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Estimates the determinants of job satisfaction for younger US workers. While age representative data from both the USA and Britain routinely show women reporting greater job satisfaction, this is not true for the younger US cohort in National Longitudinal Survey of Youth sample. Finds no gender satisfaction gap, but does find that the job satisfaction of women is less sensitive to both actual and comparison earnings than that of men. Moreover, estimates an expanded specification showing substantial gender differences in the influence of fringe benefit provision (including childcare) on job satisfaction. The expanded specification also demonstrates that while general skills are associated with greater job satisfaction, specific skills are associated with lower job satisfaction, argues that the results are in keeping with human capital theory.

Over the last three years, many of Michigan's public libraries have begun to redefine themselves in order to continue a long tradition of providing quality educational, recreational, and informational resources to the state's residents; 378 public libraries in Michigan provide public library service to 99.9 percent of the state's residents. With such impressive coverage of statewide service, it is little wonder that public libraries feel a strong responsibility to provide their clients with access to electronic information resources.

Education and support in the clinical setting promotes competence and confidence of staff as well as the provision of quality care. This paper will describe the development and evaluation of a dementia education programme that supported new clinical practice in dementia care for district nurses in an Australian context. Overall, staff who received training also required leadership at the clinical interface to support knowledge translation. Clinical nurse leaders in aged care were found to be an effective resource to facilitate learning and confidence when new practice was being introduced.

There are seven main characters of which five are women: Sindiswa, Mia, Susan, Thenjiwe and Nicky. The other two characters, Glen and Zaccaria, represent males from very different socio-economic and political backgrounds. The character of Dumasani, a young boy, is referred to in the play. What makes the play especially significant is that of a cast of seven, five are women. Throughout the play the character of Glen, a spy for the apartheid government, reveals the manipulative and deceitful manner in which the members of the South African police force and political informers carried out their work. He forms relationships with people about whom he professes to care; however, his only concern is that they are able to provide information that will secure financial reward for his spying activities for the apartheid government. Born in the RSA offers the audience an interesting exchange of ideas and thoughts about the political, economic and social situation in apartheid South Africa. Through the exploration of narratives and improvisation a landscape of violence is thrown open. A landscape of violence, that is not only physical, but also psychological. The play presents a complex situation in which violence does not only come from one source but from various sources such as the government, the youth, the opposition parties, the comrades, the private domestic space, subversive activities and political organisations. Any opposition to government policies results in harsher and more extreme violence by the apartheid regime strengthening their oppressive forces.

Purpose – This chapter argues that health care is best conceptualized as a complex adaptive system. Sustainable health care depends on harnessing the complexity of the system by building aligned purpose, flexible pathways to connect people, knowledge and resources, and the capacity for self-organization.

Design/methodology/approach – The case study of the Southern California Region of Kaiser Permanente is based on three years of interviews and archival data collection examining the system's transformational change that began in 2004 and has been aimed at building a sustainable health care system with the guiding principles of value and prevention. The case focuses primarily on the medical care delivery system designed by the Southern California Permanente Medical Group, the capabilities that have been built into the system to continually improve the quality of care and the outcomes of the system, and the results that have been achieved.

Findings – During the period from 2004 to 2011, the region improved significantly in slowing cost acceleration by significantly improving medical care. The implementation of an electronic medical records system and its integration with other clinical information technology systems have enabled: (1) truly integrated, well defined, and easily navigated care delivery systems that are based on evidence; (2) upstream focus on prevention, disease control, patient education, and population health; and (3) management accountability and organizational improvement systems based on transparency of data and feedback. Physician leadership and partnering with the region's administrative and hospital leadership have been critical change enablers.

Originality/value – Embracing the complexity of the system has led to the crafting of pathways and linkages that enable patients to move through the system to flexibly and efficiently connect to the knowledge and resources required to optimize their health. This requires continual self-organization based on well-defined roles and connections. Previous health care improvement approaches have stressed initiatives and organizational changes that may further fragment the health care system.

The purpose of this paper is to determine the extent to which exposure to a television commercial for an antidepressant drug (Cymbalta^®) compared to another commercial (Weight Watchers^®) influenced participants' knowledge of the drug (including side effects and indications) and self‐reported likelihood of seeking an antidepressant medication.

