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This study was conducted in two related but separate phases. Phase one compared the frequency and type of participation by general practitioners and health visitors in child protection case conferences. Two hundred consecutive case conferences involving 83 general practitioners from 33 practices were independently reviewed and scored to assess the level of general practitioner and health visitor participation, whether by written report and/or by attendance. Health visitors showed a far higher level of participation in case conferences than general practitioners and their attendance was more often rated essential by the social worker than that of the general practitioner. There was no evidence in those cases where social workers rated the general practitioner's attendance as essential that this resulted in increased general practitioner participation. General practitioners were equally unlikely to participate in initial, first review and subsequent review case conferences. Most importantly, general practitioner participation/non-participation was not related to length of notice given. In phase two, 76 general practitioners from the sample of 83 were interviewed in order to elicit factors underlying their decision on participation in child protection case conferences. Personal and practice characteristics and attitudes towards the case conference and towards social workers were examined and subsequently analysed. No significant associations were discovered apart from a link between previous training in child protection and a less negative attitude towards communication with social workers and the belief that the general practitioner's participation in the case conference helps him/her in the subsequent management of the case. Personal contact between local social workers and the primary health care team was seen as likely to be helpful in the establishment of a climate of trust which would facilitate the flow of sensitive information in both directions. Health visitors were often regarded by general practitioners as fulfilling the role of delegate to the case conference without having any formal remit to carry out this task.  相似文献   
144.
Forecasting, in general, has been described as an unavoidable yet impossible task. This irony, which comprises the ‘rock’ and the ‘hard place’ in the title, creates a high level of cognitive dissonance, which, in turn, generates stress for those both making and using forecasts that have non-trivial impacts. Why? Because the forecasted numbers that are invariably accorded a high degree of precision inexorably reveal their inevitable imprecision when the numbers forming the actuality finally take place and the numbers comprising the forecast's errors are precisely measured. The current state of the art in demography for dealing with the ‘rock’ and the ‘hard place’ is a less-than-successful strategy because it is based on an acceptance of accuracy as the primary evaluation criterion, which is the source of cognitive dissonance. One way to reduce cognitive dissonance is to change the relationship of the very cognitive elements creating it. We argue that forecast evaluations currently focused on accuracy and based on measures like RMSE and MAPE be refocused to include utility and propose for this purpose the ‘Proportionate Reduction in Error’ (PRE) measure. We illustrate our proposal with examples and discuss its advantages. We conclude that including PRE as an evaluation criterion can reduce stress by reducing cognitive dissonance without, at the same time, either trivializing the evaluation process or substantively altering how forecasts are done and presented.  相似文献   
145.
This article addresses the relationship of the theorizing of organizational culture and the theorizing of gender construction. It begins by recognizing some of the difficulties of defining and understanding what is meant by the contested concept of culture. Drawing on the work of Smircich (1983) and Linstead and Grafton-Small (1992), an attempt has been made to explore the theorization of organizational culture(s) in terms of the concepts of organizational culture as: responses to human needs, integration, rules, shared symbols and meanings, unconscious projection, text, otherness, paradox, seduction and discourse. The implications of each of the approaches for the understanding of gender in organizations are considered. No one theoretical approach is advocated, but rather the breadth of theoretical possibilities is explored. The article is concluded with the argument that theories of organizational culture need to be much more explicit about their theorizing of gender construction.  相似文献   
146.
With the knowledge that information and communication technology (ICT) has brought about significant changes in the structure and functioning of businesses, this research provides information about the changes that have occurred in ICT adoption in nonprofit organizations between 2000 and 2004. Using archival data, it specifically investigates various indicators of ICT adoption and adoption readiness factors. Results illustrate that nonprofit organizations are beginning to position themselves to take advantage of the opportunities provided by ICT adoption.  相似文献   
147.
Drought is a natural phenomenon that has particular implications for a primary industry, namely farmers. This paper examines the policy responses of the early 1990s. It is argued that these were driven more by political expedience than careful planning. In conclusion, it is suggested that drought policy shows one issue on which it was necessary to reverse, if only partially, the ‘economic rationalism’ that had dominated thinking in the 1980s.  相似文献   
148.
Grassroot Soccer designed a curriculum and sport-based teaching model to build resiliency, targeting boys and girls in Lusaka, Zambia, and Johannesburg, South Africa, where most children are reminded daily of the devastation caused by AIDS and where many face chronic and acute hardship. The activities that were created were designed to resonate with youths' interests in sport while teaching boys and girls between ten and eighteen years of age skills to build resiliency and prevent infection of HIV.  相似文献   
149.
An experiment was conducted to assess the effect of a subtle reminder of death on voting intentions for the 2004 U.S. presidential election. On the basis of terror management theory and previous research, we hypothesized that a mortality salience induction would increase support for President George W. Bush and decrease support for Senator John Kerry. In late September 2004, following a mortality salience or control induction, registered voters were asked which candidate they intended to vote for. In accord with predictions, Senator John Kerry received substantially more votes than George Bush in the control condition, but Bush was favored over Kerry following a reminder of death, suggesting that President Bush's re-election may have been facilitated by nonconscious concerns about mortality in the aftermath of September 11, 2001.  相似文献   
150.
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