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.     

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.     

Morality and politics: Comparing alternate theories

Debates about the American “culture wars” have led scholars to develop several theories relating morality to political attitudes and behaviors. However, researchers have not adequately compared these theories, nor have they examined the overall contribution of morality to explaining political variation. This study uses nationally representative data to compare the utility of 19 moral constructs from four research traditions – associated with the work of Hunter, Lakoff, Haidt, and Schwartz – for predicting political orientation (liberalism/conservatism). Results indicate that morality explains a third of the variation in political orientation – more than basic demographic and religious predictors – but that no one theory provides a fully adequate explanation of this phenomenon. Instead, political orientation is best predicted by selected moral constructs that are unique to each of the four traditions, and by two moral constructs that crosscut them. Future work should investigate how these moral constructs can be synthesized to create a more comprehensive theory of morality and politics.     

新医改背景下医科大学生价值取向变化趋势及教育引导研究

新医改的价值目标是公益性，对于当前医科大学生价值取向的产生、形成具有重要导向作用。当前医科大学生价值取向出现了价值目标趋于功利化、迷失医学真正目的；医学技术至上、自身技术能力下滑；科研作风不够严谨，人文素质滑坡等趋势。因此，应从树立崇高职业理想，提升使命感和责任感；创新医德教育体系，强化思想政治教育育人功能；关注物质精神需求，提高从医幸福感等方面教育引导医科大学生树立正确价值取向。     

赵树理大众化语言的发生与建构

多年来围绕赵树理语言大众化问题进行了很多讨论，但离开作家早年的语言背景，这个问题很难讨论清楚。本文认为赵树理大众化语言的发生除了受到早年生活环境、早期教育的影响外，他对农民或农村知识分子的身份认同，以及战争时期特殊的时代导向，对其语言风格的形成发挥了相当重要的作用。身份认同与时代导向是赵树理大众化语言风格形成的关键因素。     

Breadth of Vocational Interests: The Role of Career Adaptability and Future Orientation

The authors examined the relationship between career adaptability, future orientation, and vocational interests. Specifically, they tested the role of career adaptability and future orientation in promoting a broader range of vocational interests, based on the principle that experiencing more interests can be useful in giving one's best in multiple occupations and in planning a broad range of career goals. A total of 762 Italian adolescents (383 males, 379 females) participated in the study. Results highlight the mediating role of future orientation in the relationship between 4 career adaptability resources and breadth of vocational interests. These results underscore that specific interventions in career adaptability and future orientation may foster a broader range of vocational interests, providing more opportunity for adolescents to respond to the demands of the current job market.