Family supportive organization perceptions, work role overload, and burnout: crossover effects of burnout on recovery

The present study is a dyadic examination of the effects individuals’ perceptions of their partners’ burnout have on the individuals’ burnout and their ability to recover from work demands. The effects of burnout were investigated in light of the presence of the buffer of family-supportive organization perceptions. The proposed model for the study was tested using statistical equation modeling (N = 300 cohabiting couples). Family-supportive organization perceptions were shown to mitigate the influence of work role overload on an individual’s burnout and positively relate to recovery from work. In the model, individuals’ perceptions of their partners’ burnout was driven by both the partners’ actual burnout and the individuals’ own burnout. The predicted crossover effects between individuals’ burnout and their partners’ work recovery were non-significant; also the predicted feedback loop between individuals’ perceptions of their partners’ burnout and the individuals’ work recovery was non-significant. Potential factors influencing these null results and avenues for future research are discussed

On becoming a consultant: a study exploring the journey to consultant practice

Background: This paper reports a qualitative study exploring the establishment of non-medical consultant roles in Radiography. Given the difficulties reported in recruiting and retaining staff in these posts, we hope this paper offers a historical documentation of those consultants who were some of the first in post, sharing their stories of how they obtained and transitioned into their roles. Methods: This paper is part of a two year case study exploring the leadership domain of consultant practice. The focus of this paper is a reflection, by the consultants, of their journey to becoming a consultant; a documentation of some of the practical issues in establishing the roles; and the transition to higher levels of practice. Eight consultant radiographers participated in the initial interviews (two consultants withdrew from the study subsequent to this). In-depth iterative interviewing was used to explore and record individual stories and experiences. Findings: The consultants shared their perceptions of being in post, including their own motivation to progress to a new role, how prepared they felt initially, the lack of role models, the lack of clarity surrounding the role and a perception of ‘being on display’. Conclusions: The paper offers insight into the journey of these consultants and some of the common characteristics they share. These characteristics give some indication of what motivated them to step into higher level roles, in particular the need to drive change and improvement. The paper also offers suggestions for how the transition into the role could be more effectively supported

Organization benefits - the panacea for all that ails you? A dyadic, dual-earner investigation of organization-offered benefits and their effect on individuals and their partners

In an effort to attract and retain top talent, organizations often offer and implement various organization benefits. The focus of this dissertation is on the outcomes of those offered organization benefits on employees and their partners. Three types of organization benefits were assessed: family-friendly benefits, financial and compensation benefits, and health care and wellness benefits. Additionally, the connection between the offering of these benefits with family-supportive organization perceptions was also examined. Family-supportive organization perceptions was shown to directly and indirectly link to individual-level outcomes including work-to-family conflict and psychological wellbeing. Moreover, because individuals do not exist in a vacuum (i.e., ecological systems theory), individuals and their partners were assessed concurrently. Individual family-supportive organization perceptions was shown to relate to partner perceptions of the individual’s experiences. Additionally, individual experiences of benefits were shown to crossover and affect partners, specifically male partner family-friendly benefits indirectly linked to female partner wellbeing. Finally, in an effort to extend the current research on types of dual-earning couples, the effects of couple type (i.e., traditional vs. contemporary egalitarian ideal) were explored

Identifying the most reliable and valid bladder health screening tool: a systematic review

