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171.
172.
一、委员会成立之根由 随着现代技术的整体进步,生物工艺学的发展没有恰当、充分地考虑到人类、地球、动物和植物之间的相互影响和作用.我们认为,发展、制定、宣扬新的伦理理念是十分必要的,这种理念超越了人类与自然之间相互影响的经济联系.如果一个科学家不想让自己局限在一个纯粹的技术人员的作用上,他就不可避免地要对社会、文化和伦理道德的本质发出追问:科学(实际应用的或理论的)的各个方面事实上都牵涉如何为"研究者做为其中之一分子"的社会所用的问题.随着生物工艺学的发展,生物学家正在重复着物理学家在原子能方面的经历,民族学家则在重复着研究成果为殖民统治所用的经历.我们迫切需要发展一种新的伦理观,以不教条地面对人类和自然界其他成分之间的岌岌可危的平衡;我们很有必要对"善良与邪恶、正义与非正义、正确与错误、服从与违背、责任与自由" 这些概念的价值及使这些概念的运用获得正当性(甚至对于自然界而言也是如此)的基本原则进行积极的合乎逻辑的审视.  相似文献   
173.
The aim of this study was to explore the usefulness of research circle methodology in the later stages of the research process. In an active collaboration with the researchers, participants, that is, users of research, discussed and prioritized research on home and health dynamics. Reflections, comments, and evaluations from both leaders and users were analyzed, applying content analysis. The usefulness of the research circle methodology from the users´ perspective reflected the importance of the content, form for research presentations, leadership methods, and the mix of participants. Research leaders reflect on the role as challenging and demanding, where the composition of users plays an important role for the usefulness of the methodology, as well as for practicalities, form, and content of the research presentations. Research circle methodology offers opportunities for knowledge translation; however, it is demanding and presents a range of challenges, such as the heterogeneity of the group, that needs further exploration.  相似文献   
174.
Previous studies of migration, family, and gender have shown that migration is not only an event that changes family life, the change itself is a gendered process. How migrant women develop strategies to cope with challenges posed by either their own migration or their husbands’ migration has been widely studied. However, how migrant men adjust and change their care practices and domestic roles to accommodate challenges brought about by migration to their family lives has not been as extensively explored. Using interview data gathered from male rural-to-urban migrant workers in South China, this paper fills this gap by studying male migrants’ agency and masculinity through the concept of masculine compromise. Masculine compromise delineates how migrant men strive to respond to changing family circumstances triggered by migration while maintaining the gender boundaries that underpin their dominance within the family. As a concept, masculine compromise underscores the material impact of migration on gender practices and family life; and the limited effect it has on gender attitudes and identity. Masculine compromise provides a feminist lens to analyse the complex effect of migration on changing masculinity and gender relationships within the family.  相似文献   
175.
This article reviews and discusses empirical literature on the micro-mechanisms of Burt’s concept of brokerage for inter-firm business networks from a governance perspective. Using a combination of a literature review and a qualitative metasynthesis, research gaps are first identified in the literature about these micro-mechanisms and then filled with interpretations, stemming from a qualitative metasynthesis of 13 in-depth case studies on brokerage for business network environments. The paper discusses three related elements and their inter-relationship in the brokerage process: the enabling factors for brokerage in business networks; the brokerage activities, particularly the combination of “bonding”, “bridging”, exclusion, and moderation/negotiation in different network configurations; and the outcomes of brokerage for business networks. We argue that network managers should take care of these elements when using brokerage to govern business networks. For example, the positional factors of agents in the network who take over brokerage functions need to be monitored and a balance of their embeddedness in the network and independence of focal firms should be safeguarded. Moreover, activities associated with brokerage should be steered and controlled in order to generate network benefits such as a higher collaborative stance of the partaking firms or learning processes amongst them.  相似文献   
176.

Problem and background

In an earlier research project midwives were asked to perform women-centered care focusing on the assumption that the physiological process in the second stage of labour could be trusted and that the midwives role should be encouraging and supportive rather than instructing. There is no knowledge about how midwives participating in such a research project, uses their skills and experience from the study in their daily work.

Aim

The aim in this study was to investigate how midwives experienced implementing woman-centered care during second stage of labour.

Methods

A qualitative study was designed. Three focus groups and two interviews were conducted. The material was analysed using content analysis.

Findings

The participating midwives’ experiences were understood as increased awareness of their role as midwives. The overarching theme covers three categories 1) establishing a new way of working, 2) developing as midwife, 3) being affected by the prevailing culture. The intervention was experienced as an opportunity to reflect and strengthen their professional role, and made the midwives see the women and the birth in a new perspective.

