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281.
Striving to Work     
Using data from the 2011–2015 Current Population Survey Annual Social and Economic Supplement, this study improves upon standard United States labor force measures to create three new measures which better capture the range of activities and attitudes that signal, at the individual level, an interest in work. When comparing the traditional employment-to-population ratio and the labor force participation rate with these new ‘striving to work’ measures, we find stark racial differences across measures. Hispanics have slightly higher odds of being employed or in the labor force than non-Hispanic whites, yet have similar odds of striving to work. Other vulnerable populations, including non-Hispanic blacks, non-Hispanic persons of other non-white races, females, and persons with disabilities, have significantly lower odds of participation in any of the five measures, compared to their comparison groups and controlling for other covariates. Policy implications are discussed.  相似文献   
282.

Background

Continuity of midwifery care contributes to significant positive outcomes for women and babies. There is a perception that providing continuity of care may negatively impact on the wellbeing and professional lives of midwives.

Aim

To compare the emotional and professional wellbeing as well as satisfaction with time off and work-life balance of midwives providing continuity of care with midwives not providing continuity.

Method

Online survey. Measures included; Copenhagen Burnout Inventory (CBI); Depression, Anxiety and Stress Scale-21; and Perceptions of Empowerment in Midwifery Scale (PEMS-Revised). The sample (n = 862) was divided into two groups; midwives working in continuity (n = 214) and those not working in continuity (n = 648). Mann Whitney U tests were used to compare the groups.

Results

The continuity group had significantly lower scores on each of the burnout subscales (CBI Personal p = .002; CBI Work p < .001; CBI Client p < .001) and Anxiety (p = .007) and Depression (p = .004) sub-scales. Midwives providing continuity reported significantly higher scores on the PEMs Autonomy/Empowerment subscale (p < .001) and the Skills and Resources subscale (p = .002). There was no difference between the groups in terms of satisfaction with time off and work-life balance.

Conclusion

Our results indicate that providing continuity of midwifery care is also beneficial for midwives. Conversely, midwives working in shift-based models providing fragmented care are at greater risk of psychological distress. Maternity service managers should feel confident that re-orientating care to align with the evidence is likely to improve workforce wellbeing and is a sustainable way forward.  相似文献   
283.

Background

Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time.

Aim

To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives’ routine antenatal enquiry for domestic violence using a mixed methods design.

Method

Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives’ knowledge, preparation for routine enquiry, knowledge of domestic violence and perceptions of impact of the training and support for practice change.

Findings

Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z = 4.88, p < .001); and knowledge scores increased from a mean of 21.15 to 24.65 (Z = 4.9, p < .001). Most participants (>90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates revealed that of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral.

Conclusions

Training, support processes, and referral pathways, contributed to midwives’ sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.  相似文献   
284.
285.
College students may present with career concerns that are interrelated with personality and psychological factors. Various authors have highlighted the need for career practitioners to take a holistic approach with clients seeking assistance. This research examined the intersection of personal and career characteristics, specifically personality and negative career thoughts. A total of 128 undergraduate students in five career course sections completed the NEO-Five Factor Inventory and the Career Thoughts Inventory. A hierarchical multiple regression showed that 27.1% of the variability in negative career thoughts was explained by the combined effect of Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. Personality factors had significant moderate correlations with specific aspects of negative thinking, including Decision-Making Confusion (DMC) and Neuroticism and Conscientiousness. Commitment Anxiety (CA) was significantly correlated with Neuroticism and Conscientiousness. We discuss how the findings highlight the intersection of career and personality factors, and the implications for theory, practice, and future research  相似文献   
286.
A Transtheoretical Model (TTM) goal-setting tool was used during strength training in women. Volunteers (mean age = 69, N = 27) were assigned to a strength training only or strength training/behavior change 12-week intervention. A pre/posttest, quasiexperimental design assessed TTM constructs, Health-Related Quality of Life, and functional fitness measurements. Multiple ANCOVAs revealed significant differences between groups on lower body strength (p = .001), upper body flexibility (p = .002), Decisional Balance (p = .024,) and Stage of Change for Exercise (p = .010). Stage of change progression may be enhanced using a goal-setting tool during strength training in older women.  相似文献   
287.
Little research has focused on alcohol and illicit drug use among deaf and hard of hearing youth. Findings are reported from survey data collected among high school students at two phases of a program of research primarily focusing on tobacco use [Phase 1: (1999/2000) n = 226, Phase 2: (2004) n = 618). Evidence of considerable ever (lifetime) drinking (59.1%, 42.6%) and other substance use (21.1%, 18.9%) was found. Gender, age, race/ethnic, grade, school type (mainstream vs. school for the deaf), age when deafened, and aspects of self-perception were examined for their possible association with substance use. Current use rates are reported, and study findings are discussed in relation to national data. Understanding these use patterns is critical to developing interventions for this culturally and linguistically unique population.  相似文献   
288.
Moral identity, defined as a self-consistent commitment to lines of action benefiting others, is described in the contexts of adolescence and poor, urban neighborhoods. A model of moral identity development is proposed. According to the model, stable characteristics of the individual and the individual's family, in conjunction with social attitudes, self-conceptions, and opportunities for the exploration of prosocial action, influence the development of moral identity. Analyses from the National Longitudinal Survey of Youth provide support for the model, and demonstrate that urban poverty is associated with few opportunities for development of moral identity. We argue that the provision of these opportunities should be given a high priority both to foster good individual development and as a means for increasing social capital in neighborhoods.  相似文献   
289.
It is said that the study of Psychopathology in the elderly ultimately led to the understanding of normal a eing. In our paper, the authors interest focused on the attitudes of ti emented patients towards dolls and tried to understand the meaning of those attitudes. In this paper, dolls were regarded as playing a role to reduce or eliminate existence anxiety. The authors pointed out the importance of understanding the way elderly dementia patients insisted on the existence of themselves in the background of attitudes which are commonly superficially regarded as childish phenomena.  相似文献   
290.
College students have poor nutrition habits and often exhibit at-risk weight control behaviors; yet, health promotion efforts on campuses often target other risk behaviors such as alcohol and tobacco use. The goal of this study was to determine program content and examine the feasibility of a web-based nutrition education program for college students using innovative applications of tailoring, targeting and personalization of information. Comprehensive program planning entailed three phases: focus groups and use of concept mapping methodology, prototype web program development, and feasibility testing of the prototype. Results of concept mapping suggested that students and experts agreed on the relative importance of the major content areas unique to the college audience. A prototype web program, informed by health promotion theories, was developed and evaluated. Students and college health professionals participated in the feasibility evaluation, which included acceptance and usability testing of the prototype. Mean scores were computed for the acceptance ratings that indicated that the prototype web program was not only feasible, but also compelling and relevant for the college audience. In conclusion, a tailored, web-based interactive nutrition program could potentially be used to provide individualized nutrition information to encourage college students to adopt healthy eating behaviors.  相似文献   
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