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271.
Challenging end-of-life encounters can be stressful and may lead to burnout. Monthly debriefing sessions are led by a physician and clinical social worker (LCSW). Sessions focus on experiences and emotional reactions rather than case details. Themes identified included; feeling unsupported after difficult deaths, identifying with patients emotionally, and conceptualizing a “good” versus “bad” death. Debriefing provides opportunities for residency physicians to reflect on the affective side of their work and helps promote resiliency.  相似文献   
272.
We study how citation patterns differ between journal tiers in economics by analyzing citations patterns of more than 6,000 research articles published in top five, second tier, and top field economics journals. We find that top five journals' articles receive more citations and that the life cycles of those citations are longer. However, their influence (in term of citations) is overestimated: in its first twenty years since publication, the median top five article accumulates 4.25 as many citations when compared to non-top five median articles. This ratio is strongly associated with the field of economics research and with articles' impact. (JEL A14)  相似文献   
273.
This study explores the experiences of children and young people in Britain living through a serious family illness. The study considers the interplay between social structures, social relationships and individual agency. We draw on data from the Millennium Cohort Study to estimate the number of children and young people affected nationally and on seven in‐depth interviews to understand young people’s experiences and the effects on their daily lives. Living through a serious family illness impacts on young people’s educational achievements, mental health and social relationships over long periods. Policy and service responses are suggested.  相似文献   
274.
ABSTRACT

You’ve gotta befriend them but not be their friend’ is how one youth worker thoughtfully described the secret to successful youth practice. This paper draws on experiences of youth workers in the United Kingdom to consider how the growth of digital technologies comes to be negotiated and articulated in professional practice. Situating these experiences alongside young people’s accounts, this article highlights a distinction between young people’s relationship with the digital and adult perceptions of youth and technology. The aim of this paper is to consider what factors contribute towards this divide and where adult perceptions come from, if not from the experiences of young people themselves. The article then goes on to discuss the potential consequences of the presence of technology and discourses surrounding the digital for youth worker’s engagements with young people in professional practice. Overall, this article argues for the enduring relevance of youth workers and physical youth centres in a digital age and joins several scholars in critiquing the chronic under-investment in youth workers and provision in the UK and beyond.  相似文献   
275.
Abstract

Objective: To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Participants: Female students (ages 18–29) seeking contraceptive care at the UHC were enrolled in September 2015 (n?=?46). Methods: Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2–4?weeks later. Electronic health records through 6?weeks post-enrollment were extracted. Results: Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Conclusion: Bedsider can be feasibly integrated into UHC visits and may support women’s selection of more effective contraceptive methods, including LARCs.  相似文献   
276.
The feminized imaginary of “home and hearth” has long been central to the notion of soldiering as masculinist protection. Soldiering and war are not only materialized by gendered imaginaries of home and hearth though, but through everyday labors enacted within the home. Focusing on in-depth qualitative research with women partners and spouses of British Army reservists, we examine how women’s everyday domestic and emotional labor enables reservists to serve, constituting “hearth and home” as a site through which war is made possible. As reservists – who are still overwhelmingly heterosexual men – become increasingly called upon by the state, one must consider how the changing nature of the Army’s procurement of soldiers is also changing demands on women’s labor. Feminist IPE scholars have shown broader trends in the outsourcing of labor to women and its privatization. Our research similarly underscores the significance of everyday gendered labor to the geopolitical. Moreover, we highlight the fragility of military power, given that women can withdraw their labor at any time. The article concludes that paying attention to women’s everyday labor in the home facilitates greater understanding of one of the key sites through which war is both materialized and challenged.  相似文献   
277.
The Analysis of Verbal Behavior - The inclusion of instructive feedback in discrete-trial training has been shown to increase the efficiency of learning. However, the behavioral mechanism...  相似文献   
278.
When it comes to the creation of higher education policy, state legislators are challenged with addressing the diverse academic needs of college students enrolled across a spectrum of institutions. In this paper, we explore how 203 individuals at five rural-serving colleges in Florida engaged in state-wide developmental education (DE) reform using the theoretical framework of “situated cognition.” Specifically, we ask whether the colleges implemented DE reform in unique ways that may have differed from their non-rural counterparts and what their rationale was for doing so. Our work indicates that institutional culture and capacity generated a combination of strengths and constraints in how reform played out in a rural context. In some ways, a rural-serving identity made colleges more flexible and better able to adjust their advising and curricular structures to comply with the mandates of SB 1720. But in other ways, rural-serving institutions lacked the resources necessary to adequately support students and campus personnel through this dramatic transition toward new ways of providing DE. In looking toward the passage and implementation of future education reform, we call upon policymakers to consider more deeply the design of policies to ensure they support rural and non-rural colleges alike.  相似文献   
279.
ABSTRACT

This paper discusses transnational care and border regimes in the context of the East Timorese exile in rural Indonesia. Drawing from multi-sited ethnographic research, it explores the ways older people cope with family separation and life in exile, their aspirations, when and how transnational care becomes “on hold”, and how they deal with the impossibility of meeting intergenerational and cultural obligations. Analyzing care using the lens of “circulation”, the paper attends to the asymmetries entailed in intergenerational relationships as well as to how uneven power relations of border regimes shape transnational care exchanges. In the context of “aging in exile”, the paper underlines the importance of understanding older persons’ narratives as they are linked with the ambivalences of other family members across generations. The paper argues that the forms of immobility withholding or limiting caregiving can transcend physical boundaries. They can include the social and emotional borders conflict-divided communities build against one another over time. These “imaginary” borders require us to think about the additional asymmetries entailed in precarious familial relations and how this affects the multiple meanings of care in the context of contemporary border regimes and amid enduring legacies of violence.  相似文献   
280.
In this editorial, the co‐editors‐in‐chief undertake a number of tasks related to International Journal of Management Reviews (IJMR). They begin by reviewing the objectives set out by Macpherson and Jones in their 2010 editorial (IJMR, 12, pp. 107–113). The benefits of publishing in IJMR for scholars at various stages of their careers are then discussed. The section outlining the progress of IJMR over the last four years sets out the main reasons why so many papers are desk rejected by the co‐editors. The main criteria for writing an analytical literature review of the type that the editors aspire to publish in the Journal are then discussed. The objectives are not simply to reduce the number of desk rejects, but also to encourage authors to be more ambitious and innovative in their approaches to reviews of the literature.  相似文献   
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