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This paper discusses the outcomes of an initiative to empower ten‐year‐olds as active researchers. It debates some of the barriers that are commonly cited with regard to children of this age taking ownership of their own research agendas—power relations, competence, knowledge and skills—and challenges the status quo. It describes a study in which a group of ten‐year‐olds participated in a taught programme aimed at equipping them with the knowledge and skills to design their own research. This empowering process resulted in the children undertaking research projects of their own choosing, designed, carried out and reported entirely from their perspective. Reports from two of those projects are presented as part of this paper. 相似文献
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The new General Medical Services contract was introduced into general practice in the UK in 2004, and it links pay to performance far more than in the past. As a result, accurate data collection about patients and the care that they receive is now not only important for good patient care but also to prove that targets are being met. The use of electronic records and information technology has thus become much more sophisticated. This article reports the results from an ethnographic study of the early stages of the new contract in two general practices. As expected, electronic data collection had increased in importance in both practices, with consequences both for clinician–patient interactions and for the structures and processes in the practices, as uniform data collection instruments are put in place that privilege ‘hard’ biomedical data that can be easily coded above ‘softer’, more patient-centred information. Roles and responsibilities had been changed to reflect the needs of the new systems, and new software applications allowed increased surveillance of both doctors’ and nurses’ performance; both of these had an impact on patterns of authority in our study practices. Furthermore, the structural changes that were found acted to embed the new ways of working, ensuring their reproduction in the future. In spite of these effects, we found little opposition to or critical reflection on the changes, and the doctors in our study continued to view their improved computer systems as neutral recording devices. The implication of these findings is discussed. 相似文献
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A principal components analysis performed by David M. Smith on 47 U.S. state level indicators of social well-being yielded several components. The first two of these are socio-economic well-being and social pathology. Structural hypotheses are offered to explain state differences in these components. The structural variables condensed by a principal components analysis of state political, economic and social structure measures are differentiation, flexibility-rigidity, and progressive industrialization. These, along with several population measures, determine a substantial part of the variance in the two measures of social well-being. 相似文献
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Summary The growth and development of the California Institute for Clinical Social Work has been parallelled by the enhanced professional contributions of its alumni. Of the 59 graduates of the Institute, ten hold academic positions in top-ranking institutions of higher learning while three more are the chief administrators of social agencies. The remainder devote their time to direct clinical practice.In a recent survey of alumni, all graduates commented in one form or another upon the fact that because of the program, their work was more rewarding personally and was more responsive to clients' needs because of the knowledge and skill that they had gained. The evolution begun in 1974 still continues. This novel program has been elaborated to meet changing needs. Study of its efficacy and flexibility will be pursued as its development proceeds. 相似文献