12 research outputs found

    Cluster-randomised controlled trial of community mobilisation in Mumbai slums to improve care during pregnancy, delivery, postpartum and for the newborn

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    Background: The United Nations Millennium Development Goals look to substantial improvements in child and maternal survival. Morbidity and mortality during pregnancy, delivery and the postnatal period are prime obstacles to achieving these goals. Given the increasing importance of urban health to global prospects, Mumbai's City Initiative for Newborn Health aims to improve maternal and neonatal health in vulnerable urban slum communities, through a combination of health service quality improvement and community participation. The protocol describes a trial of community intervention aimed at improving prevention, care seeking and outcomes.Objective: To test an intervention that supports local women as facilitators in mobilising communities for better health care. Community women's groups will build an understanding of their potential to improve maternal and infant health, and develop and implement strategies to do so.Design: Cluster-randomized controlled trial.Methods: The intervention will employ local community-based female facilitators to convene groups and help them to explore maternal and neonatal health issues. Groups will meet fortnightly through a seven-phase process of sharing experiences, discussion of the issues raised, discovery of potential community strengths, building of a vision for action, design and implementation of community strategies, and evaluation.The unit of allocation will be an urban slum cluster of 1000-1500 households. 48 clusters have been randomly selected after stratification by ward. 24 clusters have been randomly allocated to receive the community intervention. 24 clusters will act as control groups, but will benefit from health service quality improvement. Indicators of effect will be measured through a surveillance system implemented by the project. Key distal outcome indicators will be neonatal mortality and maternal and neonatal morbidity. Key proximate outcome indicators will be home care practices, uptake of antenatal, delivery and postnatal care, and care for maternal and neonatal illness.Data will be collected through a vital registration system for births and deaths in the 48 study clusters. Structured interviews with families will be conducted at about 6 weeks after index deliveries. We will also collect both quantitative and qualitative data to support a process evaluation.Trial registration: Current controlled trials ISRCTN9625679

    Explaining Emotional Labor鈥檚 Relationships with Emotional Exhaustion and Life Satisfaction: Moderating Role of Perceived Autonomy

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    Este estudio evalu贸 el grado en el cual dos clases de labores emocionales (acci贸n profunda y superficial) pueden conducir a la exhaustividad emocional, reduciendo en general la satisfacci贸n de vida. Basados en la teor铆a de la Auto-Determinaci贸n, la importancia de la autonom铆a percibida puede ser estudiada en relaci贸n a c贸mo es moderada la relaci贸n entre labor emocional y exhaustividad emocional. Los datos se recogieron via web desde 241 empleados en una universidad en la zona centro de Estados Unidos y revelaron que la relaci贸n entre acci贸n superficial y exhaustividad emcional fue m谩s fuente entre personas con bajos niveles de percepci贸n de autonom铆a, la cual podr铆a tener un impacto sobre la satisfacci贸n de vida. No se encontraron relaciones significativas entre las acciones profundas y la exhaustividad emocional. Futuras investigaciones deber铆an incluir en el estudio del modelo utilizar otras muestras y utilizar un dise帽o longitudinal.This study assessed the extent to which two kinds of emotional labor (surface and deep acting) can lead to emotional exhaustion, reducing one鈥檚 overall life satisfaction. Based on Self-Determination theory, the importance of perceived autonomy was also studied in relation to how it moderates the relationship between emotional labor and emotional exhaustion. Data collected online from 241 staff employed at a university in central United States revealed that the relationship between surface acting and emotional exhaustion was stronger among people with lower perception of autonomy, which had an impact on overall life satisfaction. No significant relationship between deep acting and emotional exhaustion was found. Future directions should include studying the model on other samples and using a longitudinal design

    Work and Family among Immigrants

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    The Cambridge Handbook of the Global Work-Family Interface is a response to growing interest in understanding how people manage their work and family lives across the globe. Given global and regional differences in cultural values, economies, and policies and practices, research on work-family management is not always easily transportable to different contexts. Researchers have begun to acknowledge this, conducting research in various national settings, but the literature lacks a comprehensive source that aims to synthesize the state of knowledge, theoretical progression, and identification of the most compelling future research ideas within field. The Cambridge Handbook of the Global Work-Family Interface aims to fill this gap by providing a single source where readers can find not only information about the general state of global work-family research, but also comprehensive reviews of region-specific research. It will be of value to researchers, graduate students, and practitioners of applied and organizational psychology, management, and family studies.https://inspire.redlands.edu/oh_chapters/1073/thumbnail.jp

    Impact of Work and Non-Work Support on Employee Well-Being: The Moderating Role of Perceived Organizational Support

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    Familial and organizational support are important for employees to sustain quality of life and workplace performance. Grounded in the conservation of resources theory, this study explored the underlying mechanism between family member support and employee well-being. Specifically, we examined how the relationship is mediated by psychological capital, and how perceived organizational support amplifies the effect of familial support on psychological capital. Using survey data from 231 Vietnamese employees, results showed that family member support positively predicted employee well-being. This relationship was mediated by psychological capital. Additionally, the relationship between family member support and psychological capital was moderated by perceived organizational support, becoming stronger under conditions of high organizational support. This study offers important theoretical implications regarding the roles of family and organizational support in impacting employee well-being and happiness. Additionally, it provides practical implications for strategic human resource management, highlighting approaches to develop a socially sustainable work environment that promotes employee well-being
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