IMPACT OF PRODUCTIVITY MEASUREMENT SYSTEMS ON MUNICIPAL PERFORMANCE

Recently, a challenge to the use of traditional productivity and performance measurement tools has emerged. The focus of this debate i s whether such tools are instrumental for making critical trade-off decisions or program changes. In a nationwide survey of municipalities on this subject, the authors found that performance measurement systems are used across a number of service-related functions. While their perceived contribution to overall municipal performance tended to diminish for Individual worker productivity and morale concerns, the respondents-on balance-viewed the returns from performance measurement systems as worth the costs. The work concludes with several implications for possible adoption. Copyright 1985 by The Policy Studies Organization.

Hand dermatitis among female nursing students in tropical Australia

Although hand dermatitis is known to affect nursing students worldwide, the prevalence among their Australian counterparts has not been elucidated and the relative contribution of tropical environments is unclear. Therefore, we conducted the first investigation of hand dermatitis among 232 female, undergraduate nurses in tropical Australia using a previously validated methodology. Hand dermatitis prevalence rose from 10.8% in the first year to 27.4% by the third year and averaged 18.5% across all three grades. Pre-existing atopic dermatitis caused a 7.8-fold risk increase during logistic regression analysis (odds ratio [OR] 7.8, 95% confidence interval [CI] 3.0–21.1, P < 0.0001). Overall, this study suggests that hand dermatitis is less common among tropical Australian nursing students than their counterparts around the world. The identification of atopic dermatitis as a hand dermatitis risk factor was, however, consistent with previous research conducted in non-tropical areas