<p><b>Purpose:</b> Lower urinary tract symptoms are common in advancing age and a major cause of disability through avoidance of activity and social engagement. This systematic review aimed to identify the most valid and reliable brief screening tool for these symptoms or bladder problems, to incorporate into a health promotion programme for older adults to facilitate discussion about self-management.</p> <p><b>Method:</b> Review eligibility criteria included studies published between 1990 and November 2018, reporting the validity, reliability and/or acceptability of bladder health screening tools. Six electronic databases were searched.</p> <p><b>Results:</b> Twenty-two studies were included. Three screening tools met the criteria: International Prostate Symptom Score (IPSS); International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form; Bladder Control Self-Assessment Questionnaire (B-SAQ). Test–retest reliability for total scores of the IPSS and International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form was acceptable. All three questionnaires showed evidence of acceptable levels of internal consistency and of convergent validity.</p> <p><b>Conclusion:</b> Having favourable psychometric scores compared to the B-SAQ and for ease of use and trustworthiness of a simple questionnaire, the IPSS and International Consultation on Incontinence Questionnaire Urinary Incontinence Short-Form met the criteria for recommendation for raising awareness and bladder health promoting interventions to reduce associated disability.Implications for Rehabilitation</p><p>Lower urinary tract symptoms are common in advancing age and a major cause of disability through avoidance of activity and social engagement.</p><p>Lower urinary tract symptoms can be prevented or improved through self-management strategies.</p><p>Help-seeking levels for lower urinary tract symptoms is low but could be improved through continence promotion interventions.</p><p>The International Prostate Symptom Score and the International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form are bladder health screening questionnaires which would be appropriate to use as part of a continence promotion intervention to help prompt discussions and raise awareness and subsequently improve symptoms and associated disability.</p><p></p> <p>Lower urinary tract symptoms are common in advancing age and a major cause of disability through avoidance of activity and social engagement.</p> <p>Lower urinary tract symptoms can be prevented or improved through self-management strategies.</p> <p>Help-seeking levels for lower urinary tract symptoms is low but could be improved through continence promotion interventions.</p> <p>The International Prostate Symptom Score and the International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form are bladder health screening questionnaires which would be appropriate to use as part of a continence promotion intervention to help prompt discussions and raise awareness and subsequently improve symptoms and associated disability.</p

Reflections on the role of consultant radiographers in the UK: what is a consultant radiographer?

Context: This paper is the second paper from a two year in depth case study, exploring the role of consultant radiographers in the UK. Methods: A longitudinal case study approach was used to determine the role of consultant radiographers. Interviews were used to explore experiences of being a consultant, which were analysed using thematic analysis. Eight consultant radiographers participated (Note, two of the consultants withdrew after the first interview due to workload). Therefore two consultants were interviewed only once. The remaining six consultants were interviewed twice over a 12 month period. Findings: The data presented in this paper explores the nature of the role, differences between roles, the four domains of practice, and how the role fits into local organisational structures. The study shows wide variation in the types of roles undertaken, reflecting that the creation of these roles were in response to local clinical need and often related to an individual practitioner's skills. The broad scope of the role was shown across all the consultants, with evidence of roles developing into new areas of service delivery. Conclusions: The paper offers insight into the role(s) of consultant radiographers in the UK. The range and scope of their practice is extensive, with much variation. It is evident that the clinical aspect of the role dominates, with research being the least supported domain of practice. There remains a lack of clarity around the role, with concerns about remuneration and other limitations that may restrict the role developing further

Leadership and the everyday practice of consultant radiographers in the UK: transformational ideals and the generation of self-efficacy

Introduction: This paper outlines findings from a broader, two-year project investigating the role of Consultant Radiographers (CRs) in the UK, focussing specifically on the leadership aspect of that role. Methods: Using a qualitative-thematic approach, the leadership-related experiences of a purposive sample of six participating CRs are explored, alongside the systems through which they evaluated how successful they had been as leaders. Results: It is evidenced that many of the ways in which participants describe their own leadership practice, particularly in the intra-team domain, is consistent with the precepts of the Transformational Leadership Model. For example, they highlight how they have asserted positive influence and encouraged collective action and decision-making. However, the experiential focus of the analysis reveals that in specific examples of practice, the transformational approach was not always seen as the most useful route to a productive outcome given constrictions on time and other resources within real professional environments. More ‘direct’ managerial approaches were sometimes deemed necessary, and at others leadership was reduced to simply ‘solving other people's problems'. It was also found that the manner in which participants evaluated their own success as leaders was a practical concern, based in part upon having satisfied ‘hard’ institutional goals, but also on the more personal business of having affirmatively ‘surprised’ oneself, or a general sense of feeling trusted by colleagues. Conclusion: These findings may help support CRs in the business of real leadership, not least through better understanding how even apparently mundane outcomes can have significant impacts on professional self-efficacy

