Search results

The aim of this paper is to present the literature which identifies the characteristics of small enterprises and outlines the opportunities to utilise them in working with small businesses to prevent and reduce exposures to hazardous substances.

A search of a variety of data sources, including Medline, PubMed, Web of Science, Google Scholar, was conducted which combined the keyword search terms “small business”, “small enterprise”, “management”, “health and safety management”, “hazardous substances”, “hazardous chemicals”, “management of hazardous substances”. High quality studies were selected and combined with studies known to the authors.

A strong body of evidence exists which shows that the management of OSH in small enterprises has been extensively reviewed and the most recurring theme is the identification of problems and challenges. A growing body of literature also confirms that models for chemical risk management and social responsibility issues can play a key role in managing hazardous chemical exposures in small enterprises. Furthermore, studies have shown that there are certain characteristics of small business that potentially provide positive opportunities for the implementation of preventive interventions.

The paper identifies these characteristics and features and suggests these can be effectively utilised in the design and development of interventions to prevent and reduce exposures to hazardous substances in small enterprises. Few interventions, however, have been developed utilising these positive characteristics.

English teacher candidates have limited opportunities to examine classroom-based discussions about LGBTQ-themed texts and heteronormativity in teacher education courses. This chapter presents one effort to address this issue using a video-based field experience in the English Methods course that demonstrated a critical unit of instruction about the play, Angels in America. The chapter provides a description of the project and English teacher candidates’ perspectives about what they learned for English educators interested in devising similar projects for their courses.

The disparities of COVID-19 vaccination rates between the rural and urban areas have become apparent during this pandemic. There is a need to understand the root causes of vaccine hesitancy demonstrated by the rural population to increase coverage and to contain the disease spread throughout the United States. This study aimed to explore other factors influencing vaccine hesitancy among rural dwellers besides the geography-related barriers such as poor health care access and individuals having no or suboptimal insurance coverage.

By reviewing existing data and literature about vaccination, health literacy, and behaviors, and prevailing ideologies, we discuss the potential causes of vaccine hesitancy in rural areas that could create barriers for successful public health efforts related to vaccine coverage and provide suggestions to ameliorate the situation.

Geography-related barriers, health literacy, and preconceived notions are key determinants of adopting healthy behaviors and complying with public health authorities' recommendations among rural individuals during a public-health crisis. We argue that ideology, which is much deeper than preconception or misconception on vaccination, should be incorporated as a key factor to redefine the term “vulnerable populations” in public health research.

The limitation of our study is that we have not found an effective way to encourage the populations who hold conservative religious and political ideologies to join the efforts for public health. Even though geography-related barriers may strongly impact the rural dwellers in achieving optimal health, the various forms of ideologies they have toward certain health behaviors cannot be discounted to understand and address vaccine-related disparities in rural areas. There is a need to redefine the term “vulnerable population” particularly as it relates to rural areas in the United States. During large-scale public health disasters, scholars and public health authorities should consider the ideologies of individuals, in addition to other factors such as race/ethnicity, area of residence (rural vs. urban), and socioeconomic factors influencing the existing vulnerabilities and health disparities.

Work–family balance is important for working parents, their children, and their family functioning. However, little research has considered how one’s sense of work–family balance may influence parenting behavior. The purpose of this study is to investigate whether perceived work–family balance of fathers of infants predicts engagement behaviors and whether stress mediates this relationship. The sample (n = 64) completed a phone survey, and data analysis consisted of linear regression tests and path analysis models for mediation. Perceived work–family balance did not significantly predict overall father engagement, but did predict fathers telling stories to their infant more often (B = 0.91, t(55) = 2.22, p < 0.05) and dressing their infant more often (B = 0.70, t(55) = 2.05, p < 0.05). Although perceived work–family balance was found to have a significant negative effect on father stress (r = –0.48, p < 0.001), stress did not mediate the relationship between perceived work–family balance and the two engagement behaviors. Greater perceived work–family balance may encourage engagement in behaviors above and beyond the stereotypical fathering behaviors (e.g., playing) and basic caregiving behaviors (e.g., changing diapers). Limitations include a small sample size, cross-sectional nature of the data, and self-report measures. It is recommended future studies use longitudinal designs, larger samples that differ in family type, and include mothers. This study provides preliminary evidence that one’s perceived work–family balance may influence parenting behaviors; thus, workplace policies that increase work–family balance, through greater job flexibility, for example, could promote positive family outcomes and reduce stress.

The purpose of this qualitative research study is to explore health-care providers’ perspectives and experiences with a specific focus on supports reported to be effective during the COVID-19 pandemic. The overarching goal of this study is to inform leaders and leadership regarding provision of supports that could be implemented during times of crisis and in the future beyond the pandemic.

Data were collected by semi-structured, conversational interviews with a sample of 33 health-care professionals, including Registered Nurses, Nurse Practitioners, Registered Psychologists, Registered Dieticians and an Occupational Therapist.

Three major themes emerged from the interview data: (1) professional and personal challenges for health-care providers, (2) physical and mental health impacts on health-care providers and (3) providing supports for health-care providers. The third theme was further delineated into three sub-theses: formal resources and supports, informal resources and supports and leadership strategies.

Health-care leaders are advised to pay attention to the voices of the people they are leading. It is important to know what supports health-care providers need in times of crisis. Situating the needs of health-care providers in the Carter and Bogue Model of Leadership Influence for Health Professional Wellbeing (2022) can assist leaders to deliberately focus on aspects of providers’ wellbeing and remain cognizant of the supports needed both during a crisis and when circumstances are unremarkable.

