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171.
We analyze how twenty graduates of a Batterer Intervention Program constructed autobiographical stories about their relationships with women they assaulted. We focus on the presentation of gendered selves via narrative manhood acts, which we define as self‐narratives that signify membership in the category “man” and the possession of a masculine self. We also show how graduates constructed self‐narratives as a genre that was oppositional to organizational narratives: rather than adopting the program's domestic violence melodrama or preferred conversion narrative, graduates used the larger culture—especially “bitch” imagery and sometimes racialized discourse—to construct tragedies. Our study demonstrates the usefulness of narrative analysis for research on batterers' accounts and manhood acts, and also shows how oppositional genre‐making can be a method to resist organizational narratives.  相似文献   
172.

Background

Reflective practice is considered an essential aspect of personal and professional development, and critical reflection is considered the cornerstone of being an accountable and autonomous practitioner. Tertiary education should lay the foundations of lifelong learning by ensuring students develop into critically reflective and reflexive practitioners, who demonstrate self-awareness and an ability to reflect on personal values and beliefs and their impact on the wider healthcare system. This level of reflective practice is essential to effect change at both an individual and societal level. Reflection should therefore be embedded into education programs as a learning, teaching and assessment strategy.

Aim

The aim of this paper is to describe a structured Model of Holistic Reflection embedded within an Australian Bachelor of Midwifery Program. The paper firstly outlines the theoretical and conceptual underpinnings of the newly developed model. Secondly describes the six integrated and inter-dependant phases of the model.

Discussion and conclusion

The aim of developing the Holistic Reflective Model was to produce a sound educational tool to assist midwifery students to progressively build reflexivity and reflective practice. Furthermore, provide midwifery academics with an educational resource to facilitate development of reflective and critical thinking skills in students. The specific intention was to promote deep personal and transformative learning across an entry to practice program. This paper highlights a number of ways the model can be embedded within the curriculum to support the scaffolded development of critical reflection and reflexivity required to facilitate transformative learning. While evaluation is required the model may have transferability to other disciplines.  相似文献   
173.

Background

Maternity high-dependency care has emerged throughout the 21st century in Australian maternity hospitals as a distinct sub-speciality of maternity care. However, what the care involves, how and why it should be provided, and the role of midwives in the provision of such care remains highly variable.

Introduction

Rising levels of maternal morbidity from non-obstetric causes have led midwives to work with women who require highly complex care, beyond the standard customary midwifery role. Whilst the nursing profession has developed and refined its expertise as a specialty in the field of high-dependency care, the midwifery profession has been less likely to pursue this as a specific area of practice.

Discussion

This paper explores the literature surrounding maternity high-dependency care. From the articles reviewed, four key themes emerge which include; the need for maternity high-dependency care, maternal morbidity and maternity high-dependency care, the role of the midwife and maternity high-dependency care and midwifery education and preparation for practice. It highlights the challenges that health services are faced with in order to provide maternity high-dependency care to women. Some of these challenges include resourcing and budgeting limitations, availability of educators with the expertise to train staff, and the availability of suitably trained staff to care for the women when required.

