Time to listen: strategies to improve hospital-based postnatal care

BACKGROUND: In Australia and internationally, women report high levels of dissatisfaction with hospital-based postnatal care. AIM: To design and implement strategies to improve hospital-based postnatal care at a Sydney metropolitan hospital. METHOD: This was an Action Research study. In Phase One, midwives considered the literature and participated in group discussions and interviews to determine their perceptions of postnatal care and the factors that facilitate or hinder the provision of quality care. In Phase Two, midwives participated in 12 working group meetings to design strategies to improve care. RESULTS: Several important principles of postnatal care were described, including building a relationship with women, meeting their individual needs, being flexible in approach and providing continuity of care. 'Listening to women', 'being there,' and 'normalising experiences and expectations' were believed to be critical to achieving these principles. A key strategy 'One to One Time' was designed to provide women with an uninterrupted period of time each day with a midwife who was available to listen to their needs and concerns and discuss issues related to their health and that of their baby. CONCLUSION: Midwives designed and implemented strategies that they believed would improve in-hospital postnatal care.     

中小企业服务体系建设与信息咨询业发展──常州市中小企业问卷调查

苏南的中小企业在市场竞争的压力下,已经从数量扩张向体制改革、结构调整、技术创新和布局集中转变,但经营状况不容乐观。培育中小企业社会化服务体系,加强与完善中小企业立法,改善中小企业的融资环境,帮助中小企业充分利用信息咨询系统进行决策和管理,对中小企业的持续稳定发展具有重要意义。     

政治决策实施过程中的价值冲突

在政治决策过程中会遇到不可回避的原则冲突。不同原则由不同的道德理论支撑,诸如实用主义或专制主义。政治决策的实施力度与当代社会发展同步增加。探讨在公共社会生活中道德理论实施的前景和可能,是十分重要的。     

农业企业的盈余操控更为严重吗?——基于中国上市公司的实证研究

采用2007—2014年中国沪深两市A股上市公司数据,研究行业特征和盈利能力对上市公司盈余管理水平的影响,实证分析结果表明:农业上市公司较非农上市公司具有更高的应计盈余管理水平和真实盈余管理水平;上市公司的盈利能力与应计盈余管理水平正相关,而与真实盈余管理水平负相关;较高的盈利能力强化了行业特征对真实盈余管理水平的正向影响,而对应计盈余管理水平则不具有这种影响。该研究不仅证实了农业上市公司较非农上市公司实施了更为严重的盈余操控,还揭示出上市公司的盈利能力对应计盈余管理水平和真实盈余管理水平的影响存在异质性以及盈利能力对行业特征与两种盈余管理水平之间关系的调节作用也存在异质性。     

康德、 尼采与法国大革命

通对康德、 尼采关于法国大革命和启蒙思想观点进行比较研究,从历史、 道德和批判视角对法国大革命作用问题加以探讨.康德论证的主要困难与他对公民起义权的怀疑态度和称赞法国大革命成果之间臆想的矛盾无关,而与他批判的主要任务与界限相联系;相反,尼采批判的视角明显扩大,但回避康德论证中一个关键的法律层面,否认存在自然和平等权利.     

数字营销:过去、现在与将来(一)

数字营销的第一阶段:2000-2004 2000年之所以可以成为数字营销历史的起点,主要有如下几点原因: 首先,关注数字互动营销的学术研究在2000年前后开始大量增加.《直效营销杂志》(Journal of Direct Marketing)在1998年更名为《互动营销杂志》(Journal of Interactive Marketing)并开始发行.     

数字营销:过去、现在与将来(五)

数字营销未来要解决的问题 本篇我们来谈谈数字营销未来可能要面对的问题和风险,下面分三个方面来探讨: 一、碎片化问题 虽然能够从近15年的研究分析中找出周期性的研究主题,但我们也注意到,顶级期刊中关于DSMM的研究主题碎片化程度很高,许多有趣的研究之间可以说毫无相关性.高质量的专业期刊中,要么是宽泛的概念研究,要么是很窄的深度模型研究,缺乏全视野的研究.一般期刊中的研究则倾向于提供片面的理论或模型的片段.我们其实缺乏对前人提出的理论进行深刻或全面的认识,也缺乏支持或反驳先前概念的研究.     

Expert panel reviews of research centers: the site visit process

Site visits are used extensively in a variety of settings within the evaluation community. They are especially common in making summative value decisions about the quality and worth of research programs/centers. However, there has been little empirical research and guidance about how to appropriately conduct evaluative site visits of research centers. We review the processes of two site visit examples using an expert panel review: (1) a process to evaluate four university research centers and (2) a process to review a federally sponsored research center. A set of 14 categories describing the expert panel review process was obtained through content analysis and participant observation. Most categories were addressed differently through the two processes highlighting the need for more research about the most effective processes to use within different contexts. Decisions about how to structure site visits appear to depend on the research context, practical considerations, the level at which the review is being conducted and the intended impact of the report. Future research pertaining to the selection of site visitors, the autonomy of the visitors in data collection and report writing, and the amount and type of information provided would be particularly valuable.     

Young people and caregivers' perceptions of an intervention program for children who deliberately light fires

A significant number of children and adolescents engage in deliberate fire setting, beyond the scope of curiosity and experimentation. Interventions developed to respond to the needs of such fire setters generally involve educational and/or psychosocial approaches. Research evaluating the effectiveness of these interventions is dominated by outcome studies which rely on recidivism rates determined by either official records or parent reports. There has however, been no process evaluation studies published. This study presents a process analysis which aimed to identify the strengths and weaknesses of a Fire Awareness and Intervention Program in New Zealand, from the perspectives of program consumers. Qualitative research methods were employed, with data being derived from in-depth interviews with young people and their parents/caregivers. The analysis indicated that (a) the FAIP was generally regarded as a positive experience, (b) practitioners' qualities of empathy and understanding are important for developing rapport with the young people and their parents, (c) education-based intervention tailored to the young person's age and developmental level is important, (d) educational resources need to be updated and used flexibly to respond appropriately to the age and developmental level of the young person, and (e) inter-agency and intra-agency relationships need to be developed and maintained, with formal arrangements for reciprocal referral systems developed in order to respond to the needs of the clients. The resulting implications for service providers, along with future research are discussed.     

"Show me your impact": evaluating transitional justice in contested spaces

This paper discusses some of the most significant challenges and opportunities for evaluating the effects of programs in support of transitional justice - the field that addresses how post-conflict or post authoritarian societies deal with legacies of wide spread human rights violations. The discussion is empirically grounded in a case study that assesses the efforts of the International Development Research Centre (IDRC) and one of its Guatemalan partners to evaluate the effects of a museum exposition that is attempting to recast historic memory and challenge racist attitudes in post-conflict Guatemala. The paper argues that despite the increasing trend to fund transitional justice programs, many international aid donors are stuck in traditional and arguably orthodox paradigms of program evaluation. This is having a negative effect not only upon the administration of aid but also upon how transitional justice research is perceived and valued by local populations. The case study experience indicates that there is no perfect evaluation model or approach for evaluating transitional justice programming - only choices to be made by commissioners of evaluation, evaluators, and those being evaluated. These are profoundly influenced by the extreme politics and moral values that define transitional justice settings as contested spaces in which calls to remember the tragic past must be balanced with aspirations to re-build a hopeful future.