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This article discusses conceptual, methodological, and ethical challenges of using e-mail to study families and offers strategies to address them. Specifically, the unique nature of issues related to sampling and data collection are addressed. Suggested adjustments and strategies include the use of insiders' consultation, securing opportunities for all family members to voice their views, creating paths for expressing content typically conveyed nonverbally, letting respondents control the pace and shape of the dialogue, creating a virtual shared reality and informing participants about measures to protect their privacy. Directions for future research are offered.  相似文献   
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The approach to the prevention of early onset GBS disease in the newborn varies considerably from country to country. The Centre for Disease Control in the United States advocates universal culture based screening with the administration of intra-partum antibiotics, usually benzylpenicillin or ampicillin, to women who are colonised with GBS. National groups in the UK and New Zealand advocate a risk-based approach where intra-partum antibiotics are given to women with identified risk factors. The Canadian Taskforce on preventive health care has identified a third approach; where intra-partum antibiotics are given to women with a positive GBS culture and an identified risk factor. There are no national guidelines or consensus in Australia.The aim of this paper is to explore the evidence for screening and intrapartum prophylaxis for GBS. The three main methods of detection and management of GBS in pregnancy are described and the implications for women and midwifery practice are addressed. It is hoped that this discussion will provide women, midwives and other clinicians with a summary of the evidence, risks and benefits to enable informed decision making.  相似文献   
84.
This article presents a viewpoint for explaining the positive associations between case advocacy and the engagement in a working alliance of low‐income single mothers at‐risk for physical abuse of their children. Utilizing narrative vignettes from a qualitative study about clinical social workers’ experiences in engaging this population, the article suggests that client/worker partnerships in case advocacy enhanced opportunities for client/worker mutuality and for worker capacities to experience and communicate empathy to their clients. Theoretical constructs from Daniel J. Stern’s infant research and neuroscience are then applied to suggest an intersubjective framework for understanding what occurred.  相似文献   
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Some individuals make limited use of the services offered by treatment programs. Sometimes such individuals group infomally and may be observed congregating in the vicinity of the center they attend. Efforts to engage natural groupings of program members in their natural habitats and to utilize natural groups (as opposed to program organized therapeutic groups) as a vehicle for change is suggested. A pilot venture indicated the feasibility of this approach and helped to identify some of the issues and prohlems encountered in the potentials of undertaking this kind of program.  相似文献   
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Although citizenship performance has been deemed important to organizational effectiveness, potential negative consequences related to including these behaviours in assessments of performance have received far less attention. Furthermore, although numerous researchers have demonstrated that performance ratings include task and citizenship performance, none have specifically examined the potential negative implications this has for performance ratings, employees, and organizations. This article conceptually explores the implications of including citizenship performance in formal ratings of performance. Specifically, the negative implications of including citizenship performance in the formal performance appraisal process are explored in terms of the consequences for the performance rating, including inaccurate appraisals; effects on employees, including reactions to the procedure; potential organizational outcomes, including performance and competitive advantage concerns; potential international and legal considerations.  相似文献   
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