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31.
The paper begins by outlining the development of social indicators work and social monitoring at the national level in New Zealand and comments on how this relates to the international movement. It describes the 'key' indicators/life stage approach developed by the New Zealand Planning Council in the early 1980s. This exercise continues from a university base and the fourth report in the series, entitled Tracking Social Change in New Zealand was published in early 1998. Examples are presented to show how the results can be used to highlight the policy implications of changing social trends.  相似文献   
32.
Male and female participants were surveyed on abortion attitudes, commitment, and abortion experience. Results revealed a normal distribution of abortion attitudes rejecting the notion that the vast majority of the sample would have significantly pro-choice views. No significant difference was found in overall abortion attitudes of males vs. females, however, individuals with direct abortion experience were found to have significantly stronger pro-choice attitudes than individuals without direct abortion experience. Overall, college students reported a moderate degree of commitment to the issue of abortion. Females were significantly more committed than males, individuals with direct abortion experience were significantly more committed than individuals without direct abortion experience, and individuals with more extreme abortion attitudes were significantly more committed than those with weaker, more ambivalent, attitudes. No significant difference was found in level of commitment between pro-choice and pro-life individuals.  相似文献   
33.
Defences of the youth wage constitute a form of discrimination against young people with significant implications for income poverty among 16–24 year olds in Australia. In a manner comparable to the historic denigration of women and Indigenous Australians, arguments against the equal value of youth work rest on normative and empirical assumptions that are entirely contestable. Ultimately, they embody an animus against a section of the population that deprives them of their fundamental civic status.  相似文献   
34.
With marriage between lesbians and between gays now legal in the United States, it is important to gain an understanding of how in-law relationships function for this population. Five case studies, part of a larger study of in-law relationships, are presented that help further knowledge of the potential obstacles that some couples may face in relation to their in-laws. Common experiences include relationships improving over time; struggling with acceptance; feeling closer to parents-in-law because other adult children or adult children-in-law have fallen out of favor; recognizing the significant role that the child-in-law’s spouse plays in the relationship between the child-in-law and the parent-in-law; understanding the role that the larger community plays; considering both parents-in-law as separate voices in the in-law dyad; and experiencing feelings of ambivalence that arise between family members. Practice implications for clinicians are included as are implications for future research.  相似文献   
35.
Open Dialogue is an approach to working with people and their families experiencing psychosocial distress. Interest in Open Dialogue in Australia has been growing recently, raising questions about its adaption and implementation to local contexts. This article is an attempt to answer some of the frequently asked questions we have encountered in training and discussions about Open Dialogue. We attempt to provide responses to questions of how Open Dialogue is different to what is done already, how it fits with current approaches, how you know if you are doing it, whether it is passive or just about doing reflections, issues about including the social network, and concerns about the evidence base. This article aims to present a variety of viewpoints in relation to these questions and to hopefully further discussions on how Open Dialogue can be implemented and adapted to Australian health care and social care contexts.  相似文献   
36.
37.
Health and hospital system reforms prioritise efficiency. However, initiatives can impact on people with new or existing disabilities who require time to maximise functional independence. With greater demands for shorter hospital stays social workers face increasing pressure to facilitate discharge. This paper reports findings from research identifying factors contributing to extended stays for adults with disabilities. We sought to better understand patient characteristics and discharge planning challenges by analysing a clinical dataset of 80 patients and qualitative interviews with five experienced hospital social workers. Three key factors are identified: issues around rehabilitation services; assessment and planning for community care; and availability of and access to discharge options. Strategies to reduce length of stay are reported. We argue that building collaborative partnerships and working across multiple, complex systems and disciplines are vital to ensure these patients access appropriate community-based resources within the current health reform environment.  相似文献   
38.
The effects of interagency collaboration on risk assessment in child protection practice were analysed in respect of the decision-making processes in child death inquiries. Universal features in the assessment of risk as identified in psychological literature were applied; in particular, the concepts of ‘groupthink’, the ‘certainty effect’ and ‘group polarization’. It is suggested that case conference decisions are inherently more risky than those taken by professionals with individual responsibility because of the way in which cases are framed in terms of losses.  相似文献   
39.
Urban Ecosystems - Residential yardscapes are at the forefront of human interaction with nature for those living in urban areas across Europe and North America. In recent years a significant amount...  相似文献   
40.

Background

Second-degree tears are the most common form of perineal trauma occurring after vaginal birth managed by New Zealand midwives, although little is known about midwives’ perineal practice.

Aim

The aim of this study was to identify how midwives managed the last second-degree perineal tear they treated and the level to which their practice reflects National Institute for Health and Care Excellence guidelines.

Methods

An (anonymous) online survey was conducted over a six-week period in 2013. New Zealand midwives who self-identified as currently practising perineal management and could recall management of the last second-degree tear they treated were included in the analysis.

Findings

Of those invited, 645 (57.1% self-employed, 42.9% employed) were eligible and completed surveys. Self-employed midwives reported greater confidence (88.0% vs 74.4%, p < 0.001) and more recent experience (85.1% vs 57.4%, p < 0.001) with perineal repair than employed midwives. Midwives who left the last second-degree tear unsutured (7.3%) were more likely to report low confidence (48.9% vs 15.4%, p < 0.001) and less recent experience with repair (53.2% vs 24.7%, p < 0.001), and were less likely to report a digital-rectal examination (10.6% vs 49.0%, p < 0.001), compared to midwives who sutured. Care consistent with evidence-based guidelines (performing a digital-rectal examination, 59.4% vs 49.3% p = 0.005; optimal suturing techniques, 62.2% vs 48.7%, p = 0.001) was associated with recent perineal education.

Conclusions

Midwives’ management of the last second-degree perineal tear is variable and influenced by factors including: employment status, experience, confidence, and perineal education. There is potential for improvement in midwives’ management through increased uptake of evidence-based guidelines and through ongoing education.  相似文献   
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