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241.

Problem

Although the World Health Organization and American Academy of Pediatrics recommend exclusive breastfeeding for the first six months, only 22% of U.S. mothers do so. Mothers’ perceived insufficient milk (PIM) is the primary reason for breastfeeding discontinuation globally. There are two changeable causes of PIM: (1) mothers’ misinterpretation of their infant’s behavior, and (2) mothers’ lack of confidence in their ability to breastfeed.

Aim

The purpose of this study was to evaluate the short-term effect of a home-based intervention designed to prevent and/or reduce PIM.

Methods

A mixed-methods, single-group, pretest-midtest-posttest design was used for evaluating a home-based breastfeeding program. The program was implemented during three 1.0- to 1.5-h home intervention sessions at 6, 13, and 27 days postpartum, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants.

Findings

We found significant increases over time in mothers’ sensitivity to infant behavior and breastfeeding self-efficacy as well as significant decreased attribution of infant crying to PIM. Exit interviews indicated that the program was accepted by participating mothers.

Discussion

This is the first intervention study that has directly targeted the causes of PIM. The home-based intervention has the potential to add to maternal competencies both in correctly assessing their infants’ behavior, thereby preventing erroneous attribution of infant behavior to PIM, as well as simultaneously bolstering maternal confidence in breastfeeding skills.

Conclusion

By building maternal competencies, the home-based intervention has a longer-range potential to prevent breastfeeding discontinuation. Further evaluation is warranted.  相似文献   
242.
National policy initiatives to encourage entrepreneurial behaviour are often developed with limited knowledge of the contextual constraints and causal factors. In this paper, we adopt a social realist approach, generally associated with critical realism, as a framework for analysing levels of entrepreneurial behaviour. The trigger for our study is the apparent anomaly of low levels of German entrepreneurship. We apply the morphogenetic framework of the sociologist Margaret Archer to Germany and then compare this to the United States. We conclude that particular so-called situational logics at the intersection of structure and culture constitute mechanisms which provide strategic direction for the decisions of potential entrepreneurs. We argue that a social realist stance based upon Archer’s sociology provides a practical grounding for research and policy development.  相似文献   
243.
244.
Mexican American adolescents face disparities in mental health and academic achievement, perhaps in part because of discrimination experiences. However, culturally related values, fostered by ethnic pride and socialization, may serve to mitigate the negative impact of discrimination. Guided by the Stress Process Model, the current study examined risk and protective processes using a 2‐wave multi‐informant study with 750 Mexican American families. Specifically, we examined 2 possible mechanisms by which Mexican American values may support positive outcomes in the context of discrimination: as a protective factor (moderator) or risk reducer (mediator). Analyses supported the role of Mexican American values as a risk reducer. This study underscores the importance of examining multiple mechanisms of protective processes in understanding Mexican American adolescent resilience.  相似文献   
245.
246.
Age changes' measures of prosocial responding and reasoning were examined. Participants' reports of helping, empathy‐related responding, and prosocial moral reasoning were obtained in adolescence (from age 15–16 years) and into adulthood (to age 25–26 years). Perspective taking and approval/interpersonal oriented/stereotypic prosocial moral reasoning increased from adolescence into adulthood, whereas personal distress declined. Helping declined and then increased (a cubic trend). Prosocial moral judgment composite scores (and self‐reflective empathic reasoning) generally increased from late adolescence into the early 20s (age 17–18 to 21–22) but either leveled off or declined slightly thereafter (i.e., showed linear and cubic trends); rudimentary needs‐oriented reasoning showed the reverse pattern of change. The increase in self‐reflective empathic moral reasoning was for females only. Thus, perspective taking and some aspects of prosocial moral reasoning—capacities with a strong sociocognitive basis—showed the clearest increases with age, whereas simple prosocial proclivities (i.e., helping, sympathy) did not increase with age.  相似文献   
247.
Concurrent and longitudinal relations among parental emotional expressivity, children's sympathy and children's prosocial behavior were assessed with correlations and structural equation modeling when the children were 55–97 months old (N = 214; M age = 73 months, SD = 9.59) and eight years later (N = 130; ages 150–195 months old, M = 171 months, SD = 10.01). Parent emotional expressivity (positive and negative) and children's sympathy were stable across time and early parent‐reported sympathy predicted adolescents' sympathy and prosocial behavior. Parents' positive expressivity was positively related to sympathy and prosocial behavior, but in adolescence, this was likely primarily because of consistency over time. Early observed parental negative expressivity was negatively related to adolescents' prosocial behavior. Reported negative expressivity in childhood was negatively related to boys' sympathy in childhood and positively related to girls' sympathy behavior in adolescence. The later relation remained significant when controlling for the stability of parental expressivity and sympathy, suggesting an emerging positive relation between the variables for girls.  相似文献   
248.
The nature and integration of strategy and human resource management practices, and the effects of such integration on firm performance were examined in two groups of mid-sized flrms: fast-growth firms and a random sample of similar sized mature firms. The results indicated that the fast-growth firms emphasized fewer human resource activities and experienced a lower degree of strategy-human resource integration than the mature firms. Some evidence was found that the relation between the level of integration and firm performance was moderated by the organization's stage of development.  相似文献   
249.
1. Forensic nurses frequently work in violent settings without regard for self-preservation to save the lives of injured individuals or investigate the deaths of deceased individuals. 2. Cases involving children and victims with disfiguring injuries, and incidents when their personal safety was compromised are most disturbing to forensic nurses. 3. Providing means for health care professionals to cope appropriately encourages healthy healing. 4. Forensic nurses must learn to self-assess and recognize the signs and symptoms associated with unhealthy coping, depression, or posttraumatic stress disorder.  相似文献   
250.
In this paper I inaugurate a feminist sociology of imperialism that extends the work of postcolonial scholars interested in explaining how Western women are located in global projects of imperialism. As part of an ethnographic study of the lives of contemporary development workers in Gilgit, northern Pakistan, this analysis describes and theorizes the significance of clothing choices to the formation of Western women's subjectivities and to transcultural power relations in this postcolonial setting. I demonstrate that decisions Western women make about what to wear in Gilgit develop into arenas of socio-cultural inclusion and exclusion through processes of identification and differentiation, as clothing styles are used to naturalize power hierarchies between Western and local Muslim women.  相似文献   
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