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51.
Research with disenfranchised and marginalized populations is often completed by those traditionally considered outsiders who are not part of the studied population. The history of outsider research has been somewhat tumultuous, and some outsider researchers have manipulated participants or carried out unethical studies. However, the insider/outsider dichotomy is overly simplistic and does not always accurately reflect the researcher position. Using lesbian, gay, bisexual, transgender, and queer individuals as an example, this article will review the literature on insider/outsider researchers, suggest a more fluid concept of researcher positionality, and identify several recommendations for qualitative researchers.  相似文献   
52.
A majority of current HIV/AIDS interventions are designed primarily after individual-based public health models and pay little attention to the socioeconomic environment in which HIV transmission occurs. This article focuses on outlining how migration acts as a conduit for disease transmission in South Africa and then proposes a macro-level prevention model based on social capital theory, thus then supplementing current prevention literature. It is based on the argument that social disruption and stresses from migration lead to sexual interactions during the migration periods that amplify the risk of HIV transmission among migrants.  相似文献   
53.
Qualitative interviews with nursing home administrators reveal innovative and cost-conscious ways to physically modify facilities that help institute culture change practices. Telephone interviews were conducted following a national survey of nursing home nursing directors and administrators. In this cross-sectional snapshot of administrator experiences, motivations for making facilities more home-like and less institutional and creative responses to challenges are described. State and corporate support and regulator encouragement are noted that help their reform efforts. Administrators note that small steps to create a more home-like environment can result in a positive impact that minimizes disruption to existing care processes. They describe how they respond to challenges, such as the physical plant and high costs, and note how comparative shopping, cost-conscious physical improvements, and continuous involvement of staff and residents contribute to successful efforts. Their examples illustrate novel ways to humanize long-term care facilities that other nursing homes can emulate.  相似文献   
54.
Parents are contradictorily positioned within the “sexualisation of childhood” debate. They (“we”) are assumed to be concerned about sexualisation, and are urged to challenge it through campaigning, “saying no,” discussing “media messages” with children, and so on. Yet “irresponsible” consumption practices, particularly by mothers, are also held responsible for sexualisation. We argue that parental concern may be overstated: participants in our qualitative research into “sexualised goods” tended not to perceive their own children as “sexualised,” did not accept that products are inherently sexualised, and subscribed to ideas about child development and “good” parenting that entailed letting children make their own decisions about such items. Nonetheless, mothers are increasingly compelled to participate in the “sexualisation debate,” and doing so appears to encourage perpetual self-scrutiny and surveillance of others to maintain boundaries between “acceptable,” peer-group-appropriate and “inappropriate” practices and choices. In this sense sexualisation can be seen as a site for the formation of ethical, responsibilised parent subjectivities. We argue that it has costs for (working-class) women and girls in particular: it naturalises social inequalities by obscuring the constraints on individual choice, converges with older discourses that make women responsible for male sexual violence, and reinforces narrow and conventional moral agendas.  相似文献   
55.
Using a sample of practitioners (n = 269) from the 2004 National Study of Licensed Social Workers, this article employs a quality assurance structure–process–outcome model to examine factors at the practitioner, workplace, and service delivery levels that influence the perceived efficacy of licensed gerontological social workers to affect client outcomes in the context of a highly challenging health care environment. A regression model accounted for 33.9% of the variance (adjusted R 2 = .291) in perceived efficacy with 3 aspects of service delivery satisfaction having significant effects: ability to address complex/chronic care, to influence the design of services, and to help clients navigate the system.  相似文献   
56.
This paper contributes to our understanding of an increasingly prevalent work system, web-based internet communities (WebICs). We are particularly interested in how WebICs are governed given the fact how different they are compared to more classical forms of organization. We study the governance of a WebIC by studying the structure and dynamics of their edit network. Given the fact that the edit network is a relational structure, social network analysis is key to understanding these work systems. We demonstrate that characteristics of the edit network contribute to predicting the dropout hazard of valuable WebIC members. Since WebICs exist only thanks to the activity of their contributors, predicting drop-outs becomes crucial. The results show that reputation and controversy have different effects for different types of Wikipedians; i.e., an actor’s reputation decreases the dropout hazard of active Wikipedians, while participation on controversial pages decreases the dropout hazard of highly active Wikipedians.  相似文献   
57.
Facilitating older service users’ requirements for accessto or re-engagement in social networks following hospital dischargeis recognized in social care analysis and policy as criticallyimportant. This is because of the associated benefits for restoringphysical health and psychological well-being. However, it tendsto be a neglected dimension of current social care/intermediatecare. Our paper draws on a qualitative study of voluntary sectorhospital aftercare social rehabilitation projects in five UKlocalities, which focused on addressing this issue. Throughexamining older service users’ feedback and experience,our study confirms the health benefits of social care facilitatingaccess to social networks at this crucial juncture. By providingsensitive interpersonal interaction, advocacy and ‘educational’assistance, social care workers supported older service users’re-engagement in a variety of networks. These included friendship,recreational and family groups, health care treatment programmesand locality based contacts and organizations. As a result,material, interpersonal and health care resources were accessed,which contributed to restoring and sustaining physical healthand psychological well-being. The process of such social carealso emerged as critical. This included ensuring that objectivesreflected service users’ priorities; integrating ‘low-level’home care; offering befriending; and challenging the pre-settime frame of intermediate care.  相似文献   
58.
This study examines whether there were significant changes in the entry of young women to trade training in South Australia as a result of equal opportunities policies and initiatives to change the means of entry to trade training. It surveys the period 1981 to 1984 because that, like the present, was a period of change in education and training arrangements. It looks at women's hold on places in pre-vocational courses and apprenticeships in the most male-dominated trade areas and examines in detail the outcomes of the first three Introduction to Trades for Young Women courses in 1982 and 1983. It concludes that they led to only a slight improvement in female participation in trade training. The difficulties these courses faced in articulating with both student income support policies and the selection procedures for pre-vocational courses are discussed. The study demonstrates a marginal increase in the numbers of female apprentices outside hairdressing between 1981 and 1984 and evidence of weak commitment to an effective equal opportunities policy. A brief comparison is made between the situation at the beginning and end of the decade. This suggests that female participation in the most male-dominated trades areas in South Australia was generally lower than the Australian average in those areas, an outcome which must open to question the policy commitment to change.  相似文献   
59.
The political influence of unions and corporations is examined by analyzing Senate roll-call votes on COPE-identified legislation for the period 1979–1988. Union PAC contributions and union membership both have significant positive effects on three different types of COPE legislation: Narrow Union, General Labor, and Non-Labor. In addition, corporate PAC contributions to senators’ opponents reduce their pro-union voting behavior on Narrow Union and General Labor bills. There is no evidence that the political influence of unions in the U.S. is declining.  相似文献   
60.
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