Conclusion

In order to provide maternity high-dependency care, midwives need to be suitably equipped with the knowledge and skills required to do so.  相似文献   
174.
175.
1994年,美国首次将艺术教育确定为基础教育核心学科。同年,全国艺术教育协会联盟编制出美国历史上第一个《艺术教育国家标准》,为美国艺术教育迈入21世纪奠定了重要基础,也把美国艺术教育推向了前所未有的发展高度。21世纪,随着经济全球化、文化多元化、信息视觉化的进一步推进,艺术教育也迎来全新挑战。为适应社会思潮的变化和艺术教育理论自身的发展,2014年,美国推出了最新的《国家核心艺术标准》。通过比较美国新旧两版艺术教育标准,发现新《标准》在艺术教育理念、框架结构、教学内容设计及课程评价上都出现了新的变化,更加注重学生学习、思考、创作的过程,强调培养学生主动思考及自主创造的能力。新《标准》促进了艺术教育向综合性与多元化的转变。  相似文献   
176.
We present a mathematical theory of objective, frequentist chance phenomena that uses as a model a set of probability measures. In this work, sets of measures are not viewed as a statistical compound hypothesis or as a tool for modeling imprecise subjective behavior. Instead we use sets of measures to model stable (although not stationary in the traditional stochastic sense) physical sources of finite time series data that have highly irregular behavior. Such models give a coarse-grained picture of the phenomena, keeping track of the range of the possible probabilities of the events. We present methods to simulate finite data sequences coming from a source modeled by a set of probability measures, and to estimate the model from finite time series data. The estimation of the set of probability measures is based on the analysis of a set of relative frequencies of events taken along subsequences selected by a collection of rules. In particular, we provide a universal methodology for finding a family of subsequence selection rules that can estimate any set of probability measures with high probability.  相似文献   
177.
PURPOSE: There is limited midwifery research that focuses on midwives experiences and attitudes to providing care for women who experience the death of a baby. There is also limited research investigating care components, and evidence to inform the basis of clinical practice in Australia and internationally. This paper presents the qualitative findings of a small study that aimed to investigate midwives experience, confidence and satisfaction with providing care for women who experienced perinatal loss. PROCEDURE: Eighty-three Western Australian midwives responded to an open ended question asking them to describe the most and least satisfying aspects of their role when providing care to women who experienced a perinatal loss. Thematic analysis was used to analyse the data. FINDINGS: The analysis revealed that Australian midwives gained most satisfaction from providing skilled midwifery care that they considered made a difference to women. This was enabled when midwives were afforded the opportunity to provide continuity of midwifery carer to women throughout the labour, birth and early postnatal period. In terms of the least satisfying aspects of care, midwives identified that they struggled with the emotional commitment needed to provide perinatal loss care, as well as with how to communicate openly and share information with women. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Within the context of the study setting, midwifery care for women following perinatal loss reflects the care components espoused in the literature. There are, however, organisational issues within health care that require commitment to continuity of care and further education of practitioners to enhance outcomes for clients.  相似文献   
178.
Parents are powerful socialization agents for children and as children reach adolescence parental role models, among other sources of influence, become particularly salient in adolescents’ decision-making regarding initiation of substance use. Open parent-adolescent communication about substances is associated with less substance use by adolescents; however, it is unclear how youth interpret antidrug use messages from their parents, especially if the parents engage in legal and/or illicit substance use themselves. Framed by social learning theory and social constructionism, this study analyzed in-depth interviews with 108 adolescents about personal experiences with substance use, family communication about substance use, and adolescent interpretations of parental use. Emergent themes in the data include: positive parental influence, parental contradictions, and negative outcomes of use. Prevalence of parental use—regardless of legality, rarity of explicit communication about parental use, and various interpretations of parental use are discussed.  相似文献   
179.
Adolescent disclosure to parents is an important feature of high‐quality parent–adolescent relationships and is associated with positive adolescent adjustment. However, no studies have examined parental emotion‐related responses (ERRs) to disclosures and adolescent dispositional characteristics that may facilitate or inhibit adolescent disclosures during real‐time conversations. The present study tested (a) which maternal ERRs to adolescent disclosures predicted quicker subsequent disclosures during mother–adolescent conversations, and (b) whether adolescent perspective taking moderated these associations. Adolescent disclosures and maternal ERRs were coded moment‐to‐moment during a problem‐solving discussion and adolescents reported on their perspective taking. Multilevel Generalized Linear Mixed‐Effects Models revealed that maternal interest and validation predicted the shortest lag times compared with other maternal ERRs, controlling for adolescent age, gender, total durations of maternal ERRs, and total frequency and duration of adolescent disclosures. Adolescent perspective taking moderated associations between maternal ERRs to adolescent disclosures and lag times. Specifically, adolescents high in perspective taking were most likely to make quicker subsequent disclosures when mothers responded to disclosures with interest. This is the first study to examine how contingent parental responses to adolescent disclosures in real time affect the timing of subsequent disclosures during parent–adolescent conversations.  相似文献   
180.
Propensity score analysis (PSA) is a technique to correct for potential confounding in observational studies. Covariate adjustment, matching, stratification, and inverse weighting are the four most commonly used methods involving propensity scores. The main goal of this research is to determine which PSA method performs the best in terms of protecting against spurious association detection, as measured by Type I error rate, while maintaining sufficient power to detect a true association, if one exists. An examination of these PSA methods along with ordinary least squares regression was conducted under two cases: correct PSA model specification and incorrect PSA model specification. PSA covariate adjustment and PSA matching maintain the nominal Type I error rate, when the PSA model is correctly specified, but only PSA covariate adjustment achieves adequate power levels. Other methods produced conservative Type I Errors in some scenarios, while liberal Type I error rates were observed in other scenarios.  相似文献   
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