Description:
The ‘stepped-wedge cluster randomised trial’ (SW-CRT) harbours promise when for ethical or practical reasons the recruitment of a control group is not possible or when a staggered implementation of an intervention is required. Yet SW-CRT designs can create considerable challenges in terms of methodological integration, implementation, and analysis. While cross-sectional methods in participants recruitment of the SW-CRT have been discussed in the literature the cohort method is a novel feature that has not been considered yet. This paper provides a succinct overview of the methodological, analytical, and practical aspects of cohort SW-CRTs.We discuss five issues that are of special relevance to SW-CRTs. First, issues relating to the design, secondly size of clusters and sample size; thirdly, dealing with missing data in the fourth place analysis; and finally, the advantages and disadvantages of SW-CRTs are considered. An Australian study employing a cohort SW-CRT to evaluate a domiciliary aged care intervention is used as case study. The paper concludes that the main advantage of the cohort SW-CRT is that the intervention rolls out to all participants. There are concerns about missing a whole cluster, and difficulty of completing clusters in a given time frame due to involvement frail older people. Cohort SW-CRT designs can be successfully used within public health and health promotion context. However, careful planning is required to accommodate methodological, analytical, and practical challenges.
Description:
While a small body of literature focuses on various facets of aged care services delivered to Aboriginal and Torres Strait Islander Elders, very little is known about the support needs and preferences of Indigenous Elders who ‘return to country’. This article addresses this gap. It explores the support needs of Indigenous Elders who return to their communities after having lived elsewhere for prolonged periods of time. It provides an overview of the key themes emerging from group sessions and semi-structured interviews with 11 Aboriginal Elders and 12 representatives of regional health and social care organisations conducted between 2012 and 2013. The article argues that the quest of Elders to strengthen kinship systems should not be seen as a barrier but as an opportunity to develop aged care services that resonate with the needs of Indigenous Elders and with their kinship network. The findings presented in the article are structured around the themes of empowerment and choice; community-based kinship care; and enhancing program flexibility. The article argues that it is crucial for Aboriginal community care services to be grounded in Indigenous culture. To address the wider socio-cultural project of Aboriginal Elders (i.e. to re-connect with their families, strengthen the kinship system and, re-create their cultural roles) when designing aged care services not only ensures that services are relevant to Indigenous Elders, it also ensures that services are culturally safe and address the psychosocial needs of Elders returning to country as well as their families. The article lends further weight to research that reports that a mainstream approach to the aged care of Indigenous Elder is likely to produce poor care outcomes.
Description:
While a small body of literature focuses on various facets of aged care services delivered to Aboriginal and Torres Strait Islander Elders, very little is known about the support needs and preferences of Indigenous Elders who ‘return to country’. This article addresses this gap. It explores the support needs of Indigenous Elders who return to their communities after having lived elsewhere for prolonged periods of time. It provides an overview of the key themes emerging from group sessions and semi-structured interviews with 11 Aboriginal Elders and 12 representatives of regional health and social care organisations conducted between 2012 and 2013. The article argues that the quest of Elders to strengthen kinship systems should not be seen as a barrier but as an opportunity to develop aged care services that resonate with the needs of Indigenous Elders and with their kinship network. The findings presented in the article are structured around the themes of empowerment and choice; community-based kinship care; and enhancing program flexibility. The article argues that it is crucial for Aboriginal community care services to be grounded in Indigenous culture. To address the wider socio-cultural project of Aboriginal Elders (i.e. to re-connect with their families, strengthen the kinship system and, re-create their cultural roles) when designing aged care services not only ensures that services are relevant to Indigenous Elders, it also ensures that services are culturally safe and address the psychosocial needs of Elders returning to country as well as their families. The article lends further weight to research that reports that a mainstream approach to the aged care of Indigenous Elder is likely to produce poor care outcomes.
Description:
Field education placements permit social work students to gain practical experience employing the knowledge and skills they acquired in the classroom. Access to field education placements is dependent upon placement interviews during which candidates have to display their professional and personal suitability. Placement interviews are challenging for all students. For international students, they are particularly challenging as they represent a litmus test as to whether they have achieved a sufficient degree of cultural adaptation. To date, little attention has been paid to the way placement interviews are experienced by international students. This article addresses this gap. The article is based on a qualitative study involving semi-structured, in-depth interviews with five international students focusing on the way placement interviews were experienced, how students felt prepared for them, and the degree to which language proficiency, cultural difference, social connectedness, discrimination, and Australian workplace culture represented a challenge. The findings suggest that international students need be to better informed about opportunities associated with field placement and the often implicit requirements and expectations associated with it. The authors argue that they would benefit from targeted educational resources ranging from English language tuition to interview role play.
Description:
Field education placements permit social work students to gain practical experience employing the knowledge and skills they acquired in the classroom. Access to field education placements is dependent upon placement interviews during which candidates have to display their professional and personal suitability. Placement interviews are challenging for all students. For international students, they are particularly challenging as they represent a litmus test as to whether they have achieved a sufficient degree of cultural adaptation. To date, little attention has been paid to the way placement interviews are experienced by international students. This article addresses this gap. The article is based on a qualitative study involving semi-structured, in-depth interviews with five international students focusing on the way placement interviews were experienced, how students felt prepared for them, and the degree to which language proficiency, cultural difference, social connectedness, discrimination, and Australian workplace culture represented a challenge. The findings suggest that international students need be to better informed about opportunities associated with field placement and the often implicit requirements and expectations associated with it. The authors argue that they would benefit from targeted educational resources ranging from English language tuition to interview role play.
