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81.
Functional flexibility has been advocated as a mechanism for improving efficiency and service quality and is, it is argued, especially appropriate to service environments. In recent years the UK public health service has been subject to an ongoing programme of reform, designed to modernize the way in which health services are provided. A central feature of the reform involves breaking down traditional boundaries and the re‐organization of work roles. This article is concerned with examining the implementation of functional flexibility in three health‐care settings. Case‐study data are presented, focusing on the responses of employees and managers to initiatives to work more flexibly. For managers the implementation achieved efficiency gains and improvements to service quality, in spite of some resistance from employees. For employees the outcomes were more mixed. There was evidence of ‘humanization’ through greater job variety, challenge and access to training, but there were also costs in terms of intensification, role confusion and stress. The implications of these findings both for understanding the issues raised by the use of functional flexibility and for the implementation of policies in the NHS involving job redesign are discussed. 相似文献
82.
This paper begins by raising some questions about the relationship between transgenderism and bisexuality within queer politics and theory, centering on an interview with the curator of the Sexual Minorities Archives in Northampton, Massachusetts. The interview focuses on the changing body of the Archives from the New Alexandria Lesbian Archives to the Sexual Minorities Archives, in relation to the changing body of the curator, Bet Power, from lesbian to female-to-male nonoperative transsexual. These texts—interview, Archives, and body—are discussed from the perspective of a bisexual feminist interviewer and in the broader contexts of queer politics and theory. The aim is to highlight the interplay of gender, sexuality, and class in one particular context and through one interviewer’s eyes. What queer readings can be made of those “plays”? And how do those “plays” illuminate some of the issues and contradictions within queer politics and theory at present? 相似文献
83.
This article explores issues of masculinity and violence in the lives of young men in disadvantaged areas in Northern Ireland. Qualitative data were collected in four focus groups, one group of young men from the Catholic community, one group of young men from the Protestant community, one group of community representatives, and one group of Young Offenders ( N = 28). Themes were extracted from the data using a grounded approach. Results indicate that social disadvantage is fundamental to experiences of violence and that young men understand the costs and benefits of a masculine identity that incorporates a capacity for violence. Discussion suggests that initiatives to reduce violent behavior should be compatible with socially and culturally acceptable constructions of masculinity. 相似文献
84.
Clare Deal 《The Senses and Society》2020,15(2):156-169
ABSTRACT This article examines the cultural and philosophical intersection between visual and tactile knowledge and the emergent aesthetics of modernism. In the September 1913 edition of The Museums Journal, J. A. Charlton Deas published a paper entitled “The Showing of Museums and Art Galleries to the Blind.” The text, exceptional in its historical context, complicated prevailing assumptions about acts of “visual” art and blindness. Deas details a series of experiments undertaken at Sunderland Museum and Art Gallery from 1906 to 1913 that consisted of making accessible exhibits, specimens and paintings for blind children to touch. Unprecedented at the time, these experiments recast the persistent Western belief that the eye has privileged access to knowledge, instead asserting that knowledge is embedded within material corporeality. The physical, creative and intellectual inclusion of blind people into the formerly inaccessible space of the museum was unique in its reach and offers a refreshing new perspective of what those (authoritatively visual) spaces could be. Sunderland, a region which tends to be discursively separated from the ambitions and experiments of modernism, was at the center of modernist discussions about knowledge, sight and touch; and, disrupts modernism’s silence with respect to acknowledging unprecedented regional developments such as those detailed in “Showing.” 相似文献
85.
Terry Diamanduros Clare E. Cosentino P. Dawn Tysinger Jeffrey A. Tysinger 《Journal of child sexual abuse》2013,22(2):131-154
The purpose of this article is to demonstrate the traumatic impact that sexual abuse can have on a young male's development by addressing mediating dispositions that can render a child vulnerable to the effects of sexual abuse. Consideration is given to three different theoretical perspectives that are not exclusive to male victims but shed light on the impact that sexual abuse can have on the development of a young boy. These perspectives include early family relationships and attachment theory, developmental psychopathology, and trauma theory. These theoretical lenses provide a conceptual understanding into why some victims are vulnerable to the effects of sexual abuse. Each theoretical view is applied to a case study of an adolescent male with a history of early trauma and sexual abuse. Clinical implications are discussed. 相似文献
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88.
Clare Tilbury 《Policy Studies》2016,37(6):583-596
ABSTRACTPerformance indicators have both technical and value dimensions, capable of providing data for monitoring and reporting in addition to framing policy problems and their solutions. This paper considers the performance indicators proposed in a recent child protection inquiry in Australia that recommended ‘decreasing the numbers of children in the child protection system’ as a primary policy objective. The paper examines the context in which the indicators were set, the values and theories they endorse, and how they position stakeholders. The analysis shows how the indicators communicate that child protection services should be only for the most serious cases of child maltreatment, and the reach of statutory services should be curtailed. Children who have been maltreated or who are at risk of harm from abuse or neglect should be diverted from the child protection system (positioned as bad) to the family support system (positioned as good), and at the same time from the state to the nongovernment sector. The shifting relations between government, service providers, and families signified by the indicators can be seen in a broader international context of tightening the boundaries around child protection and concurrently advancing concepts of compliance within family support. 相似文献
89.
Teaching examples for the design of experiments: geographical sensitivity and the self‐fulfilling prophecy 下载免费PDF全文
Dennis W. Lendrem B. Clare Lendrem Ruth Rowland‐Jones Fabio D'Agostino Matt Linsley Martin R. Owen John D. Isaacs 《Pharmaceutical statistics》2016,15(1):90-92
Many scientists believe that small experiments, guided by scientific intuition, are simpler and more efficient than design of experiments. This belief is strong and persists even in the face of data demonstrating that it is clearly wrong. In this paper, we present two powerful teaching examples illustrating the dangers of small experiments guided by scientific intuition. We describe two, simple, two‐dimensional spaces. These two spaces give rise to, and at the same time appear to generate supporting data for, scientific intuitions that are deeply flawed or wholly incorrect. We find these spaces useful in unfreezing scientific thinking and challenging the misplaced confidence in scientific intuition. Copyright © 2015 John Wiley & Sons, Ltd. 相似文献
90.
Peter Crampton Clare Salmond June Atkinson 《Kōtuitui : New Zealand Journal of Social Sciences Online》2020,15(1):154-169
ABSTRACTThe aims of this study were to compare the NZ Indices of Multiple Deprivation (IMD) with the NZDep index of socioeconomic deprivation in terms of their: (1) theoretical and methodological approaches; (2) use of small areas; (3) rankings of small areas; and (4) relationships with various health and social outcomes. Literature sources were reviewed for aim 1. The data sources for aims 2–4, all contained within Statistics New Zealand’s Integrated Data Infrastructure, were: (1) 2013 Census, (2) health data sets, (3) Police database, and (4) 2014 General Social Survey. Outcomes were smoking, mortality, respiratory disease, crime, self-assessed health status. Spearman’s rho was used as a measure of correlation. Deciles were treated as categorical in the stepwise logistic regressions. The key finding is that there is a range of theoretical and methodological differences between the indexes. Despite these differences, the indexes behave in a similar, but not identical, manner in their ranking of small areas and in their associations with health and social outcomes. In conclusion, for practical purposes for many applications the two indexes give similar results when analysing very large data sets, although there are some important caveats related to this conclusion for both large and small data sets. 相似文献