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41.

Background

Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.

Aim

Canadian government-hosted websites and online prenatal e-classes were evaluated to determine if accessible, inclusive, comprehensive and evidence-based prenatal health promotion was provided.

Methods

Using a multijurisdictional approach, federal, provincial/territorial, municipal and public health region-hosted websites, along with affiliated prenatal e-classes, were evaluated based on four criteria: comprehensiveness, evidence-based information, accessibility and inclusivity.

Findings

Online prenatal e-classes, federal, provincial/territorial and public health-hosted websites generally provided comprehensive and evidence-based promotion of essential prenatal topics, in contrast to municipal-hosted websites which provided very limited prenatal health information. Gaps in online prenatal health promotion were identified as lack of French and multilingual content, targeted information and representations of Indigenous peoples, immigrants and women with disabilities.

Conclusion

Canadian online prenatal health promotion is broadly comprehensive and evidence-based, but fails to address the needs of non-Anglophones and represent the diverse population of Canadian pregnant women. It is recommended that agencies enhance the organisation of website pregnancy portals/pages and collaborate with other jurisdictions and community groups to ensure linguistically accessible, culturally-competent and inclusive prenatal online resources.  相似文献   
42.
43.
以审委会为代表的案件讨论机制的实践合理性正日益受到社会情境因素的影响,由此产生审委会决策机制的功能限缩问题。在审委会实际角色作用逐渐转变的过程中,法官会议讨论程序逐渐浮现并得到制度化。法官会议所具有的“正反校验”作用有助于解决疑难案件中法律适用的权威来源问题,很大程度上替代审委会规范法律适用的功能。法院内部案件集体讨论机制的流变,反映的是法院内部权力集中度的差异,即从审委会的功能限缩到法官会议的制度化呈现出从集体决策权到集体讨论权的权力变迁过程。与之相对应的是,法官群体在审判权力方面渐进的规模化、结构化、自主化,集体理性走向个体理性的过程得到强化。  相似文献   
44.
《1844年经济学哲学手稿》和《神圣家族》都是马克思主义创始人早期思想的代表性著作,二者都把“生活”作为重要概念进行论述。从作为经济学哲学概念到作为社会批判概念,马克思主义创始人对“生活”的认识经历了从对物质生产活动的重视到对无产阶级普遍贫困生活的揭露,从分析“生产生活”的异化到对“非人性”生活的批判,从“生活的手段”到消灭“非人性的生活条件”的思想历程。人类的历史是人类生活发展的历史。解决人的美好生活如何实现的问题,在马克思恩格斯的生活思想中居于核心地位,这对当今中国具有重要的理论指导价值。中国特色社会主义进入新时代,从开启一种全新文明的生活形态的高度来理解新时代的美好生活,才能准确把握我国社会主要矛盾变化的深刻意义。  相似文献   
45.

Background

There is no current validated clinical assessment tool to measure the attainment of midwifery student competence in the midwifery practice setting. The lack of a valid assessment tool has led to a proliferation of tools and inconsistency in assessment of, and feedback on student learning.

Objective

This research aimed to develop and validate a tool to assess competence of midwifery students in practice-based settings.

Design

A mixed-methods approach was used and the study implemented in two phases. Phase one involved the development of the AMSAT tool with qualitative feedback from midwifery academics, midwife assessors of students, and midwifery students. In phase two the newly developed AMSAT tool was piloted across a range of midwifery practice settings and ANOVA was used to compare scores across year levels, with feedback being obtained from assessors.

Findings

Analysis of 150 AMSAT forms indicate the AMSAT as: reliable (Cronbach alpha greater than 0.9); valid—data extraction loaded predominantly onto one factor; and sensitivity scores indicating level of proficiency increased across the three years. Feedback evaluation forms (n = 83) suggest acceptance of this tool for the purpose of both assessing and providing feedback on midwifery student’s practice performance and competence.

Conclusion

The AMSAT is a valid, reliable and acceptable midwifery assessment tool enables consistent assessment of midwifery student competence. This assists benchmarking across midwifery education programs.  相似文献   
46.

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Objectives

The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain).

Methods

After searching unsuccessfully for a validated questionnaire, a specific one was developed and validated for measuring the impact of formal and informal support networks through five dimensions: satisfaction, consultation, experience, problems and support. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 2014. Upon completion of the survey and fieldwork, a detailed statistical analysis was conducted.

Results

The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. In addition, mothers who clarified their doubts and discussed their problems with health professionals and/or breastfeeding support networks were more likely to breastfeed for a longer duration compared to those who did not (p = 0.005). Furthermore, mothers who sought support in breastfeeding are more likely to breastfeed for more than 6 months (p < 0.0005).

Conclusion

Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a women’s decision to breastfeed.  相似文献   
47.
文章通过发放调查问卷,归纳、整理“十二五”期间的财务会计报表对河北省中等职业教育财政投入状况进行了分析,揭示了存在的主要问题,提出了改进中等职业教育财政投入机制的对策和建议。  相似文献   
48.
A growing body of research has highlighted the consequences of part-time employment for workers’ health and well-being. However, these studies have yielded inconsistent results and relied on cross-sectional data. In addition, relatively little empirical research has explored whether the effect of working part-time on health varies by gender, particularly in the United States. Using longitudinal data from three waves of the General Social Survey panel (2010–2012–2014), our study examined the association between part-time employment and perceived health among U.S employees, and whether this association varied by gender. The results showed that part-time workers were less likely to report poor self-rated health than full-time workers, especially among males. The pattern of results was consistent across empirical approaches—including generalized estimating equations and random effects models, with an extensive set of covariates. Taken together, these findings suggest that for U.S. employees, working part-time appears to be beneficial or at least not detrimental to perceived health, which warrants further investigation.  相似文献   
49.
国家角色模式的演变主要着眼于国家任务的承担及其实现方式的变化,近代以来,国家角色模式经历了从夜警国家到福利国家再到担保国家的三次嬗变。民营化及公私合作的发展促使国家与私主体越来越多地共同承担公共任务,分担了福利国家的给付之累,也促进福利国家模式向担保国家模式转变,其中,行政任务的民营化及公私合作是担保国家模式的主要背景,担保国家理论便是要探讨在民营化及公私合作背景下国家对公共任务的最终落实如何承担担保责任。担保国家与合作国家内涵相近但各有侧重,且均有重大意义。  相似文献   
50.
In the last two decades, the Portuguese Government has responded to the decline of centres of commerce. In this paper, we analyse the three different experiences of town centre management (TCM) schemes developed in Portugal since the turn of the millennium. The first two stages were developed using public sector initiatives and their impacts were limited. The third stage is still under way and is composed of private projects created by local business owners. Taking Lisbon as a case study for this third stage we conclude that these projects have become a pro-active means of intervention in Portuguese town centres.  相似文献   
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