25,535 research outputs found
Conceptual controversies: comparing the quality of work and welfare for men and women across societies
This paper critically examines a range of typologies used in comparative employment and welfare state research. The approaches examined include the societal effect, varieties of capitalism, welfare state regimes and benchmarking approaches, and their feminist critiques. The article concludes by assessing the critical merits and implicit assumptions of using such typologies for comparative research on the quality of work and welfare for men and women
Clinical indicators of quality for Australian residential aged care facilities : establishing reliability, validity, and quality thresholds
Background: In response to the need for more comprehensive quality assessment within Australian residential aged care facilities, the Clinical Care Indicator (CCI) Tool was developed to collect outcome data as a means of making inferences about quality. A national trial of its effectiveness and a Brisbane-based trial of its use within the quality improvement context determined the CCI Tool represented a potentially valuable addition to the Australian aged care system. This document describes the next phase in the CCI Tool.s development; the aims of which were to establish validity and reliability of the CCI Tool, and to develop quality indicator thresholds (benchmarks) for use in Australia. The CCI Tool is now known as the ResCareQA (Residential Care Quality Assessment). Methods: The study aims were achieved through a combination of quantitative data analysis, and expert panel consultations using modified Delphi process. The expert panel consisted of experienced aged care clinicians, managers, and academics; they were initially consulted to determine face and content validity of the ResCareQA, and later to develop thresholds of quality. To analyse its psychometric properties, ResCareQA forms were completed for all residents (N=498) of nine aged care facilities throughout Queensland. Kappa statistics were used to assess inter-rater and test-retest reliability, and Cronbach.s alpha coefficient calculated to determine internal consistency. For concurrent validity, equivalent items on the ResCareQA and the Resident Classification Scales (RCS) were compared using Spearman.s rank order correlations, while discriminative validity was assessed using known-groups technique, comparing ResCareQA results between groups with differing care needs, as well as between male and female residents. Rank-ordered facility results for each clinical care indicator (CCI) were circulated to the panel; upper and lower thresholds for each CCI were nominated by panel members and refined through a Delphi process. These thresholds indicate excellent care at one extreme and questionable care at the other. Results: Minor modifications were made to the assessment, and it was renamed the ResCareQA. Agreement on its content was reached after two Delphi rounds; the final version contains 24 questions across four domains, enabling generation of 36 CCIs. Both test-retest and inter-rater reliability were sound with median kappa values of 0.74 (test-retest) and 0.91 (inter-rater); internal consistency was not as strong, with a Chronbach.s alpha of 0.46. Because the ResCareQA does not provide a single combined score, comparisons for concurrent validity were made with the RCS on an item by item basis, with most resultant correlations being quite low. Discriminative validity analyses, however, revealed highly significant differences in total number of CCIs between high care and low care groups (t199=10.77, p=0.000), while the differences between male and female residents were not significant (t414=0.56, p=0.58). Clinical outcomes varied both within and between facilities; agreed upper and lower thresholds were finalised after three Delphi rounds. Conclusions: The ResCareQA provides a comprehensive, easily administered means of monitoring quality in residential aged care facilities that can be reliably used on multiple occasions. The relatively modest internal consistency score was likely due to the multi-factorial nature of quality, and the absence of an aggregate result for the assessment. Measurement of concurrent validity proved difficult in the absence of a gold standard, but the sound discriminative validity results suggest that the ResCareQA has acceptable validity and could be confidently used as an indication of care quality within Australian residential aged care facilities. The thresholds, while preliminary due to small sample size, enable users to make judgements about quality within and between facilities. Thus it is recommended the ResCareQA be adopted for wider use
Information in Financial Market Indicators An Overview
This paper gives an overview on how interest rate instruments such as government bonds can be used to assess financial market expectations.
Band engineering in dilute nitride and bismide semiconductor lasers
Highly mismatched semiconductor alloys such as GaNAs and GaBiAs have several
novel electronic properties, including a rapid reduction in energy gap with
increasing x and also, for GaBiAs, a strong increase in spin orbit- splitting
energy with increasing Bi composition. We review here the electronic structure
of such alloys and their consequences for ideal lasers. We then describe the
substantial progress made in the demonstration of actual GaInNAs telecomm
lasers. These have characteristics comparable to conventional InP-based
devices. This includes a strong Auger contribution to the threshold current. We
show, however, that the large spin-orbit-splitting energy in GaBiAs and GaBiNAs
could lead to the suppression of the dominant Auger recombination loss
mechanism, finally opening the route to efficient temperature-stable telecomm
and longer wavelength lasers with significantly reduced power consumption.Comment: 27 pages, 11 figure
Theoretical considerations in cross-national employment research
This article critically reviews a range of theoretical approaches to cross-national employment research. It classifies these studies in terms of universal and culturalist perspectives. Universalists tend to ignore the concept of culture, or at best acknowledge it as a marginal phenomenon or additional variable. Culturalists, on the other hand, have sought to integrate the concept of culture into their analysis at a socio-economic and institutional level as well as at the psychological level of the individual. The emphasis on similarities between countries tends to lead to a universalist approach, whilst the emphasis on difference is often supported by a more culturalist perspective. This review highlights that the shortcomings of these approaches in terms of accounting for change and the co-existence of similarity and diversity. Further more, these studies, for the most part, are blind to the affects and effects of gender on industrial organisation and employment practices. -- In dem Beitrag werden theoretische AnsĂ€tze fĂŒr international vergleichende BeschĂ€ftigungsstudien kritisch ĂŒberprĂŒft. Die Studien werden nach universalistischen und kulturalistischen AnsĂ€tzen unterschieden. Universalisten tendieren dazu, die Kategorie Kultur zu ignorieren oder sie bestenfalls als ein marginales PhĂ€nomen oder eine zusĂ€tzliche Variable zu akzeptieren. Kulturalisten auf der anderen Seite haben versucht, in ihren Analysen das Kultur-Konzept auf einer sozioökonomischen, institutionellen und individualpsychologischen Ebene zu integrieren.
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