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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.
英语与其他语种一样存在着形式与意义不一致的语用问题 ,主要有四种表现形式 :陈述句起疑问句、祈使句作用 ;疑问句起着陈述句、祈使句作用 ;肯定形式表示否定意义 ;否定形式表示肯定意义。由于说话者的目的不同 ,选择的表达方式就不同 ,其语用意义也随之变化。  相似文献   
5.
跨文化交际中由于听话人不理解说话人的语用意义,没有作出恰当的反应,从而产生语用失误。中英交际中也不例外。语用失误分为语用语言失误和社会语用失误。在外语教学中应重视语用能力的培养。  相似文献   
6.
日语里有很多委婉的表现形式 ,如改换词语、以表喻里的暗喻法、模糊语、省略、正话反说、反话正说、借用其他词语等等。不同的表现形式包含有不同的语用功能。采用这些委婉的表现形式 ,其目的都是为了最终达到理想的交际效果。  相似文献   
7.
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   
8.
“请”字用法汉英对比的语用分析   总被引:1,自引:0,他引:1  
迁移是语际语用学和二语习得研究领域的重要范畴。现回顾迁移的相关理论,并考察请字在汉英两种语言里的用法及其异同点。并指出母语与知识对目的语表达的牵制作用、对母语句式或用法的泛化以及语言表达背后的社会价值观是造成语用负迁移的重要原因。  相似文献   
9.
委婉表达现象的认知语用特征   总被引:4,自引:0,他引:4  
委婉表达现象的认知语用特征,如果从语用规约、隐喻思维和认知语境几个方面来看,其实质就是人们利用纯语言符号和认知机制合力的心理认知过程;委婉表达现象与语用规约、隐喻、认知语境等密不可分。  相似文献   
10.
现代教育技术对创新人才的创新精神和创新能力两大核心要素的培养上,尤其是对创造性思维能力的培养具有无可比拟的独特作用。具有智能模拟功能的教育技术能够促进学习者对知识的自主建构,有力激发学习者的创造动机和创造灵感。协作式学习、多媒体课件以及教师指导的相互配合,能够促进学习者求异发散思维、直觉形象思维和抽象逻辑思维的整全发展,从而提升创新能力。  相似文献   
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