Reflections on the role of consultant radiographers in the UK: the perceived impact on practice and factors that support and hinder the role

Study context: This paper is the third paper arising from a two year long, in-depth case study exploring various components of the role of consultant radiographers in the UK. This paper focuses particularly upon the perceived impact of the role and factors that support and hinder the role in practice. Methods: A longitudinal case study method was used to explore the role of consultant radiographers. Interviewing was informed and guided by a phenomenological approach to promote a deeper understanding of consultants' experiences in the role. Eight consultant radiographers participated, with six involved throughout the whole study. Over an 18 month period each of those six consultants was interviewed three times. Two consultants only participated in the first interview; these interviews are also reported here. A total of 20 interviews were conducted. Findings: Interviews explored the impact of the consultant role as perceived by consultants themselves, and encouraged individual reflection on factors which had both supported and hindered success therein. Analysis demonstrated that there was substantial variation in the experiences communicated yet, and without any exception, all consultants reported that the introduction of their role had been beneficial to service delivery and quality of patient care. A number of obstacles were outlined, as well as a range of support mechanisms. Recommendations are thus made as to how the consultant role might be more effectively supported in the future

Is urinary incontinence associated with sedentary behaviour in older women? Analysis of data from the National Health and Nutrition Examination Survey

BACKGROUND: Urinary incontinence (UI) is a common geriatric syndrome associated with physical and cognitive impairments. The association between type of UI and sedentary behaviour (SB) has not been explored. AIM: To determine association between moderate-severe UI, or any stress UI (SUI) or any urgency UI (UUI) and SB in community-dwelling older women. METHODS: Women aged 60 and over from the 2005-2006 cycle of the National Health and Nutrition Examination Survey (NHANES) with objectively measured (accelerometer) and self-reported SB and UI data were selected. Multivariate models exploring association between moderate-severe UI and SB, or SUI and SB, or UUI and SB were analysed using logistic regression adjusted for factors associated with UI. RESULTS: In the overall sample of 459 older women, 23.5% reported moderate-severe UI, 50.5% reported any SUI and 41.4% reported any UUI. In bivariate analysis objectively measured proportion of time in SB was associated with moderate-severe UI and UUI (p = 0.014 and p = 0.047) but not SUI. Average duration of SB bouts in those with moderate-severe UI or any SUI was no longer than older women reporting no continence issues, but it was significantly (19%) longer in older women with any UUI (mean difference 3.2 minutes; p = 0.001). Self-reported SB variables were not associated with any type of UI. Multivariate analysis showed an association between UUI and a longer average duration of SB bouts (OR = 1.05, 95% CI = 1.01-1.09, p = 0.006) but no association with moderate-severe UI or SUI. CONCLUSION: UUI was significantly associated with increased average duration of SB bouts in community-dwelling older women. The importance of objective measurement of SB is highlighted and suggests that decreasing time in prolonged sitting may be a target intervention to reduce UUI. Future studies are required to further explore the association between SB and incontinence

The Cuyahoga Valley Resource and Development Center

Sustainable design is a growing movement in the industry. As interior designers, it is our obligation to be knowledgeable of how our designs, and therefore the construction, impact the environment around us. Cuyahoga Valley National Park is underdeveloped for a reason, and this section of nature should be preserved. The proposed Cuyahoga Valley Resource and Development Center will be located just outside of the national park boundaries and utilize sustainable design practices and principles. It will serve as a museum and educational resource for the surrounding community to learn more about The Valley