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51.
52.
Early engagement with health care, mental health care, and social services can promote the well-being of children and families. How practitioners can best support family engagement with these services however remains largely unknown. To address this gap in knowledge, data from a voluntary 12-week telephone and web-mediated family navigation preventive intervention called Navigate Your Way were subject to mixed-methods analysis. Twenty-nine caregivers and five family navigators contributed data to the study. Thematic analysis of weekly navigator check-ins, participant closing interviews, navigator discharge notes, and lab meeting notes was conducted and followed by quantitative analysis of navigator effort across project activities. Results were then mixed to illuminate the essential conditions for supporting family connection to health care, mental health care, and social services. Qualitative analysis identified themes related to empathic engagement and person-centred navigation as central to connecting families to needed services. Quantitative analysis of navigator effort identified participant outreach, weekly check-ins, service identification, and ongoing supervision as essential navigation activities. Together, providing an environment that is supportive, consistent, flexible, person-centred and tailored to families' specific needs are important for connecting to health and social care.  相似文献   
53.
Are ‘statistical households’, as defined in national censuses, able to describe the family environment in Africa? Do they correspond to the family units that individuals identify with? To address this issue, we build on a follow-up survey in south-east Mali, which links national censuses with local censuses at the individual level (N?≈?28,000 census observations). Three cross-sectional snapshots of family arrangements are compared: households recorded in national censuses, and family economic units and residential units recorded by local censuses. The national census household data appear poorly suited to documenting family living arrangements. They do not account for family economic units or residential units, but are highly conditioned by a normative representation centred on the nuclear family. Therefore, they fail to describe the complexity and diversity of people’s living spaces, making particular types of living arrangements invisible and increasing the likelihood of omitting individuals who do not fit into a nuclear model.  相似文献   
54.
Relationships between risk perceptions, emotions, and stress are well-documented, as are interconnections between stress, emotion, and media use. During the early COVID-19 pandemic, the public responded psychologically to the threat posed by the pandemic, and frequently utilized media for information and entertainment. However, we lack a comprehensive picture of how perceived risk, emotion, stress, and media affected each other longitudinally during this time. Further, although response to the pandemic was highly politicized, research has yet to address how partisan affiliation moderated relationships between risk, emotion, stress, and media use over time. This three-wave (= 1021) panel study assessed the interplay of risk, emotion, stress, and media use for Americans with different political affiliations between March and May of 2020. Findings indicate that perceived risk, emotion, and stress at Time 1 predicted media use at Time 2, with predictors varying by type of media. Use of entertainment media and social/mobile media predicted later stress (Time 3), but news consumption did not. Later risk perceptions (Time 3) were not influenced by media use at Time 2. The predictors and consequences of different types of media use were notably different for Republicans and Democrats. In particular, risk perceptions predicted greater news use among Democrats but greater entertainment media use among Republicans. Moreover, social/mobile media use resulted in perceiving the risks of COVID-19 as less serious for Republicans while increasing stress over time for Democrats.  相似文献   
55.
Existing retirement studies have, in the main, focused only on labor supply decisions of couples in which the husband has been the sole earner. This paper extends the focus of analysis to examine retirement among dual-earner couples. It further develops a framework for assessing how several past and prospective Social Security reforms might be expected to affect older working couples' retirement ages and retirement incomes. Two questions are addressed in some detail: (1) What are the likely effects of various changes in Social Security rules on the retirement decisions of older working women and their husbands? and (2) How might these changes alter the incidence of poverty among retired dual-earner couples? Empirical evidence from the United States suggests that many benefit reforms currently being discussed in policy circles will enhance Social Security system revenues, but will also worsen the economic status of an important segment of dual-earner couples.  相似文献   
56.
From the 1998–99 French Insee time use survey, the time cost of children is estimated in terms of hours of foregone leisure. The focus on couples with two spouses working full time implies no need to be concerned about substitution between home production and labor supply. The model accounts for selection into full-time employment, endogenous wages, and controls for outside help with home production and child care. The foregone leisure cost per child under the age of 3 is 1.6 hours for each parent. It is about half that size for children aged 3 to 14. Children over age 14 involve no leisure cost to parents.  相似文献   
57.
This article provides a rationale and strategies for using scrapbooks and portfolios within the context of group work with minority women recovering from chemical dependence. An expanded model of recovery-based group work places the use of scrapbooks and portfolios within the context of a practice model that seeks to increase general and social self-efficacy in these women. Memory scrapbooks, lifecourse scrapbooks, and recovery portfolios are defined; their differential use in group work is described; and ways group members can use the tools to strengthen their sources of self-efficacy are explored.  相似文献   
58.
This article attempts to estimate the time cost of children in France for couples who do not forgo any income, on the basis of the INSEE 1998–1999 time use survey. Having a child involves an increase in domestic work and/or the dedication of occupational income to pay for childcare. The reduction in “time for oneself”—leisure and personal care, i.e. 24 h less working hours paid or unpaid—is modelled for a dual-earner couple in full-time employment who do not use childcare services to increase his/her leisure time. Taking a couple in full-time employment avoids income endogeneity bias, since income is reduced by career interruption and part-time employment. These estimates account for this selection by full-time paid work. The article shows that time cost is roughly 1 h 30 min a day for a child aged 3–14, and is 4 h a day for each younger child. As this cost rises, the more fathers sacrifice some of their free time. The father and mother of two young children with a childminder thus each have only 11 hours of free time (including sleep) per day. The time cost of a large family (3 children) is equivalent to a full-time job on the labour market. In France, work-life balance policies and family pension entitlements only cover a small part of this cost.  相似文献   
59.

