Examining the Nursing Home Physical Environment Through Policy-Driven Culture Change

A critical need exists to challenge approaches to nursing home care due to rigid organizational factors and hospital-like culture. It has been argued that resident care needs to move toward a person-centered approach by addressing the organizational, social, and physical environments in nursing home facilities, a process often known as culture change. In response to this need, the Centers for Medicare & Medicaid Services (CMS) has created funding for pay for performance (P4P) nursing home incentive programs to allow nursing home providers to receive CMS reimbursements for culture change in the facilities. Through care staff interviews, site observations, and a document review, this qualitative study assesses the impact of a Midwestern state P4P incentive program in three participating nursing homes. Using an environment and behavior (E-B) policy orientation framework, this study examines culture change through a focus on policy, the physical environment, place attachment, and social and psychological processes in the study settings.     

谁的乡村建设？——基于乡村建筑变迁的观察和思考

在全面推进乡村振兴的大背景下，乡村建设正如火如荼地开展。其中，乡村建设中农民房屋建筑类型从特质性的“匠心独具”到同质性的“千村一面”，再到异化性的“自厝同异”变迁路径，反映出传统文化的保护危机，也深刻揭示出建筑变迁背后暗藏的农民与地方政府间的多元矛盾和博弈。此问题的根源在于农民主体性被消解，成了被建构的对象或客体，而地方政府却不断强化构建主体的身份认同。事实上，当前乡村建设呈现出五种不同的价值取向：一是为城市消费者休闲情趣的乡村建设；二是为城市中产阶级家乡情感的乡村建设；三是为地方政府凸显政绩的乡村建设；四是为开发商投资回报的乡村建设；五是为农民生存利益的乡村建设。不同参与者均带着不同的利益诉求介入乡村建设，直接影响到乡村建设的发展走向。因此，要处理乡村建设中的矛盾和问题，必须强化农民在乡村建设中的主体意识和主体身份，赋予农民对乡村建设事务的话语权与决定权。     

The practice of deliberative policy analysis in the context of political and cultural challenges: lessons from Thailand

ABSTRACT

This article draws upon insight from a study of those involved in introducing deliberative policy analysis in Thailand at the city scale and presents lessons for both policy practitioners and scholars. The design of each deliberative forum differed, depending on lessons learned from previous forums and the consensus that emerged as a result of deliberation amongst forum facilitators. The underlying principle of this kind of deliberative design is to make deliberative processes authentic, by avoiding coercion, inclusive, by engaging stakeholders who bring forth different ideas, and impactful. To make these forums more exciting, deliberative practices are often linked to other attractive discourses, such as those surrounding smart cities, creative spaces and inclusive development. The case of Thailand sheds light on emerging challenges involved in the practice of deliberative policy analysis in the context of both national political regimes that are not democracies and those in the East.     

新时代高校国防教育隐性课程开发探究

新时代高校国防教育，在利用好军事理论教学这一显性课程基础上，还需要开发隐性课程。从国防教育隐性课程内涵谈起，阐述了开发国防教育隐性课程的必要性和可行性，进而对高校国防教育隐性课程开发的策略提出了几点看法，认为应该从开发以校园环境建设为基础的隐性课程、开发以制度建设为载体的隐性课程、开发以培育大学精神为核心的隐性课程三方面进行。     

幼儿园教师观察能力提升策略——基于课程游戏化背景

江苏省推行课程游戏化项目已四年有余，“观察”在其中扮演重要的推动角色。随着项目的全面开展实施，幼儿园教师的观察能力有了明显变化，但其中仍然存在一些“不够科学”的现象。基于此，教师应养成制定观察计划的习惯，提高获取有用信息的能力以及增强观察记录的实效性，从而深化推进课程游戏化建设。     

Recruiting,engaging, and educating social work leaders: an innovative curricular model

Graduate social work student interest in administration or management studies has been low in comparison to their interest in clinical practice. Recruiting graduate students to administration or management specializations in social work education remains a challenge for social work programs. Recognizing the need to attract and prepare MSW students for administration, various curriculum models have been proposed. This study presents a unique model that was designed specifically for social work students who wanted to become competent clinical practitioners, yet were also interested in macropractice. By marketing to, and recruiting, graduate students who have a passion for the dual (macro and micro) focus of social work, the administration specialization in this large, US-based urban graduate social work program has been able to attract over 120 additional students each year, comprising nearly 24% of the graduating class. This qualitative study examined students’ rationale for selecting this specialization, their experiences in the program and their suggestions for improvement. Implications for other graduate social work programs are highlighted.     

The roles of supply network centralities in firm performance and the moderating effects of reputation and export-orientation

Abstract

This study explores how supply network degree, closeness, and betweenness centralities affect firm performance, and the moderating effects of organizational reputation (measured by PageRank centrality) and export-orientation. The supply chain relationship empirical data are drawn from manufacturing and manufacturing service companies in Hong Kong, China. Social network analysis and moderated regression analysis were adopted to test the hypotheses for a sample of 814 focal firms with 3086 supply chain ties. The results indicate that in-degree and closeness centralities improve firm performance. Reputation is found to positively moderate the relationship between closeness and sales performance, but negatively moderates the relationship between betweenness and sales performance. Export-orientation has no effect on relationships. This study contributes to the literature by providing additional empirical evidence on the role of supply network position in firm performance. It also introduces PageRank centrality as a new measure of organizational reputation in a supply network.     

区域性教师学习中的课程设计探析

课程设计是教师培训得以展开的前提,但现行课程模块的设计要么是国家从宏观层面设定,要么是学校从微观层面制定,均难以满足区域性教师学习的要求。本文以笔者所在区域的培训实践为依托,阐明区域性课程设计的依据、标准内容与应用。区域教师学习课程的设计需要考虑理论基础、政策基础和现实基础;在制定和应用其标准时要具备系统分析和动态生成的意识,在理论与实践的相互结合与相互验证中不断进行双向建构。