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When it comes to caring for the forensic psychiatric inpatient, there is no "how to" book. In the forensic hospital environment, the commingling of severe and persistent mental illness with criminality poses vexing clinical challenges and complex moral dilemmas not faced in either general psychiatric or correctional environments. While providing evaluation and treatment in our maximum security forensic environment, we continually strive to create and maintain a therapeutic milieu as we fulfill our social mandate to protect the public from the dangerous "criminally insane." Few studies guide us. We do know that within the forensic population there is a spectrum of psychopathology to manage, some of which responds to traditional psychotherapeutic techniques and some of which does not. For example, patients with psychopathic traits may not respond well to traditional treatment methods (Rice, 1997). As forensic psychiatric staff, we sometimes feel as if we are making it up as we go, adapting and blending psychiatric theory with knowledge from penology and criminal justice science to provide a safe environment conducive to growth for patients, the majority of whom may be considered "violence-prone" persons (Toch, 1969). Change is a characteristic of public-sector settings (Smoyak, 1991). Forensic hospitals must continually strive to monitor, refine, and improve their organizational systems as they respond and adapt to constant change. Despite the inherent challenges posed when collaborating with forensic patients, the VAC has achieved some notable successes. Staff and patients have been encouraged to work together to create and maintain a milieu where violence is neither assumed nor condoned. An active collaboration and partnership with our forensic patients has been one component of the hospital's successful violence reduction program. We trust that ASH's successful effort to collaborate with patients on the issue of violence reduction may be of use to other forensic hospitals faced with similar challenges. 相似文献
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Adams SM Dolfie EK Feren SS Love RA Taylor SW 《Journal of psychosocial nursing and mental health services》1999,37(11):11-19
In the aftermath of a natural disaster, adult survivors often move through the following phases of disaster response: Heroic Phase, Honeymoon Phase, Disillusionment Phase, and Reconstruction Phase. Understanding age-related responses to traumatic events such as a tornado enables mental health clinicians to individualize appropriate interventions and prevent or diminish emotional sequelae such as post-traumatic stress disorders. Psychiatric-mental health nurses are encouraged to attend local Red Cross disaster training to be prepared should the need arise for mobilization of mental health disaster response teams in your community. 相似文献
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AbstractTo explore the relationship between sustainability strategies and future energy needs, supply chains need to reduce their CO2 emissions through developing their green credentials and improving performance. Knowledge management (KM) is an enabler to support collaboration efforts. The SCM and KM areas have largely focused on improving organisational performance. While the latter has yielded successful outcomes in different sectors, there is still a scarcity of research on identifying influential factors highlighting those aspects which may enable green supply chain collaboration (GrSCC), thus leading to sustainable energy futures and carbon-efficient production. This paper examines the role of KM in facilitating GrSCC. Through the identification of key factors extrapolated from the literature, a model for implementing GrSCC using a futures-based perspective is proposed. This paper inductively demonstrates the relationship between identified GrSCC factors through fuzzy cognitive mapping technique. Findings support a futures-based perspective that enhances understanding and refines forward-looking strategies for GrSCC. 相似文献
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Peter E. D. Love Pauline Teo Fran Ackermann Jim Smith James Alexander Ekambaram Palaneeswaran 《生产规划与管理》2018,29(5):353-366
A positive association between rework and safety events that arise during the construction process has been identified. In-depth semi-structured interviews with operational and project-related employees from an Australian construction organisation were undertaken to determine the precursors to rework and safety events. The analysis enabled the precursors of error to examined under the auspices of: (1) People, (2) Organisation, and (3) Project. It is revealed that the precursors to error for rework and safety incidents were similar. A conceptual framework to simultaneously reduce rework and safety incidents is proposed. It is acknowledged that there is no panacea that can be used to prevent rework from occurring, but from the findings presented indicate that a shift from a position of ‘preventing’ to ‘managing’ errors is required to enable learning to become an embedded feature of an organisation’s culture. As a consequence, this will contribute to productivity and performance improvements being realised. 相似文献
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ABSTRACTResearchers increasingly draw on social media data to answer big questions about social patterns and dynamics. However, as with any data source, social media data present both opportunities and significant challenges. One major critique of social media data is that the data are not generalizable outside of the platforms from which the data originate. Problems of generalizability stem from non-universal participation rates on various platforms, demographically biased samples, as well as limited access to data based on infrastructural constraints and/or user privacy practices. We suggest that instead of empirical generalizability, social media data are theoretically generalizable in the formal theory tradition. Through a case example in which we use YouTube comments to test and extend a key tenet of identity theory, we show how social media data can instantiate theoretical variables and thus generalize to theoretical propositions. Mediated through formal theory, social media data maintain the capacity to address broad social questions while upholding methodological integrity. 相似文献
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Anonymity 《爱情·婚姻·家庭(生活纪实)》2014,(7):56-57
我的妻子因为意外事故离开我身边已经四年了,我想,妻子留下不会做任何家事的我和孩子,她的心有何等难过呢?我也因为无法兼顾父母双亲的角色而感到挫折。 相似文献
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Mlln 《爱情·婚姻·家庭(生活纪实)》2014,(1):24-24
她并不是我的妻子,我甚至还没有想好应该如何向她求婚。每当看到别人颇具创意的求婚视频发到网上被万人点击时,我都会心怀怨恨地喊一句:娘的,又一条路被你们堵死了。 相似文献
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A youth curfew: A retrospective view of the rise,fall and legacy of the Northbridge Policy 下载免费PDF全文
This article presents policy, practice and theory implications of a case study of a youth curfew. The original case study of the Northbridge Policy Project set out to document the purposes of the Northbridge Policy, how policy was implemented, and to evaluate the effectiveness of this approach as a generalised response to child welfare and youth crime. The study synthesised data from multiple sources. The original study concluded that although the project was well resourced, well managed and had improved greatly inter‐agency collaboration for child protection, these benefits could have been achieved without the curfew, which undermined some preventative aspects of the project. The evaluation also concluded that previously documented successes of the curfew for crime protection and child protection had been achieved through displacement of young people to other locations that neither reduced crime nor increase safety. After the project was suddenly curtailed, analysis used moral panic theory to examine the legacy of the Northbridge curfew in terms of discourse about young people and legitimation of subsequent practices in youth policing. The analysis found that the legacy had been unhelpful because it reinforced the erroneous beliefs that the curfew had been an effective and necessary component of strategy. 相似文献