Background

Midwifery programs leading to registration as a midwife in Australia have undergone significant change over the last 20 years. During this time accreditation and governance around midwifery education has been reviewed and refined, moving from state to national jurisdiction. A major change has been the mandated inclusion of Continuity of Care Experiences as a clinical practice-based learning component.

Aim

The purpose of this discussion is to present the history of the governance and accreditation of Australian midwifery programs. With a particular focus on the evolution of the Continuity of Care Experience as a now mandated clinical practice based experience.

Methods

Historical and contemporary documents, research and grey literature, are drawn together to provide a historical account of midwifery programs in Australia. This will form the background to the inclusion of the Continuity of Care Experience and discuss research requirements to enhance the model to ensure it is educationally sound.

Discussion

The structure and processes for the Continuity of Care Experience vary between universities and there is currently no standard format across Australia. As such, how it is interpreted and conducted varies amongst students, childbearing women, academics and midwives. The Continuity of Care Experience has always been strongly advocated for; however there is scant evidence available in terms of its educational theory underpinnings.

Conclusion

Research concerned with the intended learning objectives and outcomes for the Continuity of Care Experience will support the learning model and ensure it continues into the future as an educationally sound learning experience for midwifery students.  相似文献   
60.
Using a sample of 17 foundations that are at the forefront of encouraging innovation this study explored foundations' motivations behind funding innovation, their perceived ability to impact the levels of innovation in nonprofit organizations, and strategies that foundations are using or can use to encourage innovation in nonprofit organizations. The results showed that among the major motives behind funding innovation were leveraging the capital, honoring the foundations' core identity (mission and values), and desiring to encourage innovation in nonprofit organizations. Five strategies/mechanisms that foundations are using/can use to encourage innovation in nonprofit organizations were identified: (a) offering innovation awards/grants as catalysts for innovation, (b) providing risk capital and supporting early stage idea development, (c) educating other foundations on the value of innovation and serving in a convener role, (d) serving as thought leaders, and (e) increasing nonprofit organizations' capacity for innovation. Implications for practice are discussed along with recommendations for future research.  相似文献   
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