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281.
Depression and anxiety are prevalent in the stroke population and can have a significant impact on the patient and their family’s long-term outcomes, however the screening for these conditions does not meet best practice recommendations. To address this deficit, this study developed “Post-Stroke Mood Assessment Pathways” and embedded them into practice by utilising the PARiHS framework (for the implementation of evidence-based practice), in conjunction with staff training. The study examined the rates of mood screening, clinical interviews, and completion of interventions for stroke patients through a retrospective chart audit (n?=?213) one year prior to, and one year post-implementation (n?=?238) of the pathways. The data show statistically significant increased documentation around mood screening and clinical interview 95% CI [4.86, 19.88], p?<?.0012 and specifically, an increase in the number of patients who had a clinical interview following the introduction of the pathways 95% CI [8.05, 19.69], p?<?.0001.  相似文献   
282.
In 2013 the Mediterranean Diet was recognized by UNESCO as an intangible cultural heritage of Spain, Greece, Italy and Morocco. Conviviality – the pleasure of eating together – was recognized as the cornerstone of food culture in the region. Although the concept of commensality has been explored widely in the literature, studies on conviviality and convivial dining are almost non‐existent. This review explores the concept of conviviality and its significance in relation to the Mediterranean Diet. It draws on sociological and anthropological literature to define conviviality and to address the perceived benefits of eating together as well as the social constraints on pleasurable meals. The paper draws upon the work of French sociologist Pierre Bourdieu and his ideas of Habitus, Field and Cultural Capital, examining how these concepts relate to pleasurable eating and conviviality. It offers an interdisciplinary perspective on who and what makes conviviality happen and the potential obstacles to the experience and promotion of convivial dining.  相似文献   
283.
Currently, a vast majority of WFP food procurement is executed through spot markets, which exposes it to substantial commodity and transport price risk as well as significant delays in delivery. The WFP also has limited flexibility owing to unpredictable revenue mobilisation, partly driven by restricted donor contributions. However, a significant portion of its operations are fairly predictable – both in terms of countries and delivery volumes. There are several types of derivatives contracts available at commodities exchanges that can facilitate strategic hedging. Greater commitments of untied cash donations from the US and other major donors can give the WFP significant operational flexibility to execute prudent financial management operations without damaging local food markets.  相似文献   
284.
Training is commonly seen as the most viable way of ensuring good quality care in residential homes for elderly people. The literature on training has focused on a shift in emphasis from traditional 'professional' social work training for staff at a senior level to training which is to be provided for junior level staff. To this end, Scottish/National Vocational Qualifications have been introduced which, through workplace assessment of competence, have been proclaimed to be the means by which to raise the status and career prospects of a social care workforce. This article argues that task-based competence is increasingly being seen as relevant for a 'para-professional' social care workforce such as that found in the residential care sector. In the light of this, research was undertaken to establish whether residents preferred 'trained' staff, holding formal qualifications and/or NVQs, to 'untrained' staff with no recognised qualifications. The research concluded that residents want kind, understanding and experienced staff, and when length of time in post was taken into account, the effect of training was negligible. The study concluded that homes need to select staff for their good personal qualities and encourage them to stay. Staff need training that integrates skill with understanding and above all, assessment should reflect this perspective. Moreover, residents need to be involved in the assessment process.  相似文献   
285.
Research has documented the limited opportunities men have to earn income while in prison and the barriers to securing employment and decent wages upon release. However, little research has considered the relationship between men's incarceration and the employment of the women in their lives. Economic theory suggests that family members of incarcerated individuals may attempt to smooth income fluctuation resulting from incarceration by increasing their labor supply. This study used data from the Fragile Families and Child Wellbeing Study (N = 3,780) to investigate how men's incarceration is associated with the number of hours their female partners work as well as variation in this association. Results showed that, on average, women's hours of work were not significantly impacted by the incarceration of their partners. However, there was a positive relationship between partner incarceration and employment among more advantaged groups of women (e.g., married women, White women).  相似文献   
286.
The literature on nonprofit management has embraced the concept of “accountability” to target urgent challenges related to NGO probity and integrity, and there have been attempts in the literature to use rational-choice-based governance approaches to solve them. Although the existing principal–agent frameworks provide important insights, they are limited to the analysis of financial relationships between NGOs and donors. We contribute to the literature in developing a comprehensive rational-choice-based governance approach to analyze all stakeholder relationships of NGOs. Applying the research program of ordonomics, we unpack two fundamental interaction problems: (a) the “stakeholder dilemma” between the NGO and a single accountability holder as a one-sided social dilemma and (b) the “competition dilemma” among rival NGOs as a many-sided social dilemma. We show that improving NGO accountability in relation to intended beneficiaries, peer organizations, and the general public also requires identifying the underlying governance problem as a competition dilemma focusing on collective self-regulation as a solution.  相似文献   
287.
Until comparatively recently blind/vision-impaired young people were generally assigned to particular education settings based on their impairment. Restructuring of the education system commenced in the Republic of Ireland in the 1990s, resulting in significant changes in special education including a language of inclusive education within policy initiatives. In the research upon which this article is based, the educational experiences of blind/vision-impaired people, the factors that impacted on these experiences and how these facilitated or inhibited their future opportunities were the primary foci for the study. This article explores the themes of how the post-primary school curriculum was experienced by blind/vision-impaired students and their future expectations and aspiration. In terms of policy development and practice, it is paramount to ensure both effective curriculum participation and transition opportunities are enabled rather than disabled for these students.  相似文献   
288.
Erikson already emphasized the importance of staying generative in old age. The concept of generativity as an important element in human development, significantly impacting on one's ability to age successfully, was discussed later by other authors as well. However, so far generativity has not received much attention in gerontology. This review summarizes and discusses the most important theoretical approaches, measurement methods, and empirical findings with regard to their relevance for gerontological research. This includes age-specific generative aspects, a critical discussion of current scales measuring generativity in older adults, and exploring empirical findings with regard to the association between generativity and successful aging. Finally, open questions concerning generativity and aging will be addressed.  相似文献   
289.
The human body plays a central role in nonverbal communication, conveying attitudes, personality, and values during social interactions. Three experiments in a large, open classroom setting investigated whether the visibility of torso-located cues affects nonverbal communication of similarity. In Experiments 1 and 2, half the participants wore a black plastic bag over their torso. Participants interacted with an unacquainted same-sex individual selected from a large class who was also wearing (or also not wearing) a bag. Experiment 3 added a clear bag condition, in which visual torso cues were not obscured. Across experiments, black bag-wearing participants selected partners who were less similar to them on attitudes, behaviors, and personality compared to the bag-less—and clear bag—participants. Nonverbal cues in the torso communicate information about similarity of attitudes, behavior, and personality; the center of the body plays a surprisingly central role in early-stage person perception and attraction.  相似文献   
290.
The two cross-national indices with gender-differentiated data introduced by the UNDP in 1995, as well as several other such indices developed subsequently, are an important resource for researchers and policy makers interested in gender disparities. Yet questions remain regarding how these indices should be interpreted and how valid they are. Relying on a framework that synthesizes key guidelines concerning the methodology of measurement, this article offers an assessment of indices currently used to study gender disparities on a global scale and sheds light on these unresolved questions. We answer two questions—what do these indices with gender-differentiated data actually measure? and, how valid are these indices?—and discuss the implications of our assessment for users and producers of gender indices.  相似文献   
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