A randomized‐group design with two conditions was used with a sample of an ethnically diverse group of college students (n=498). Scores assessing drug knowledge and self‐reported likelihood of drug seeking and scores from the Beck Depression Inventory‐II (BDI‐II) were analyzed.

The Cymbalta^® group had higher drug‐knowledge scores than did the control group. Differences in drug‐seeking scores across conditions were not significant; however, drug‐knowledge scores and drug‐seeking scores were negatively related. Across groups, BDI‐II scores were positively related to drug seeking.

These results suggest that direct‐to‐consumer (DTC) advertising may educate consumers regarding medications, at least in the short term. Self‐reported intention to seek an antidepressant medication was significantly higher in participants who met the BDI‐II threshold for major depressive disorder, regardless of experimental condition.

A decreased desire to seek antidepressants, possibly due to increased familiarity with drug side‐effects, suggests that advertising may be educating viewers about important concerns about medication and that may impact their desire to seek those drugs.

Direct‐to‐consumer advertising (DTCA) of pharmaceuticals remains controversial, yet few experimental studies have examined the effects of DTCA on drug knowledge and drug‐seeking behavior of potential consumers.

The debate about the future of the death penalty often focuses on whether its supporters are animated by instrumental or expressive values, and if the latter, what values the penalty does in fact express, where those values originated and how deeply entrenched they are. In this chapter, I argue that a more explicit recognition of the emotional sources of support for and opposition to the death penalty will contribute to the clarity of the debate. The focus on emotional variables reveals that the boundary between instrumental and expressive values is porous; both types of values are informed (or uninformed) by fear, outrage, compassion, selective empathy and other emotional attitudes. More fundamentally, though history, culture and politics are essential aspects of the discussion, the resilience of the death penalty cannot be adequately understood when the affect is stripped from explanations for its support. Ultimately, the death penalty will not die without a societal change of heart.

Clinical front-line staff are best positioned within the organizations to identify patient safety problems and craft solutions. However, in traditional models, safety committees are led by senior executives who are not clinically responsible for patients. This top-down approach can result in missed opportunities to address patient-centered challenges and better manage the health of the defined populations served by these organizations.

To foster teamwork, enhance empowerment, and improve the patient care environment, Operations Councils led by trained front-line staff were deployed in 15 clinical areas at the Ohio State University Wexner Medical Center (OSUWMC) as a performance improvement tool.

Standardized training of Council facilitators was designed and implemented to guide the performance improvement process. Balanced scorecards were developed in each Council based on the risks and concerns of that particular clinical area. After initial implementation of the Operations Councils, patient safety events declined and team engagement improved by over 34% across the medical center; the highest changes were seen in areas where Operations Councils had been deployed. Additionally, outcome metrics including area-specific and system-wide mortality and readmissions improved after implementation.

We suggest that this type of approach may be an appropriate strategy to consider in other health care organizations as such institutions are challenged to better manage the health of their defined patient populations.

Researchers and practitioners working within transdisciplinary research projects face specific challenges when addressing representation of evidence-based concepts across complex occurrences, particularly when delivering a visitor experience design and documentary film encompassing an extensive cultural and natural heritage timeline period. In this chapter, these challenges are explored from the contrasting points of view of the view of the principal investigator and design lead and the filmmaker and researcher within an ongoing transdisciplinary research project Portalis, which is funded by the ERDF through The Ireland Wales Cooperation Programme.

The Portalis visitor experience design promotes and supports citizen science-based climate action behavioural change within six distinct Irish and Welsh cross-border coastal communities. It explores whether there are any parallels with how we can adapt to climate change now, with a focus on the resilience and innovation evidenced within Waterford's earliest settlements during and after South East Ireland's earlier climate change periods. The design research and the filmic documentation of archaeological and geological surveys is employed to map the story of these early post-glacial settlements 10,000 years ago along the Waterford Estuary. Interwoven through this mapping is a demonstration of how those living along the Estuary are preserving their maritime heritage through citizen science led engagement and community initiatives.

Adding a deep resonance to the research project, singular to Waterford, a new vision is called for; an acknowledgement of Waterford City and its Estuary as an area of unique conservation and growth and a recognition of this much travelled waterway as a designated and protected cultural landscape. A successful transdisciplinary approach creates a rich and accessible resource towards recognising the Estuary's cultural and marine heritage in city planning for the future. In so doing, it broaches the so-called rural-urban divide, adds to the global community of practice and allows for reflection on how urban planning can learn from our past in this context.