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1.
In order to meet the significant staffing challenges to health care provision in South Africa, the need to support the training and retention of Black medical specialists has been identified. This small qualitative study aimed to explore experiences of mentorship among a group of Black medical specialists in hopes of understanding the value and potential challenges that these relationships raise. Ten Black medical specialists were interviewed about their experiences of being mentored during their registrar training. The interview data was analysed using discourse analysis, and the results comprise of three main themes, namely: Difficulty accessing mentorship, a lack of Black and/or female role models and finally, experiences of feeling excluded from soft networks. The experiences explored in this study indicate the need for open dialogue within the mentorship dyad regarding certain taken-for-granted assumptions surrounding race, so as to aid the provision of more effective and satisfying mentorship outcomes.  相似文献   
2.

Problem

Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems.

Background

Due to minimal experience and cultural resistance, few practitioners offer vaginal breech birth, and many practice guidelines and training programmes recommend delivery techniques requiring supine maternal position. Fewer practitioners have skills to support physiological breech birth, involving active maternal movement and choice of birthing position, including upright postures such as kneeling, standing, squatting, or on a birth stool. How professionals learn complex skills contrary to those taught in their local practice settings is unclear.

Question

How do professionals develop competence and expertise in physiological breech birth?

Methods

Nine midwives and five obstetricians with experience facilitating upright physiological breech births participated in semi-structured interviews. Data were analysed iteratively using constructivist grounded theory methods to develop an empirical theory of physiological breech skill acquisition.

Results

Among the participants in this research, the deliberate acquisition of competence in physiological breech birth included stages of affinity with physiological birth, critical awareness, intention, identity and responsibility. Expert practitioners operating across local and national boundaries guided less experienced practitioners.

Discussion

The results depict a specialist learning model which could be formalised in sympathetic training programmes, and evaluated. It may also be relevant to developing competence in other specialist/expert roles and innovative practices.

Conclusion

Deliberate development of local communities of practice may support professionals to acquire elusive breech skills in a sustainable way.  相似文献   
3.
《Social Development》2018,27(3):495-509
Parents' reactions to children's emotions shape their psychosocial outcomes. Extant research on emotion socialization primarily uses variable‐centered approaches. This study explores family patterns of maternal and paternal responses to children's sadness in relation to psychosocial outcomes in middle childhood. Fifty‐one families with 8‐ to 12‐year‐old children participated. Mothers and fathers reported their reactions to children's sadness and children's social competence and psychological adjustment. Cluster analyses revealed three family patterns: Supportive (high supportive and low non‐supportive reactions from both parents), Not Supportive (low supportive reactions from both parents), and Father Dominant (high paternal supportive and non‐supportive reactions, low maternal supportive and non‐supportive reactions). Supportive families had children with higher social competence and more internalizing symptoms whereas Father Dominant families had children with lower social competence and fewer internalizing symptoms. Not Supportive families had children with average social competence and fewer internalizing symptoms. Findings are discussed in relation to the “divergence model” which proposes that a diverse range of parental responses to children's sadness, rather than a uniformly supportive approach, may facilitate children's psychosocial adjustment.  相似文献   
4.
五千年生生不息的历史文化积淀是中华民族的根和魂。新时代高校如何用优秀传统文化涵养社会主义核心价值观,成为必须解决的重要课题。文章以山西警官高等专科学校2012、2013级学生为对象,进行了深入调查与研究,着重从教育改革新理念的树立、理想信念教育的加强、加大传统文化教育软硬件设施的投入和多元化教学渠道的开辟等四个方面进行了初步探索。文章认为传统文化教育与大学生社会主义核心价值观培育具有内在统一性。  相似文献   
5.
当前人力资源管理理论缺陷引起多方面的重视 ,这些缺陷可以归结为理论的整体性缺陷。对人力资源管理的定义、历史和研究方法的分析表明 ,人力资源管理概念上的不完整和冲突 ,研究对象、范围和方法的不全面 ,以及核心原理的缺失是造成人力资源管理理论整体性缺陷的根源 ,由此能够找到克服整体性缺陷的对策  相似文献   
6.
我国国有商业银行面临着金融全球化与WTO的双重挑战 ,要赢得竞争的主动权 ,必须提高自身的核心竞争力。然而 ,我国国有商业银行的核心竞争力与国外商业银行的核心竞争力相比 ,仅在资源能力方面占有优势 ,其他方面则存在明显的差距。必须采取切实有效的措施 ,缩小差距 ,迎头赶上 ,超过竞争对手。  相似文献   
7.
中国共产党在80多年波澜壮阔的奋斗历程中,始终以最广大人民的根本利益作为基本的出发点和最根本的落脚点。因而赢得了人民,确立了民族凝聚力的核心地位。党在民族凝聚力系统中的核心地位,不但为党领导人民在长期革命斗争中的历史实践所证明,也为党带领人民建立、巩固、完善、发展社会主义的现实实践所证明。而党在新世纪之初提出的“三个代表”的政治宣言,必将进一步赢得和凝聚人民,进一步验证党在民族凝聚力系统中坚不可摧的核心地位。  相似文献   
8.
毛泽东的反封建思想是毛泽东思想的重要组成部分 ,它由革命主题论、反封建核心论、反封建根本问题论及文化革命论等内容组成。毛泽东的反封建思想是中国民主革命及新中国前 2 8年反封建斗争实践的指导思想。但是 ,我们还应该看到 ,毛泽东的反封建思想并没有形成一个独立发展的完整思想体系 ,他长于对物质制度层面封建主义的批判 ,而对思想意识层面封建主义的批判则严重不足。这构成了整个毛泽东思想科学体系的严重不足。  相似文献   
9.
大学英语四级考试有着很强的权威性与可信度,但其负面影响越来越突出,尤其是学生英语能力并没有根本上得到提高。本文从学生、教师、大学英语管理考核层三个方面来论述如何提高我国学生的外语能力,以便适应新世纪大学英语教与学的需求。  相似文献   
10.
邓小平以其卓越的政治智慧和伟大人格,终其一生执著追求、倡导和践行的是一种以最广大人民群众的根本利益为主导的价值观,确立并形成了具有中国共产党人鲜明特色的"唯民史观"。这既是邓小平一生价值追求的永恒目标,也是他为我们党所规定和树立的核心价值观。  相似文献   
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