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181.

Problem and background

In an earlier research project midwives were asked to perform women-centered care focusing on the assumption that the physiological process in the second stage of labour could be trusted and that the midwives role should be encouraging and supportive rather than instructing. There is no knowledge about how midwives participating in such a research project, uses their skills and experience from the study in their daily work.

Aim

The aim in this study was to investigate how midwives experienced implementing woman-centered care during second stage of labour.

Methods

A qualitative study was designed. Three focus groups and two interviews were conducted. The material was analysed using content analysis.

Findings

The participating midwives’ experiences were understood as increased awareness of their role as midwives. The overarching theme covers three categories 1) establishing a new way of working, 2) developing as midwife, 3) being affected by the prevailing culture. The intervention was experienced as an opportunity to reflect and strengthen their professional role, and made the midwives see the women and the birth in a new perspective.

Conclusions

Implementing woman-centered care during second stage of labour gave the midwives an opportunity to develop in their professional role, and to enhance their confidence in the birthing women and her ability to have a physiological birth. To promote participation in, as well as conduct midwifery research, can enhance the development of the midwives professional role as well as contribute new knowledge to the field.  相似文献   
182.
A pilot, doubly randomized preference trial was conducted to investigate the impact of providing parents preferences on parenting outcomes. Families with children having conduct problems were randomly assigned to a choice group in which they received their preferred treatment among the four intervention options or a no‐choice group in which they were randomized assigned to one of the four options. Results of mixed‐effects models showed that parents in the choice group who selected Parent Management Training‐Oregon Model (PMTO) had better parenting outcomes over time compared to parents in the choice group who selected child therapy. It highlights the importance of incorporating parent preferences in the delivery of evidence‐based treatments.  相似文献   
183.
Post-truth regimes are disconcerting to the extent that they confuse the distinction between true and false and thus obfuscate and obstruct political debate. And they dismantle the secret by imitating its habit: they constantly make claims while leaving us to guess what exactly the true content is – or whether there is any content at all. In an imagined world without secrets, there would be no curiosity or confidentiality, no sincerity or trust, and no political possibility of thinking otherwise. Analysis of the logic of secrecy, the article argues, helps us to revisit the established confidence in our culture in the force of truth, and to confront a challenge post-truth regimes pose: that to establish truth involves affective force. Contrary to the common belief that truth – and secrecy – is something to be revealed, a Foucauldian reading suggests that to mobilize truth requires both truthfulness and a moment of creation. Truth relies on the secret but will always only emerge on the surface.  相似文献   
184.
Collecting multiple perspectives data (e.g. from related individuals) in a qualitative longitudinal design can provide rich understanding of the dynamics at play in complex relational systems, and the different perceptions of people involved. However, such approaches are inherently challenging due to the complexity and volume of data involved. So far, little attention has been paid to the methodological challenges of data analysis in multiple perspectives longitudinal research. This paper contributes to the development of a systematized analysis process for multiple perspectives qualitative longitudinal interviews (MPQLI). We present a framework for handling the complexity and multi-dimensionality of MPQLI, describing discrete steps in such analyses, and related aims and insights. We exemplify the suggested strategies with our own research on the transition to parenthood. The proposed framework can increase both traceability and credibility of analysis of MPQLI, and help to realize the potential of multiple perspectives longitudinal interviews.  相似文献   
185.
The recent expansion of structured doctoral programs in Germany aims on reducing social selectivity in access to doctoral studies. Therefore, this article firstly explores if gender and educational background differences differ on the transition to individual and structured doctorates. Secondly, it examines the underlying mechanisms that may account for these differences. Analyses are based on data from the DZHW graduate panel studies. Findings confirm that the effects of educational background on entering a structured doctoral program or grant program are lower than those found on transition to individual doctorates, where doctorates are pursued within a research assistant position or as an external doctoral candidate. Gender only influences the transition into a PhD within a research assistant position. Mediator analyses show that this gender difference can largely be explained by subject choices, student assistant jobs and parenthood. For educational background differences, performance differences also explain a big part of the effects. To what extend these mechanisms contribute to unequal entry chances, however, varies between different formal PhD contexts.  相似文献   
186.
The present study investigated the potential of social cooperative activities and social work practices in the Italian agriculture sector in promoting sustainable integration forms for refugees and asylum seekers. The study adopted a qualitative approach using case study as the main research method. As the results show, the complexity and diversity of needs of refugees and asylum seekers make collaboration between formal and informal actors increasingly necessary for generating a common knowledge and support networks. The article argues that integrated approaches to refugees’ socio‐economic integration are needed to free them from the need for assistance and thereby help them regain their autonomy. The case study presented gives insight into the potential of small‐step experiences towards sustainable development and, linked to this, the integration of refugees and asylum seekers based on self‐organisation and cooperation, considering the well‐being of all citizens in the broader context.  相似文献   
187.
Volunteering to address poor life outcomes often experienced by care leavers is emphasised in UK policy. Although volunteering is credited with the ability to generate social capital, there is limited research on the impact of volunteering on the social capital of care leavers. This article re‐examines data from an evaluation of a volunteering project for care leavers. It explores in what ways young people's participation in the project constitutes social capital. The findings support the importance of regular face‐to‐face contact and co‐production for young people to become creators of their own social capital.  相似文献   
188.
189.
The paper starts with a social discourse on innovation and organizational learning, which seems to be unrelated to the dimension of power. Following Bourdieu, the paper then develops a practice-theoretical perspective of organizational power and countervailing power. Power dynamics in organizational fields and symbolic orders are discussed and described as ??bureaucracy??, ??clan?? and ??market??. The paper finally concludes with an outlook on habitus (and field-) reflexive organizational consultancy.  相似文献   
190.
This paper presents a solution to an important econometric problem, namely the root n consistent estimation of nonlinear models with measurement errors in the explanatory variables, when one repeated observation of each mismeasured regressor is available. While a root n consistent estimator has been derived for polynomial specifications (see Hausman, Ichimura, Newey, and Powell (1991)), such an estimator for general nonlinear specifications has so far not been available. Using the additional information provided by the repeated observation, the suggested estimator separates the measurement error from the “true” value of the regressors thanks to a useful property of the Fourier transform: The Fourier transform converts the integral equations that relate the distribution of the unobserved “true” variables to the observed variables measured with error into algebraic equations. The solution to these equations yields enough information to identify arbitrary moments of the “true,” unobserved variables. The value of these moments can then be used to construct any estimator that can be written in terms of moments, including traditional linear and nonlinear least squares estimators, or general extremum estimators. The proposed estimator is shown to admit a representation in terms of an influence function, thus establishing its root n consistency and asymptotic normality. Monte Carlo evidence and an application to Engel curve estimation illustrate the usefulness of this new approach.  相似文献   
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