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51.
Quality-of-life studies have a 50-year history and inherited the tradition of the “social indicators” movement, born in the United States during the sixties and involving scholars and researchers, supported by the public administration and interested in gathering and analysing data aimed at studying non-economic components of societal wellbeing. The idea of quantifying “symptoms” (indicators) of living conditions has been launched by Italian statistician and criminologist, Alfredo Niceforo, who has been recognised as the pioneer of social-indicators concept. Moreover, with his book on Les indices numérique de la civilisation et du progrès, he may be considered the originator of an approach of comprehensive welfare and quality of life measurement as it is the concern of modern social indicators and quality of life.  相似文献   
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Background

There is no current validated clinical assessment tool to measure the attainment of midwifery student competence in the midwifery practice setting. The lack of a valid assessment tool has led to a proliferation of tools and inconsistency in assessment of, and feedback on student learning.

Objective

This research aimed to develop and validate a tool to assess competence of midwifery students in practice-based settings.

Design

A mixed-methods approach was used and the study implemented in two phases. Phase one involved the development of the AMSAT tool with qualitative feedback from midwifery academics, midwife assessors of students, and midwifery students. In phase two the newly developed AMSAT tool was piloted across a range of midwifery practice settings and ANOVA was used to compare scores across year levels, with feedback being obtained from assessors.

Findings

Analysis of 150 AMSAT forms indicate the AMSAT as: reliable (Cronbach alpha greater than 0.9); valid—data extraction loaded predominantly onto one factor; and sensitivity scores indicating level of proficiency increased across the three years. Feedback evaluation forms (n = 83) suggest acceptance of this tool for the purpose of both assessing and providing feedback on midwifery student’s practice performance and competence.

Conclusion

The AMSAT is a valid, reliable and acceptable midwifery assessment tool enables consistent assessment of midwifery student competence. This assists benchmarking across midwifery education programs.  相似文献   
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Single women of the Baby Boomer generation are often financially disadvantaged in the retirement planning process due to their lower accumulated savings compared to male retirees. This disadvantage impacts significant consumption decisions such as postretirement housing choices. This study uses the theory of planned behavior to examine how certainty in intentions influences preparing and planning for postretirement housing. A typology of single Baby Boomer women is developed based on their financial, demographic, and psychological circumstances. Each segment likely requires different informational strategies and financial services to foster proactive planning for retirement. Significant implications exist for social policy and the financial services sector.  相似文献   
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Research on trends in globalization, particularly its neoliberal variant, has exploded but sources linking these trends to gender equity are difficult to uncover. Discussed mainly in the context of development, gender issues tend to be marginalized from the larger globalization picture. With World Bank as a backdrop, this article disentangles development from the process to inspect the connection between neoliberal globalization (NLG) and gender equity. This is accomplished through three cost‐benefit analyses: an overall evaluation of NLG; how gender equity unfolds under NLG; and how it unfolds under NLG in China. Macroeconomic trends supplemented with examples documenting the plight of women under NLG policies, including garment industry workers in Bangladesh, suggest heightened gender peril ushered in with NLG. China's “state capitalism” modification of NLG, however, tends to mitigate negative consequences for women. A paradigm shift from hegemonic NLG to state capitalism models may offer successful global economic policies that are especially beneficial to women. I conclude with an epilogue reflecting on my original remarks in light of the horrific factory collapse that occurred in Bangladesh less than a month after this address.  相似文献   
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The abstract value of academic freedom is enjoyed (or not) in concrete settings, as interactional and emergent experiences. We examine classroom political controversy in our experiences, understandings, and values, using grounded theory methods and collective autoethnography by a team of five teachers and students. Our data were generated through electronic and face‐to‐face dialogues. Our analysis, guided by a symbolic interactionist and constructionist framework, yields a picture of Controversy in Action, whereby we navigate Barriers to Open Discussion and Costs of Controversy. Results highlight insights into taken‐for‐granted meanings unexamined in day‐to‐day classroom interaction. We attend to the relevance of the local context in which our classrooms are embedded and the interactional, meaning creating work that goes on in those classrooms, as we negotiate controversy.  相似文献   
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Our study examines risk factors for metabolic syndrome on admission to an acute psychiatric facility and the incidence of medical referrals at discharge. Data on demographics, risk factors for metabolic syndrome, other health risk factors, medications, related diagnoses, and primary care providers and referrals were collected from 125 psychiatric patient charts. Comparison analysis was done for two groups: those with two or more risk factors for metabolic syndrome and those with less than two risk factors. Differences between groups were statistically significant for age, waist circumference, body mass index, high-density lipoprotein, triglycerides, and fasting glucose levels. Few patients were referred to their primary care provider for follow-up care. This study has clinical implications for improving assessment of psychiatric patients at risk for developing metabolic syndrome, for designing interventions to help patients adopt lifestyle changes to mitigate these risks, and for working toward fuller integration of psychiatric and primary care.  相似文献   
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Working with survivors of trauma is mostly challenging, exhausting, long‐term and often ‘messy’, when interventions that ‘should’ work, don't, or the unexpected arises. Nevertheless, explanations that speak to recovery from trauma more and more rely on neurobiological concepts to account for any positive change. Combining the family systems approach of Murray Bowen and recent research on the brain and trauma, post trauma symptoms are viewed as part of the ‘family emotional process’ even when traumatic events have emanated from outside the family system itself. Variations in responses to trauma, including dissociation and self‐harm are discussed in relation to chronic anxiety and ‘differentiation of self’.  相似文献   
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