Conclusions

Implementing woman-centered care during second stage of labour gave the midwives an opportunity to develop in their professional role, and to enhance their confidence in the birthing women and her ability to have a physiological birth. To promote participation in, as well as conduct midwifery research, can enhance the development of the midwives professional role as well as contribute new knowledge to the field.  相似文献   
177.
A pilot, doubly randomized preference trial was conducted to investigate the impact of providing parents preferences on parenting outcomes. Families with children having conduct problems were randomly assigned to a choice group in which they received their preferred treatment among the four intervention options or a no‐choice group in which they were randomized assigned to one of the four options. Results of mixed‐effects models showed that parents in the choice group who selected Parent Management Training‐Oregon Model (PMTO) had better parenting outcomes over time compared to parents in the choice group who selected child therapy. It highlights the importance of incorporating parent preferences in the delivery of evidence‐based treatments.  相似文献   
178.
The 2004 EU extension and the 2008 financial crisis triggered new migration flows within Europe, and subsequent debates about what the novelty of these migration flows consists of. We draw on adult Polish and Spanish migrants’ in Norway’s considerations about future mobility and settlement, and explore how these situate themselves in relation to conceptualisations of intra-European migration as ‘liquid’. Family concerns, economic factors and working life conditions in countries of origin appear as significant in migrants’ reflections about the future. This seems to contrast with conceptualisations of intra-European migration as ‘liquid’ in the sense of increasing individualisation, lifestyles of mobility and a migrant habitus. Rather a ‘normal life’ is emphasised by migrants’ underscoring desires to lead more grounded lives, under less ‘liquid’ conditions. Migrants’ already established lives in Norway, together with deregulated labour markets in Poland and Spain, are experienced as reasons not to return. Migrants’ considerations about the future suggest that key characteristics of South–North and East–West intra-European migration flows to Norway, appear to be converging: with a trend of transition to longer-term settlement and a wish for more grounded lives, where dignity is central and ongoing mobility is less prominent.  相似文献   
179.

Problem and background

Despite a generally affluent society, the caesarean section rate in Switzerland has steadily climbed in recent years from 22.9% in 1998 to 33.7% in 2014. Speculation by the media has prompted political questions as to the reasons. However, there is no clear evidence as to why the Swiss rate should be so high especially in comparison with neighbouring countries.

Aim

To describe the emerging expectations of giving birth of healthy primigravid women in the early second semester of pregnancy in four Swiss cantons.

Methods

Qualitative individual interviews with 58 healthy primigravid women, were audio recorded, transcribed and subjected to thematic analysis. Recruitment took place through public and private hospitals, birth centres, obstetricians and independent midwives. The main ethical issues were informed consent, autonomy, confidentiality and anonymity.

Findings

The three main themes identified were taking or avoiding decisions, experiencing a continuum of emotions and planning the care.

Discussion

Being pregnant was part of a project women had mapped out for their lives. Only three women in our sample expressed a wish for a caesarean section. One of the strongest emotions was that of fear but in contrast some participants expressed faith that their bodies would cope with the experience.

Conclusion

Bringing together the three languages and cultures produced a truly “Swiss” study showing contrasts between a matter of fact approach to pregnancy and the concept of fear. Such a contrast is worthy of further and deeper exploration by a multi-disciplinary research team.  相似文献   
180.

Problem and background

Vaginal birth after caesarean section is a safe option for the majority of women. Seeking women’s views can be of help in understanding factors of importance for achieving vaginal birth in countries where the vaginal birth rates after caesarean is low.

Aim

To investigate women’s views on important factors to improve the rate of vaginal birth after caesareanin countries where vaginal birth rates after previous caesarean are low.

Methods

A qualitative study using content analysis. Data were gathered through focus groups and individual interviews with 51 women, in their native languages, in Germany, Ireland and Italy. The women were asked five questions about vaginal birth after caesarean. Data were translated to English, analysed together and finally validated in each country.

Findings

Important factors for the women were that all involved in caring for them were of the same opinion about vaginal birth after caesarean, that they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficiently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean.

Discussion and conclusion

Women’s decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychosocial, cultural, personal and practical considerations. Further research is needed to explore if the information deficit women report negatively affects their ability to make informed choices, and to understand what matters most to women when making decisions about vaginal birth after a previous caesarean as a mode of birth.  相似文献   
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