Description:
In Epistemologies of the South, Boaventura Sousa Santos argues that the most important struggle of our time is the struggle against ‘epistemicide’ and to break free from the epistemological poverty resulting from the dominance of neoliberal ideology that has become the hallmark of the early 21st century. In this chapter, we are arguing that social imaginaries are shaped and reshaped in the margins of the direct sphere of influence of the state, giving rise to ground-breaking experiments that can challenge the epistemological closure that often takes place within institutional spaces. Drawing on three Brazilian case studies, we illustrate the following: how Indigenous people appropriate a segment of the tourist industry commodifying a part of their culture in order to translate the economic capital derived from it into new Indigenous cultural capital to be used in a larger struggle against colonisation how Afro-Brazilian activists built community organisations in order to generate a pathway for disenfranchised Black Brazilians into higher education and how a Black Brazilian pastor managed to survive in a staunchly conservative and often racist Pentecostal church to ensure access to quality education and welfare for slum dwellers. In this chapter, we argue that this informal activist social work is central to the struggle for social alternatives and for social justice. This chapter focuses on some examples of how social work practice is being re-defined from the margins of the profession. The case studies exemplify how community initiatives are often decolonising key aspects of Brazilian society by approaching social issues from a grassroots perspective. The chapter provides inspiring and rich examples of localised action which reposition and reinvigorate epistemologies of the ‘south’, illustrating the liberating potential sourced in the margins. It presents a brief summary of emergent epistemological alternatives in everyday life in the southern Bahia, a state in the northeast of Brazil. Brazilian social work emerged during the first decades of the 20th century at the interstice of two powers that sought to extend their sphere of influence: the post-colonial state and the Catholic church. The underpinning epistemicide of global-scale coloniality is a compelling reason why social work in the margins should be more wholly embraced.
Description:
The rise of right-wing nationalist populism in our increasingly uncertain world poses serious threats to already marginalised groups such as women, migrants, asylum seekers, Indigenous people, and members of ethnic and minority communities. This chapter explores some definitions of right-wing nationalist populism and describes many of its features. We argue that the rise of right-wing populism poses a major challenge to social work’s practice foundations and professional stake in promoting human and democratic rights for all. If unaddressed, populist nationalism has the potential to erode even further the humanist fabric of our societies, making welfare contingent upon ethnicity, social status and level of economic ‘activation’. The challenge for social work is to oppose right-wing populist policies and practices wherever they manifest, and to promote effective, non-violent alternatives that can capture the popular political imaginary. While the threat to human rights-based social work is serious, it also harbours the possibility that the ensuing confrontations will renew and strengthen the profession’s commitment to non-violent, inclusive, socially just practice.
Description:
This report documents research conducted by Federation University in relation to the City of Ballarat Intercultural Employment Pathways (IEP) program from 2019 - 2022. The IEP program aims to enhance social inclusion, employment, and education pathways for culturally and linguistically diverse (CALD) migrants in the Ballarat region. The purpose of the research was to explore the lived experiences of migrants who participated in the IEP program to better understand the strengths of the program and propose recommendations for its future. The research was a qualitative study that used a survey, interviews, and a focus group to explore the perspectives of IEP participants and encourage them to share deep and rich accounts of their lived experiences. Overall, 39 migrants involved with the IEP program participated in the research. The findings are grouped into four themes: Connection: The communal nature of the IEP program enabled participants to establish social and professional connections which increased their networking capacity to find gainful employment. Participants valued the networking opportunities created by the IEP program as many felt as though they were ‘starting again’ after migrating to Australia. Culture: The IEP program assisted participants to adapt to Australian norms of job-hunting and workplace culture and to learn practical strategies to utilise in their job application and interview techniques. The IEP program created a broader platform for cultural exchange within the community and can contribute to wider changes in representation and appreciation of diversity. Confidence: The IEP program assisted participants to improve their levels of confidence and feelings of self-worth. The tailored support that is available to each participant enabled them to develop confidence in their abilities and focus upon their strengths. Context: Participants shared experiences of the many challenges and barriers they have faced when looking for meaningful and secure employment in Australia. Understanding these wider experiences provide the context in which the IEP program operates and emphasises its importance in providing valuable assistance to migrants settling in the City of Ballarat.
Description:
This report documents research conducted by Federation University in relation to the City of Ballarat Intercultural Employment Pathways (IEP) program from 2019 - 2022. The IEP program aims to enhance social inclusion, employment, and education pathways for culturally and linguistically diverse (CALD) migrants in the Ballarat region. The purpose of the research was to explore the lived experiences of migrants who participated in the IEP program to better understand the strengths of the program and propose recommendations for its future. The research was a qualitative study that used a survey, interviews, and a focus group to explore the perspectives of IEP participants and encourage them to share deep and rich accounts of their lived experiences. Overall, 39 migrants involved with the IEP program participated in the research. The findings are grouped into four themes: Connection: The communal nature of the IEP program enabled participants to establish social and professional connections which increased their networking capacity to find gainful employment. Participants valued the networking opportunities created by the IEP program as many felt as though they were ‘starting again’ after migrating to Australia. Culture: The IEP program assisted participants to adapt to Australian norms of job-hunting and workplace culture and to learn practical strategies to utilise in their job application and interview techniques. The IEP program created a broader platform for cultural exchange within the community and can contribute to wider changes in representation and appreciation of diversity. Confidence: The IEP program assisted participants to improve their levels of confidence and feelings of self-worth. The tailored support that is available to each participant enabled them to develop confidence in their abilities and focus upon their strengths. Context: Participants shared experiences of the many challenges and barriers they have faced when looking for meaningful and secure employment in Australia. Understanding these wider experiences provide the context in which the IEP program operates and emphasises its importance in providing valuable assistance to migrants settling in the City of Ballarat.