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111.
We develop fast mean field variational methodology for Bayesian heteroscedastic semiparametric regression, in which both the mean and variance are smooth, but otherwise arbitrary, functions of the predictors. Our resulting algorithms are purely algebraic, devoid of numerical integration and Monte Carlo sampling. The locality property of mean field variational Bayes implies that the methodology also applies to larger models possessing variance function components. Simulation studies indicate good to excellent accuracy, and considerable time savings compared with Markov chain Monte Carlo. We also provide some illustrations from applications. 相似文献
112.
Multi-professional vocational rehabilitation group meetings with female clients: a qualitative study
Many women require vocational rehabilitation before they can return to work. The objective with the present study was to describe female clients' situation during the rehabilitation process, as it became apparent during the rehabilitation meetings with the various actors involved. The clients' diagnoses varied, but the majority was affected with musculoskeletal disorders. The meetings were audio-taped and transcribed verbatim, after which they were analysed by qualitative content analysis. The following themes emerged: Adaptation to the rehabilitation group; client's health status; the workplace's significance for rehabilitation; and the client's decision-point. Conflict between health and work was immensely important for rehabilitation. Differences in attitude were apparent during the rehabilitation meetings, as some clients were passive and exercised less influence on the planning, than the other more active clients did. 相似文献
113.
114.
While policy and practice standards emphasise the importance of engaging and supporting families of people with mental health problems, many families have reported feeling unsupported and distanced from treatment and care planning in acute inpatient units. There has been little systematic interest in the changing role and experiences of families throughout the emergence of illness, crisis, seeking of treatment, and subsequent recovery. Nineteen in-depth interviews were conducted with the next of kin of 17 people who had been admitted under an Involuntary Treatment Order in a large metropolitan hospital in the Brisbane region. A general inductive approach was used to analyse the data. While hospital admission was described as a time where, ideally, families were able to let go of being responsible for their relative's behaviour and let the health care professionals take over, for many this did not occur. We suggest four critical elements for providing recovery-oriented support to families. These include: (a) ensuring that families feel that their relative is safe and receiving the care needed; (b) keeping the family informed about their relative's progress; (c) ensuring families have access to information about the mental health system, and (d) working in partnership with the families.
IMPLICATIONS
Family wellbeing is improved when they feel part of a supportive team.
Instituting an open policy where families can contact ward staff easily and access information about the person they care for may alleviate families’ anxieties and minimise stress.
Family work is enhanced when health professionals acknowledge families’ relationships, expertise, and understanding of their family member.
115.
Migrant Care Work Going Dutch? The Emergence of a Live‐in Migrant Care Market and the Restructuring of the Dutch Long‐term Care System 下载免费PDF全文
In recent years, a live‐in migrant care (LIMC) market has emerged in European countries with specific care, migration, and employment regime features. In countries with relatively low levels of formal long‐term care (LTC) provision, people in need of care and their families have started purchasing LTC directly from individual – mostly migrant – workers who live‐in with the person in need of care. Previous research has shown that this arrangement is facilitated by the availability of cash‐for‐care benefits that can be freely used by the beneficiaries, and/or by low levels of regulation of employment and migration. The Netherlands traditionally features strong, universal and generous LTC policies. However, recently, the phenomenon of LIMC has also appeared there. Based on exploratory qualitative research, this article examines the features of Dutch LIMC and the factors that foster or hinder its development. Our findings show that the ongoing restructuring of the Dutch LTC system – particularly the emphasis on informal care and decreasing accessibility of institutional care – are important factors pushing an LIMC market. At the same time, various institutional factors limit its growth, particularly the high levels of regulation of the Dutch care, migration and employment regimes. Further cutbacks in the care sector might push more families to this market in the near future, and change the character of the Dutch LTC sector. The Dutch case is relevant for other countries with longstanding traditions of generous LTC services which currently undergo retrenchment, and sheds light on routes to institutional change. 相似文献
116.