Purpose: To understand how lesbian, bisexual, transgender, queer, and asexual (LBTQA+) young women interpret the social construction of “lesbian obesity” in the context of their lived experiences and membership in the LGBTQ+ community.

Methodology: Individual, in-depth interviews were conducted with a convenience sample of 25 LBTQA+ women, ages 18–24, to explore how participants perceive and experience dominant discourses about gender, sexuality, and weight. Interviews were analyzed using a combination of deductive and inductive coding approaches.

Findings: Participants resisted public health discourse that frames obesity as a disease and the implication that their sexual identities put their health at risk. Many participants viewed their sexual identities and membership in the LGBTQ+ community as protective factors for their health statuses in general and their body image in particular.

Implications: Our findings suggest a need to reconsider the utility of the concept of “lesbian obesity” to characterize the significance of elevated rates of overweight and obesity in this population. Public health and clinical interventions guided by body positive approaches may be of greater relevance for sexual minority women.

Originality: This study centers the perceptions and experiences of LBTQA+ young women in order to examine how the intersections of sexual minority identity, dominant cultural ideals about weight, and obesity discourse inform their health.

The purpose of this paper is to highlight the importance of a multi-level approach consisting of individual, human resource management (HRM) team, and organizational contingency factors when considering the efficacy of HR devolvement efforts. The authors accomplish this through a review of the relevant devolvement literature to show how outcomes are impacted by contingency factors, which highlights a gap in extant scholarship, and the authors organize the literature in a way that is meaningful to future researchers interested in the topic as well as practitioners involved with its implementation.

The authors use a narrative review approach to describe previous devolvement research (e.g. Hammersley, 2001; Harvey and Moeller, 2009). In contrast to a systematic review more commonly seen in quantitative meta-analyses, a narrative review allows for a more descriptive and detailed analysis and critique of quantitative, qualitative, and theoretical research (Bezrukova et al., 2012; Posthuma et al., 2002). This methodology produced over 300 books, journal articles, magazine articles, and discussion papers. In this review, the authors chose to focus only on those peer-reviewed papers reporting empirical findings or developing theoretical arguments surrounding devolvement.

While the studies reviewed herein are admirable and help call attention to an important topic in HRM, they nonetheless fail to provide a comprehensive understanding of contingencies affecting devolvement as they do not consider the multi-level nature of the phenomenon. Therefore, the authors’ contribution lies in the identification and categorization of contingency factors affecting the occurrence of devolvement operating at the individual, HRM team, and organizational levels.

As devolvement continues to be a viable means for assigning HR responsibilities from the human resources department to managers, its effects can have an impact on organizational performance, the strategic positioning of HR, and various job attitudes of line managers. Therefore, a clearer picture of devolvement in order to understand its continued significance is an important contribution.

Purpose: We analyze how medical providers use accountability processes or the regulatory means through which individuals hold themselves or others accountable to social norms, to uphold their medical authority. We use the case of trans medicine because in this medical domain, providers often have little to no expertise and few are trained specifically in delivering trans medicine or working with trans patients. As a result, providers experience uncertainty and are left without the typical tools and expertise on which they depend in most other areas of medical decision-making.

Design/methodology/approach: We conducted in-depth interviews with 23 medical providers and observations of transgender healthcare conferences in the United States between 2012 and 2015.

Findings: Our work offers insight into the provider side of patient-provider encounters and medical decision-making in gender minority health. The first accountability strategy providers employed was to invoke the language of evidence as a method to maintain their authority, in spite of the paucity of scientific evidence that undergirds this emergent medical domain. The second strategy was to mandate compliance by holding trans people accountable to the expectation of acquiescing to medical authority.

Originality/value: We contribute to the scholarship on gender minority health by examining how high power actors use accountability processes to restore order in interactions with trans and nonbinary patients. We demonstrate how enforcement to expectations through accountability processes is a plausible, though oft-overlooked, dimension of health inequalities.

The purpose of the chapter is to explore perceptions of the Obama presidency among a purposive sample of students attending Historically Black Colleges and Universities (HBCUs).

The methodology involved structured focus groups (n = 20) and on-line questionnaires (n = 180).

A majority (72%) felt that the Obama presidency had increased their sense of racial pride and less than half (43%) reported that it had enhanced their confidence in the US political system. Most students rejected the idea of unconditional support for Obama and 45% disagreed that the presidency was “worth the price of the ticket,” that is, worth any cost just to have a black president in office. The majority also agreed that the President must serve all and not any particular racial group. Most of the undergraduates rated his two terms in office as “successful” and many cited racism as a cause of opposition to his initiatives. Most also rejected the notion of color blindness.

Regarding policy priorities, the majority of students felt that it was a good idea to pursue health care reform and most felt that the roll out debacle was “not his fault”; nearly half disagreed with the use of military drones to attack terrorists; 75% agreed with his approach to immigration reform; and 63% agreed with his stance on the same sex marriage.

Research limitations are that non-random sampling was used, which does not allow for generalizations regarding other HBCU or Atlanta University Center students. The study is original in that most research works on perceptions of this presidency have been based on party affiliation or age and ignored perspectives of HBCU students.

Often overlooked in discussions related to how to ensure accessible and affordable high-quality early childhood education is the heavy burden that has been carried by the early childhood workforce; the data reveal a level of exploitation of this workforce that must be considered and addressed. This chapter will focus attention on the economic realities of the early childhood workforce as a key element to achieve equitable access to affordable high-quality early childhood services.