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101.
102.
The protection of workers worldwide is most often sought through reference to the International Labour Organization's ‘core’ labour standards. These rights are, in themselves, of great importance; that said, however, the blanket approach with respect to workers that results from the over-reliance on rights is gender-blind, and incapable of integrating the crucial normative dynamics of relational power, collective responsibility and mutual dependence into its analysis. By contrast, a normative framework based on a feminist political ethic of care allows for a clear picture of the actual, situated, interdependent lives of all people, and is particularly useful in highlighting existing gender imbalances with respect to responsibilities for care work. Globally, women bear by far the greatest responsibility for care work, and that burden has been multiplied exponentially under conditions of globalization. This article will argue that only a care-centred perspective can provide the necessary moral orientation and policy framework through which to begin to solve these problems of gender (as well as race and class) inequality related to both wage labour and paid and unpaid care work, as well as problems relating to the under-provision of care on a global scale.  相似文献   
103.
Abstract

This paper establishes the value of a social work investigation of good practice with people on Community Treatment Orders in the context of social work's longstanding interest in the ethical challenges of working with involuntary clients. The emancipatory values of social work were used to guide this research, thereby ensuring the participation of consumers and their families or carers. Critical social work theory provided an important theoretical base. A mixed methods approach was undertaken, including a cluster analysis and case studies. Five principles of good social work practice emerged from the qualitative data: (a) use and develop direct practice skills; (b) take a human rights perspective; (c) focus on goals and desired outcomes; (d) aim for quality of service delivery; and, (e) enhance and enable the role of key stakeholders. These principles are briefly presented along with recommendations for practice and service development.  相似文献   
104.
There is an identified need for more effective assessment processes in rural Australia, with prior research revealing little knowledge sharing and even duplication across existing services. This article aims to explore the challenges to more closely integrated assessment processes, drawing on interview data with practitioners from three agencies located in the same rural region. Findings highlight the challenges of rural assessment, both demand-driven (more older people with complex needs, geographic isolation) and supply issues (time and distance, funding formulae, workforce shortages). The need for closer collaboration is recognized but significant systemic issues require addressing if it is to be achieved.  相似文献   
105.
BackgroundEarly evidence suggests spinal musculoskeletal symptoms are as prevalent in Australian midwives as in samples of nurses. Functional consequences of these symptoms include sick leave and functional incapacity, which are costly at both individual and workplace levels. To date there have been no studies of these consequences in midwives.QuestionWhat risk factors are associated with sick leave and functional incapacity among midwives with spinal musculoskeletal symptoms?MethodsWe undertook a cross-sectional study of qualified Australian midwives who completed the baseline survey of the Nurses and Midwives e-Cohort Study. A comprehensive set of independent variables were examined for bivariate associations with the main outcomes of sick leave and functional incapacity due to work-related musculoskeletal symptoms in the neck, upper or lower back. Associations that achieved a p value < .1 were entered into multiple logistic regression models.Findings729 midwives with a mean age of 46 years were eligible for inclusion. Functional incapacity was more than twice as common as sick leave. Severity of worst pain was the explanatory variable most strongly associated with each main outcome and the only one significant for both. Psychological job demands showed a significant association with sick leave, while several individual factors were associated with both outcomes. Only the association of poorer general health with functional incapacity remained significant in all three spinal regions.ConclusionOur sample reported considerable work-related musculoskeletal pain and functional incapacity. Factors associated with sick leave and functional incapacity in midwives should be confirmed by longitudinal studies with the aim of developing tertiary prevention strategies.  相似文献   
106.
The relationship between smallpox epidemics, overall mortality and population growth, as reflected in an excess of births over deaths, has been examined with regard to the main sources of evidence from different parts of Europe. Epidemiological-demographic changes concomitant with different phases in the introduction of immunisation against the disease have been assessed in the light of evidence from records showing some causes of death as well as numbers of burials. By the eighteenth century; smallpox epidemics appear to have become predominant as an influence on fluctuations in overall mortality in much of Europe. Evidence is reviewed which suggests that although inoculation had probably protected many from smallpox after the mid-eighteenth century, to an extent that could have reduced overall mortality, vaccination enthusiastically promoted after 1800 had a dramatic epidemiological-demographic impact. Data from many sources have been summarised and indicate that the disease was virtually brought under control in North Western Europe during the course of the nineteenth century. Smallpox had probably caused between 8 and 20 per cent of all deaths directly in eighteenth-century Europe as well as unquantifiable secondary and associated morbidity and mortality. The removal of such a deleterious disease from a chain of infections affecting the population at this time, accounted for much of the increasingly more important role of mortality decline as the significant factor in demographic change. The evidence is circumstantial, but suggests that the unprecedented population growth of the early decades of the nineteenth century could in large part have been due to the control of smallpox through vaccination measures. The virtual elimination of the disease as a killer in Europe by the end of the century, following legislation and revaccination programmes was a unique achievement with further consequences for sustained population growth and improvements in health which for many were the only source of improvements in the standard of life.  相似文献   
107.
Poor living conditions and inadequate diet were undoubtedly major contributors to high infectious disease death rates in Britain during the nineteenth century, but improvements were not necessarily the precondition for mortality decline. Evidence of consistent improvements is far from conclusive, while different trends for different diseases have to be explained. Scarlet fever and whooping cough death rates did not decline until the last few decades of a century in which measles mortality was continuing high Respiratory and gastro-intestinal complications are frequently involved in conditions of overcrowding and poverty. Death rates for recorded respiratory diseases themselves reveal a downturn at the end of the century, but respiratory tuberculosis mortality declined throughout and smallpox was virtually eliminated through vaccination measures. The interrelated nature and aetiology of these diseases has implications for changes in mortality, while population variables and other transmission factors including social behaviour patterns are probably crucial for an understanding of historical and contemporary trends.  相似文献   
108.
ABSTRACT

Pre-existing longitudinal studies of people affected by disasters provide opportunities to examine the effects of these events on health. Data used in the current investigation were provided by participants in the New Zealand Health, Work and Retirement longitudinal surveys conducted in 2010, 2012 and 2014 (n = 428; aged 50–83), who lived in the Canterbury region of New Zealand during the 2010–2011 earthquakes. Latent profile growth analyses were used to identify groups of respondents who had similar pre–post-disaster physical and mental health profiles. These groups were compared in terms of demographic factors, personal impact of the earthquakes assessed in 2012 and the overall negative–positive impact of the earthquake assessed in 2014. There was little evidence of change in health status overtime. Groups did not differ in their experiences of threat or disruption, however those in poorest health reported greatest distress and a more negative overall impact of the earthquake. Although results suggest little impact of disasters on health of surviving older adults, pre-disaster vulnerabilities were associated with distress. Social workers and agencies responsible for disaster response can play a key role in pre-disaster planning and assessment of vulnerabilities of older adults to enhance potential for positive outcomes post-disaster.  相似文献   
109.
110.
This study examined the question: ‘How do social work practitioners construct preparedness for practice?’ The answer to this question was explored through a research conducted in 2013 consisting of a survey based on the Australian Association of Social Workers’ Practice Standards and interviews with social work practitioners who had experience working with graduating social work students in their final field education placements. The responses of 25 survey participants suggest that social work practitioners generally expect new graduates to have ‘moderate’-level skills across the different practice areas, although a small but notable number of supervisors expect new graduates to have general work preparedness at a ‘developed’ level. In addition to having a clear understanding of and identification with professional values, purpose and ethics, the eight interview participants spoke of the importance of empathy and the ability to work within a multidisciplinary organisational environment.  相似文献   
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