Christopher Donoghue

Updating the Bogardus social distance studies: a new national survey

Abstract The last quarter of the 20th century witnessed a number of events and social transformations that have had great implications for religious and ethnic relations around the world. This study seeks to gauge the changes in sentiment towards various U.S. ethnic and religious groups by updating and replicating the Bogardus social distance scale. The Bogardus study, which was designed to measure the level of acceptance that Americans feel towards members of the most common ethnic groups in the United States, was conducted five times between 1920 and 1977 with very few changes in research design. Consistent with prior replications, the authors of this study collected a random sample of 2,916 college students and administered the social distance scale in the form of a questionnaire. The findings indicate that the mean level of social distance towards all ethnic groups, as well as the spread between the groups with the highest and lowest levels of social distance, decreased since 1977. Mean comparisons and ANOVA test also showed that gender, nation of origin, and race are all significant indicators of the level of social distance towards all groups.

Nursing Home Staff Turnover and Retention: An Analysis of National Level Data

The goals of this study are to provide national estimates of turnover and retention for registered nurses, licensed practical nurses, and certified nursing assistants in nursing homes, and to examine the associations between management tenure, organizational characteristics, local economic conditions, turnover, and retention. The 2004 National Nursing Home Survey is used as the primary source of data. The annualized turnover rate is found to be the highest among certified nursing assistants at 74.5%, followed by registered nurses at 56.1%, and licensed practical nurses at 51.0%. National retention rates reveal that between 62.5% and 67.3% of nurses have been employed at the same organization for more than one year. Director of nursing tenure, registered nurse hours per patient day, and certified nursing assistant hours per patient day show the most consistent associations to lower turnover and higher retention.

Leadership styles of nursing home administrators and their association with staff turnover.

PURPOSE The purpose of this study was to examine the associations between nursing home administrator (NHA) leadership style and staff turnover. DESIGN AND METHODS We analyzed primary data from a survey of 2,900 NHAs conducted in 2005. The Online Survey Certification and Reporting database and the Area Resource File were utilized to extract organizational and local economic characteristics of the facilities. A general linear model (GLM) was used to estimate the effects of NHA leadership style, organizational characteristics, and local economic characteristics on nursing home staff turnover for registered nurses (RNs), licensed practical nurses (LPNs), and nurses aides (NAs). RESULTS The complete model estimates indicate that NHAs who are consensus managers (leaders who solicit, and act upon, the most input from their staff) are associated with the lowest turnover levels, 7% for RNs, 3% for LPNs, and 44% for NAs. Shareholder managers (leaders who neither solicit input when making a decision nor provide their staffs with relevant information for making decisions on their own) are associated with the highest turnover levels, 32% for RNs, 56% for LPNs, and 168% for NAs. IMPLICATIONS The findings indicate that NHA leadership style is associated with staff turnover, even when the effects of organizational and local economic conditions are held constant. Because leadership strategies are amenable to change, the findings of this study may be used to develop policies for lowering staff turnover.

Challenging the Authority of the Medical Definition of Disability: An analysis of the resistance to the social constructionist paradigm

This article attempts to explain why the social constructionist paradigm has failed to replace the medical model in American disability theory. The social movement led by American disability activists attempted to reframe the definition of disability using a minority group model based on the social constructionist paradigm. This paper argues that the disability movement was unable to successfully advance the social constructionist paradigm because the activists accepted the Americans With Disabilities Act (1990) despite its ideological basis in the medical model of disability, and the social constructionist theory does not adequately account for the importance of structural constraints to redefinition.

Voluntary and Involuntary Nursing Home Staff Turnover

The goal of this study was to identify nursing home characteristics that have differential associations to voluntary and involuntary turnover among formal caregivers (i.e., registered nurses, licensed practical nurses, and nurse aides). Primary data from 354 facilities from four states were merged with data from the 2004 Online Survey, Certification and Recording system. Multinomial logistic regression analyses were conducted to determine whether organizational characteristics were related to a greater probability of high or low levels of voluntary and involuntary turnover among formal caregivers. The analysis revealed that a higher ratio of nurses to beds, a smaller number of quality-of-care deficiencies, and a smaller proportion of residents using Medicaid were all associated with lower voluntary turnover but higher involuntary turnover. The findings indicate that controlling turnover is a complex process that may involve monitoring the organizational levels not only of voluntary separations but also of involuntary terminations.

Organizational and environmental effects on voluntary and involuntary turnover.

