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71.
72.
Who Holds the Stakes? A Case Study of Stakeholder Identification at Two Nuclear Weapons Production Sites 总被引:1,自引:0,他引:1
Patricia E. Boiko Richard L. Morrill James Flynn Elaine M. Faustman Gerald van Belle Gilbert S. Omenn 《Risk analysis》1996,16(2):237-249
Traditional risk assessments, including those involving the United States Department of Energy (USDOE), are often criticized for producing useless or noncredible management responses because they did not meaningfully involve the public. The first step to involve the public is to identify appropriate active participants (stakeholders). This study was done to understand the processes used to identify stakeholders to serve on advisory boards established at the two largest remediation sites in the United States: the Hanford Nuclear Reservation in Washington state and the Savannah River Site in South Carolina. The Hanford stakeholder identification process produced an interest-based board whereas the Savannah River Site strategy produced population-based representation. The basic goals of the stakeholder advisory groups were similar. However, different processes were used to identify the participants for the groups in part because of distinctly different social and cultural conditions in the areas affected by the operations of the two facilities, and in part because of the different level of trust of the USDOE and their contractors at Hanford compared with Savannah River. The discussion analyzes their different needs and potential for successful citizen participation. 相似文献
73.
The article describes the technology transfer concerns reported by a small sample (N=14) of recent college graduates with disabilities. In structured, in-depth interviews, researchers asked respondents to reflect on the extent to which they had utilized technology resources during their college years in preparation for the world of work. Results suggest that colleges and universities need to play a more active role in introducing students with disabilities to both generalized and assistive technology services. 相似文献
74.
As the numbers of caregivers continue to increase, more attention is being focused on the unique stresses these individuals experience. Caring for a loved one tests the limits of even the most resilient, regardless of professional status or experience. Laughter is a universal elixir which allows people to cope more sanely with stress and caregiving responsibilities. Research on the emotional and physical benefits of laughter supports the use of humor by professionals and family members who occupy caregiving roles. This article addresses this research and examines common caregiver emotions while providing concrete guidelines for developing humor. Case examples demonstrate how laughter and wit are utilized by those caring for a loved one. 相似文献
75.
76.
McGuinness TM Noonan P 《Journal of psychosocial nursing and mental health services》2004,42(12):33-38
1. Removing barriers to graduate psychiatric nursing education is possible by delivering courses via the Internet. 2. The Internet is full of valuable resources for graduate psychiatric nursing education. 3. Successful online learning environments involve a paradigm shift on the part of faculty from traditional teaching to facilitating the learning of adult students. 4. Increasing the number of advanced practice psychiatric nurses through Web-based education will transform the delivery of mental health care. 相似文献
77.
This article reviews the literature pertaining to the causes of child maltreatment. The review discusses 68 articles from various disciplines and organizes them into four predominant theories; psychodynamic, social learning, social psychological, and sociological. Research evidence supporting each of the theories is described and critiqued. 相似文献
78.
79.
Alcohol and substance use disorders as predictors of child to adult sexual revictimization in a sample of community women 总被引:1,自引:0,他引:1
Alcohol- and substance-related diagnoses were examined as factors in child to adult sexual revictimization. Three hundred community women completed interviews and self-report instruments to obtain information regarding victimization and to diagnose substance use disorders (alcohol and substance abuse/dependence). Childhood sexual abuse (CSA) survivors were more likely than nonvictims to meet criteria for both substance use disorders and to report rape (e.g., unwanted intercourse due to threat or use of force, or due to the inability to consent due to the respondent's alcohol or drug use) and coerced intercourse (e.g., unwanted intercourse due to verbal coercion or misuse of authority by the perpetrator) by acquaintances, strangers, and husbands. In general, both CSA and substance use disorders were predictive of adult sexual victimization, but there were no significant interactions between these factors. Overall, substance use disorders were related to rape for all women; this relationship was not unique to CSA survivors. Alcohol- and substance-related diagnoses predicted rape by all three types of perpetrators, but CSA was predictive of rape only by acquaintances and strangers and not husbands. In contrast, CSA predicted coerced intercourse by all three perpetrators, while alcohol- and substance-related diagnoses predicted coerced intercourse by acquaintances and strangers, but not husbands. Results highlight the need to continue the study of revictimization of CSA survivors, including examination of both rape and sexually coercive experiences by different types of perpetrators. Findings support continued research of substance use disorders as risk factors for sexual victimization among all women. 相似文献
80.
The Patient Self-Determination Act became federal law in 1990. However, many psychiatric facilities are just beginning to actively address the issue of medical advance directives. The term advance directives, for the purposes of this article, refers exclusively to medical advance directives. Psychiatric advance directives, which are related to issues such as involuntary hospitalization, are beyond the scope of this article. 相似文献