Quality in life and death: can we have the conversations?

As nurses, we participate in providing social justice through the delivery of health care. While much of what we do supports healthier lifestyles and healing, we must also acknowledge that for an increasing number of our patients, life may have become irreversibly painful and unwanted. Nurses have acute sensitivity to the dilemmas faced by dying patients and their families. Our empathy and know-how in such cases dictates that we make an effort to relieve such suffering. Easing suffering will require assessments of the changing terrain of end-of-life care and the populations receiving that care. Dialogues can bridge the interest of patients, providers, and policymakers and ultimately legislation that reinforces ethical end-of-life care and ensures a voice for those who will be most affected.     

Econometrics for Evaluations: An Introduction to Recent Developments

There has recently been a rapid expansion of interest in the econometrics of program evaluation, both within Australia and around the world. We provide a review of the key issues and recent developments in this field. A central feature of recent developments is the attempt to allow for program impacts that vary across individuals. This contrasts with earlier econometric approaches that implicitly assumed a homogeneous treatment effect. We survey alternative nonexperimental estimation strategies and note that they can be characterised by (1) an assumption about how untreated outcomes vary across individuals: this assumption in turn suggests how the counter-factual untreated outcomes of program participants should be estimated, and (2) the way in which the estimator aggregates or weights the program impacts of different individuals in the treatment group. We also emphasise the importance of good data.     

Pollution Abatement and Productivity Growth: Evidence from Germany,Japan, the Netherlands,and the United States

The passage of environmental legislation was accompanied by concerns about its potential detrimental effect on productivity. We assume inputs can be assigned to either abatement activities or good output production. This allows us to specify regulated and unregulated production frontiers to determine the association between pollution abatement and productivity growth. We then employ our “assigned input” model to determine the association between productivity and abatement activities for manufacturing industries in Germany, Japan, the Netherlands and the United States.     

Work–family conflict and the commodification of women's employment in three Chinese airlines

In the East, where gender is mediated by different family structures, societal institutions and economic development, the work–family conflict (WFC) metaphor remains appropriate. This paper investigates Chinese women's experiences of WFC in the fastest growing commercial airline sector in the world. It finds that, in contrast to the West, work-to-family, rather than family-to-work, conflict dominates. Liberalization, competition and commercialization have also had a significant gendered impact on jobs. The latter resulting in the commodification of women's aesthetic and emotional labour, job segregation, employment insecurity, poor career opportunities and increased WFC. We explore reasons why HR policies and practices in airlines fail to address women's workplace concerns and find that occupational status and lack of organizational power, together with the prevalence of traditional gendered norms and attitudes, play important roles     

Social responsibility for living standards: Presidential address,association for social economics, 2007

This address presents a vision of economics—drawing upon social, institutional, and feminist economics—that supports the assertion that there should be social responsibility for living standards. Alternative definitions of what an economy is and what economics should study are related to three definitions of living standards presented in Amartya Sen's 1985 Tanner Lectures on the topic. A social provisioning approach to economic life emphasizes that provisioning needs to be organized to promote human flourishing. One contemporary challenge is to do this in a manner that sustains caring and promotes gender equity. 1 1 Following my Presidential Address and prior to publication, I have benefited from comments by Wilfred Dolfsma, Laurie Nisonoff, Nancy Folbre, Ellen Mutari, Martha Starr, and an anonymous reviewer.      

2½ Proposals to Save Social Security*

This is a review article of three books that deal with the problems facing the U.S. Social Security system. One deals with the OASDI (Old-Age, Survivors and Disability Insurance) financial shortfall and proposes an alternative plan with both a tier one benefit and a tier two provision based on personal saving accounts. A second considers the social insurance system more comprehensively, arguing for a grand reform that would include new programs, particularly in the areas of child care and housing. A third largely confines itself to arguing against those who wish to change the OASDI plan because of the financial projections, although it also argues for a more comprehensive health care insurance system. The review concludes that key differences expressed in the books, particularly between the first and third, rest on different value judgments regarding intergenerational equity and the role of government.     

Quiet enjoyment in the National Parks of England and Wales: public understanding of the term and its influence on attitudes towards recreational activities

In response to concerns raised since the National Parks and Access to the Countryside Act 1949 established the National Parks, the National Parks Review Panel (1991) recommended that the term ‘quiet enjoyment’ be included in the Environment Bill to clarify the wording of the second purpose for National Parks. During parliamentary debate the term was removed, and some have subsequently claimed that this weakened the Environment Act 1995. This article describes the outcomes of a survey to establish the nature of public understanding of the terms ‘quiet enjoyment’ and ‘quiet recreation’ and to identify the nature of incidents perceived as interfering with ‘quiet enjoyment’ and ‘quiet recreation’. The results indicate that the terms ‘quiet enjoyment’ and ‘quiet recreation’ hold different meanings for the public, with ‘quiet enjoyment’ being a broader and more emotive concept than ‘quiet recreation’. However, despite differences in meaning of the two terms, similar factors were reported as interfering with both ‘quiet enjoyment’ and ‘quiet recreation’. Respondents were also asked about the perceived acceptability of a range of activities within National Parks, and about their own involvement in those activities. Links were found between perceived compatibility of recreational activities with the terms ‘quiet enjoyment/quiet recreation’ and their acceptance in National Parks. Those surveyed viewed some restrictions on activities as necessary.     

Risky recreation: an exploration of factors influencing the likelihood of participation and the effects of experience

The purpose of this research was to systematically examine factors that may influence participation in risky recreational activities. Because more people participate in risky leisure activities, it is important to acquire a more in-depth understanding of the factors influencing their behaviours. We examine these issues in the context of a survey concerned with participation in the sport of mountain biking. Results revealed that experience influenced risk perceptions, expected affective outcomes, and the attractiveness or appeal of the activity. In addition, expected affective outcomes moderated the influence of experience on appeal. The likelihood of participation in a high-risk consumption activity was determined by affective outcome expectancies, appeal of the activity, risk perceptions, and prior experience. The results also indicated that the activity's appeal moderated the influence of perceived risk on the individual's likelihood of participation.