Background: There are few studies of voluntary and involuntary turnover in the nursing home literature. Previous research in this area has focused mainly on the linear effects of individual and organizational characteristics on total turnover. Purposes: The purpose of this study was to examine both linear and nonlinear effects of organizational and environmental conditions on voluntary and involuntary nursing home staff turnover. Methodology/Approach: We analyzed both primary and secondary data on 854 nursing homes in six states. A negative binomial regression model was used to study both linear and curvilinear effects of organizational and environmental factors on voluntary and involuntary turnover among registered nurses, licensed practical nurses, and nurse aides. Findings: Staffing levels and deficiency citations were the organizational characteristics most consistently linked with turnover among all nurse types. Links were also found between unemployment and type of location (urban or rural) and turnover, indicating that the economic environment is influential for retention. Practice Implications: The results of this study support the notion that policy makers need to consider both the organization and the environment when evaluating the nature of nursing home staff turnover. The findings also offer further evidence that the antecedents of voluntary and involuntary turnover are not necessarily the same.

The percentage of beds designated for medicaid in american nursing homes and nurse staffing ratios.

Abstract Previous analyses of the inverse relationship between a nursing homes Medicaid census and its quality of care have been based on samples limited to specific geographic regions, for-profit entities, or only skilled care facilities. The present study uses national-level data from the 1999 National Nursing Home Survey to examine the association between the proportion of beds designated for Medicaid residents and nurse staffing ratios. The results indicate that homes which designate a higher proportion of their beds for Medicaid recipients maintain lower ratios of registered nurses and nurses aides to residents, even when key facility characteristics are controlled. It was also found that nursing homes with a higher proportion of Medicaid beds offer lower nursing ratios regardless of their profit status or the difference between private pay rates and Medicaid reimbursement rates. Since lower nursing ratios have been previously linked to negative outcomes, these findings suggest that homes which rely more heavily upon Medicaid recipients may be using cost-cutting strategies which have negative implications for quality.

Young people’s perceptions of advice about sexual risk taking

Abstract Sexual and reproductive health indicators for young people in the USA have improved in recent decades, but teenage pregnancies remain high, and large differences between Whites and non-Whites persist in teenage births, abortions, and the acquisition of sexually transmitted infections. Prior research shows that young people are receptive to communication about sex from parents and friends, but peers have been found to be more influential on sexual risk taking. In this study of 617 young people aged 13–20 years in high-risk neighbourhoods for teenage pregnancy in New Jersey, we asked whether sexually inexperienced young people differed from sexually experienced young people in their level of receptivity to the recommendations from their parents, friends, and others about whether to have sex before marriage and whether to use a condom if sexually active. The results showed that the sexually inexperienced were more receptive to messages from figures of authority in their life than those sexually experienced. We also found that stronger message intensity from parents, friends, and others to delay sex until marriage and to use a condom if sexually active was associated with lower sexual intentions in the next six months and the use of a condom if sexually active in the last three months.

Sleep it off: Bullying and sleep disturbances in adolescents

INTRODUCTION Involvement in bullying is associated with negative health outcomes for adolescents. Recent studies suggest that bullying is related to sleep disturbances. The purpose of this study was to examine differences in sleep disturbances (bedtime fears, insomnia, parasomnias) between victims, bullies, and youth not involved in bullying, as well as to explore differences across various types of bullying behavior (verbal, physical, social, cyber). METHODS High school students ages 14-17 years (mean = 16.0) in the United States (n = 885; 57.3% female; 87.5% White) completed The Childrens Report of Sleep Patterns and questions about involvement in verbal, physical, social and cyberbullying. RESULTS Differences in all three sleep disturbances were found across groups, with victims and bully-victims reporting more sleep disturbances than bullies and youth not involved. A similar pattern was found across all bullying types, with more sleep disturbances for victims and bullyvictims. CONCLUSIONS The results of this cross-sectional study highlight the importance of screening youth for sleep disturbances that may indicate daytime issues with bullying or victimization, as well as the need for longitudinal studies to elucidate potential pathways between sleep and bullying/victimization.

Assessing the Impact of Emerging Anti-Bullying Legislation on Children and Youth

Abstract Purpose Anti-bullying legislation has been adopted in every state to prevent the victimization of youth, but the focus on deterring and criminalizing individual behavior can obscure the contextual factors that contribute to aggression. This theoretical paper engages sociological literature to understand the impact of recent anti-bullying legislation on students’ experiences. Design/methodology/approach We discuss stigma and account-making theory to theorize the ways students become particularly vulnerable to victimization and may or may not be sufficiently protected under the law. We also engage criminological theories to understand how punishment may not be sufficient for preventing aggressive behavior but may instead lead students to employ strategies to avoid being caught or punished for their behaviors. Findings We argue that the majority of current anti-bullying definitions and protocols in use are ambiguous and insufficient in protecting vulnerable groups of students, particularly students with disabilities, overweight students, and LGBT + students. Originality/value Our findings suggest that schools should seek to understand and alter the school-wide cultures and norms that permit aggressive behavior in the first place, in turn creating more inclusive school environments.