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101.

Background

Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills.

Aim

To evaluate the impact of training on knowledge and preparedness of midwives and nurses to conduct routine enquiry about domestic violence with women during the perinatal period.

Method

A pre-post intervention design was used. Midwives and nurses (n = 154) attended a full day workshop. Of these, 149 completed pre-post workshop measures of knowledge and preparedness. Additional questions at post-training explored participants’ perceptions of organisational barriers to routine enquiry, as well as anticipated impact of training on their practice. Training occurred between July 2015 and October 2016.

Findings

Using the Wilcoxon signed-rank test, all post intervention scores were significantly higher than pre intervention scores. Knowledge scores increased from a pre-training mean of 21.5–25.6 (Z = ?9.56, p < 0.001) and level of preparedness increased from 40.8 to 53.2 (Z = ?10.12, p < 0.001). Most participants (93%) reported improved preparedness to undertake routine enquiry after training. Only a quarter (24.9%) felt their workplace allowed adequate time to respond to disclosures of DV.

Conclusions

Brief training can improve knowledge, preparedness, and confidence of midwives and nurses to conduct routine enquiry and support women during the perinatal period. Training can assist midwives and nurses to recognise signs of DV, ask women about what would be helpful to them, and address perceived organisational barriers to routine enquiry. Practice guidelines and clear referral pathways following DV disclosure need to be implemented to support gains made through training.  相似文献   
102.
103.
Research finds lower levels of academic performance among sexual minority high school students, but some studies suggest sexual minorities have higher levels of educational attainment in adulthood. To further our understanding of how and why sexual orientation is associated with educational success, this study turns attention to the pathways to college completion, examining points along educational trajectories in which sexual minorities fall behind or surpass their heterosexual peers. Using data from the National Longitudinal Study of Adolescent to Adult Health, we find that sexual minority women are less likely than women with no same-sex sexuality to complete college, in part due to their high school performance and transition into college. Men who experience same-sex sexuality only in adolescence struggle in high school, but men who experience same-sex sexuality for the first time in adulthood are more likely to earn a college degree than men who do not experience same-sex sexuality.  相似文献   
104.
Jennifer Laird 《Demography》2017,54(1):391-411
Historically in the United States, the public sector has served as an equalizing institution through the expansion of job opportunities for minority workers. This study examines whether the public sector continues to serve as an equalizing institution in the aftermath of the Great Recession. Using data from the Current Population Survey, I investigate changes in public sector employment between 2003 and 2013. My results point to a post-recession double disadvantage for black public sector workers: they are concentrated in a shrinking sector of the economy, and they are more likely than white and Hispanic public sector workers to experience job loss. These two trends are a historical break for the public sector labor market. I find that race and ethnicity gaps in public sector employment cannot be explained by differences in education, occupation, or any of the other measurable factors that are typically associated with employment. Among unemployed workers who most recently worked for the public sector, black women are the least likely to transition into private sector employment.  相似文献   
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We consider supplier‐facilitated transshipments for achieving supply chain coordination in a single supplier, multi‐retailer distribution system with non‐cooperative retailers. The previous transshipment literature has focused on coordination through retailer‐negotiated transshipments and thus does not consider the supplier's decision‐making. In contrast, in this study, we assume the supplier is an active participant in the system and we seek to understand how the supplier can facilitate the implementation of coordinating transshipments. We study a two‐period model with wholesale orders at the start of the first period and preventive transshipments performed at the start of the second period. Inspired by a supplier‐facilitated transshipment scheme observed in practice, we assume the supplier implements transshipments through a bi‐directional adjustment contract. Under this contract, each retailer can either buy additional inventory from, or sell back excess inventory to, the supplier. We show that coordination can be achieved through carefully designed contracts with state‐dependent adjustment prices and a wholesale price menu. We demonstrate that the supplier's role in facilitating coordinating transshipments is critical. In addition, we use our understanding of the coordinating contract form to derive some simpler and easier‐to‐implement heuristic contracts. We use a numerical study to demonstrate the value, to the supplier, of using the coordinating adjustment and wholesale prices, and to evaluate the heuristics’ performance.  相似文献   
107.
Effectively managing retail is essential for municipalities in terms of meeting land use planning goals, developing revenue sources through taxation, furthering economic growth and providing access to goods and services for residents. In 2013, a survey was conducted to examine the retail planning practices of all the 110 small- and medium-sized municipalities in Washington State. The online survey addressed data collection and analysis, land use, retail recruitment, inter-jurisdictional cooperation and evaluation. A large majority of respondents had retail planning goals in their comprehensive plans, yet only 30% dedicated staff for implementation. Jurisdictions would benefit from regional retail planning (especially in light of changes underway from e-commerce), yet the state tax structure places municipalities in competition.  相似文献   
108.
Urbanization poses threats to earth’s biota, and retention of remnant native habitat in protected areas within expanding urban boundaries may help alleviate threats to wildlife. However, it is unclear for nearly all nonsynanthropic (i.e., not benefiting from an association with humans) species whether vital rates in urban habitats can sustain populations or if populations persist only through immigration from outside the urban boundary. We conducted a three-year study of spotted towhees (Aves: Pipilo maculatus) breeding in four undeveloped parks in Portland, OR, USA, to measure park-specific seasonal reproductive output (F) and annual adult survival (SA). We developed a stochastic model that combined F and SA with an estimate of first-year survival to measure population growth rate (λ) in all parks assumed to be closed to immigration. F differed among parks but SA did not. Relatively high F was possible because many pairs raised >1 brood/season. When combined with empirical estimates of survival through the 30-day period of post-fledging parental care (SD = 0.645), only 2 of 4 parks were self-sustaining (i.e., λ > 1.0). However, SD reflected substantial loss of fledglings to domestic cats (Felis catus). Assuming no loss to cats and either partial compensatory or additive mortality of fledglings substantially improved prospects of population persistence for declining (sink) populations. Moreover, allowing low levels of immigration to sinks reversed population declines in most parks even when vital rates were insufficient to maintain populations. Our results suggest that nonsynanthropic bird species can persist in urban landscapes, but also that offspring mortality in the post-fledging period may be a critical determinant of population viability.  相似文献   
109.
110.
Across the United States, many afterschool and out-of-school time programs are making constructive and lasting impacts on the lives of homeless children and youth by providing expanded learning opportunities and positive youth development outcomes in a safe space. In this brief, we profile two youth-serving organizations and the After School Division of the California Department of Education to illustrate how afterschool programs can be part of the solution for homeless children and youth. Staff from these organizations shared their practices, successes, challenges, and lessons learned. Most importantly, they shared a message of hope and a vision for what is possible in the midst of trauma, uncertainty, and displacement.  相似文献   
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