). To mitigate the effects of disturbances many BPs recalibrated their SC configurations by insourcing core products, outsourcing non-core products offshore and developing offshore insourcing capabilities through ‘captives’.