Marianne Tevik Singstad Jan Lance Wallander Stian Lydersen Lars Wichstrm Nanna Snnichsen Kayed 《Child & Family Social Work》2020,25(2):384-393
Social support may be of particular importance for vulnerable adolescents' development and health and can help them to cope with stressful life events. However, knowledge of perceived social support among adolescents in Residential Youth Care (RYC) is sparse. The present study therefore aimed to investigate perceived social support among adolescents in Norwegian RYC (N = 304, mean age 16.3 years, girls 57.2%), using a short form of the Social Support Questionnaire. The results were compared with adolescents in the general population. The findings revealed that adolescents in RYC reported a lower number of support persons compared with the general population. Both populations reported a decreasing number of support persons as they aged, except for girls in RYC. The adolescents in both populations were satisfied with the support perceived, especially those with the highest number of support persons. However, social support providers differed between the two populations; RYC adolescents reported their extended family, other sources of support, and the institutional staff more often and their parents less. The findings are important for adolescents living in RYC, as knowledge of their social support network could influence the current practices and ensure contact with important support persons, affecting their development and health. 相似文献
117.
Tanya R. John C. Ronald C. Adrian Linda Chad Marianne Sean 《Evaluation and program planning》2009,32(3):278-288
The purpose of this research was to evaluate television advertisements targeted at 55–70-year olds that promoted physical activity and fruit and vegetable consumption. Awareness of the campaign, perceived credibility of the source, intentions to visit a promoted website, and intentions to perform the healthy behaviors were evaluated using mixed methods research. Results from a population level survey (n = 1600) showed low unprompted and prompted awareness of the campaign and no differences in intentions or behaviors among those who were aware of the campaign. Unprompted recall resulted in a very wide range of responses including the citation of many commercial advertisers. Qualitative themes that emerged from the focus groups included neutral, positive, and negative comments about the advertisements, source credibility, website considerations specific to seniors, and suggestions about appropriate advertising for older adults. This research showed that the increased attention paid to the advertisements was due in a large part to negative reactions to the character used in the advertisements. Another important finding was the government was not considered to be a credible source of health information. Finally, health promoters should be cautious about websites as the primary source of information, particularly for older adults. 相似文献
118.
An exploratory study was conducted about the initial training of the Public Security Police with the aim to understand the role of this initial training in the distinction between the work of men and women in the police force. This study is part of a broader study about the entry of women into typically male professions. After documental analysis and interviews to students, trainers and school board members, it was concluded that women face greater difficulties in the access to the profession. Moreover, female qualities like the capacity to dialogue are devalued. Nevertheless, women represent an important work tool for the police force. The stigma of physical strength was also encountered and identified in the previous study conducted with elements of the police force. This fact leads us to believe that these stereotypes usually associated with women are defended by elements of the institution. 相似文献
119.
The work activity of urban bus drivers is held in the public space and characterized by a constant vigilance, but the moments of observation the colleagues' work are scarce. This fact results in a paradox--it is a work activity that is more visible to "outsiders" than to "insiders"--which has an important impact on the debate of the work activity from a perspective of gender and the women's work in a predominantly male context. Ergonomic analysis of work and semi-structured interviews were conducted with 32 urban public transport drivers, 16 women and 16 men. The results reveal the lack of conditions for the drivers' knowledge of the activity of another, especially when that other is a woman--while men attribute characteristics to women based on gender stereotypes and an extension of their role in the private sphere, women relate them with the need to prove their competence and be recognized. It is proposed the development, in the context of training, of a space for debate and knowledge of the activity of the other and for the creation of conditions for another integration of women in the profession and for another visibility of their work. 相似文献
120.
This study answers a recent call for research on the complexity, locality, and use of power in the governing of diversity in organizations. We used the concepts of governmentally and of governing sameness and difference to explore multiple and heterogeneous ways of regulating gender diversity in organizations. Governmentally was defined as interrelated ways of reasoning and of using technologies of power within a boxing organization. We found that in their management of the full participation of women, participants used both sport and gender rationalities, each of which relied on different technologies of power in specific settings. Ambiguous meanings were strategically used to manage the participation of women in boxing and to maintain heroic masculine practices. 相似文献