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41.
People who divorce experience a number of negative impacts, and yet divorce also offers opportunities for growth and transformation. This qualitative study of older adult women offers the possibility that divorce may be sexually empowering, especially for women, based on in-depth interviewing of women who had gone through one or more divorces. Detailed examples of the experiences of fourteen women with divorce and sexual expression are offered, focusing on in which situations divorce might be empowering and how it could contribute to sexual exploration and satisfaction. Overall, for the fourteen women in the study who had experienced divorce, the quality of sex in the marriage impacted the quality of sexual expression after the divorce. Also, these findings supported the idea of transformational learning through divorce, and expand divorce-stress-adjustment and transformational learning perspectives to apply more specifically to sexual expression. Understanding possible impacts of divorce over the lifespan, including strengths-based aspects, is important for social workers as the population they serve ages.  相似文献   
42.
The purpose of the study is to examine the use of instructional technology in creating a mutual aid environment in the classroom. By developing and exploring Internet-based exercises designed to promote interaction in a distance education environment, the authors tested the hypothesis that instructional technology offers opportunities to promote mutual aid among students. This article describes these exercises and presents the results of a student survey about the application of mutual aid in distance education.  相似文献   
43.
Gay, lesbian, and queer individuals with a Christian upbringing often experience conflict between religion and sexual identity. The purpose of this grounded theory study was to understand how gay, lesbian, and queer-identified individuals with a Christian upbringing resolve conflict between sexual identity and religious beliefs. Analysis of in-depth interviews with 15 participants led to 3 conclusions. First, resolving the discord between sexual identity and religious beliefs is a five-stage process of internal conflict resolution. Second, personal and contextual factors affect every aspect of the resolution process. Finally, faith development and sexual identity development are intertwined and fluid constructions.  相似文献   
44.
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   
45.
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   
46.
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   
47.
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   
48.
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   
49.
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   
50.
The current study examines general text messaging tendencies, patterns of and reasons for texting family members, and the impact of texting on familial relationships among a young U.S. adult sample. Participants were recruited through Facebook; they then completed an online questionnaire. Data from 127 young adults (men: 38; women: 87; unidentified: 2) are analyzed and compared by gender. Findings suggest that young adults text at high rates per month. Participants generally report a prompt response to texts and their ability to honestly express feelings within these messages. Results also suggest participants text family members for a variety of reasons, such as to convey information, plan activities, and engage in general conversation. Distinct gender differences, however, are evident regarding who men and women text as well as texting's effects on familial relationships. Overall, these findings expand researchers’ understanding of texting in general and its impact within the family.  相似文献   
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