基于岗位标准的护理学基础混合式教学探索

目的 探讨基于岗位标准的混合式教学在护理学基础课程中的应用效果.方法 采用整群抽样方法,选择我校2018级和2019级护理学本科学生为研究对象,其中2018级329人为对照组,采用传统教学模式进行教学;2019级324人为试验组,采用基于岗位标准的混合式教学方法.比较两组学生考试成绩、沟通及人文关怀能力得分,并在课程改...     

FRACTIONALIZATION,POLARIZATION, AND ECONOMIC GROWTH: IDENTIFYING THE TRANSMISSION CHANNELS

In this article, we examine empirically both the direct and indirect links between ethnic fragmentation and economic growth. We find that both ethnic fractionalization and polarization are negatively associated with growth if considered in isolation; an effect that is though primarily attributed to their link to other growth‐related activities (i.e., investment, conflict, control of corruption, fertility). We study the corresponding transmission channels and calculate their relative importance in explaining a development curse based on ethnic diversity. For both measures of ethnic fragmentation, we find the corruption channel to be the most important one. (JEL C21, O11, Z13)     

The Great Recession and the Allure of New Immigrant Destinations in the United States

In the 1990s, the immigrant population in the United States dispersed to non‐traditional settlement locations (what have become known as “new immigrant destinations”). This paper examines whether the allure of new destinations persisted in the 2000s with a particular focus on the internal migration of the foreign‐born during the recent deep recessionary period and its aftermath. Three specific questions motivate the analysis. First, are immigrants, much like the U.S.‐born population, becoming less migratory within the country over time? Second, is immigrant dispersal from traditional gateways via internal migration continuing despite considerable economic contraction in many new destination metropolitan areas? Third, is immigration from aboard a substitute for what appears to be declining immigrant internal migration to new destinations? The findings reveal a close correlation between the declining internal migration propensity of the U.S.‐born and immigrants in the last two decades. We also observe parallels between the geographies of migration of native‐ and foreign‐born populations with both groups moving to similar metropolitan areas in the 1990s. This redistributive association, however, weakened in the subsequent decade as new destination metropolitan areas lost their appeal for both groups, especially immigrants. There is no evidence to suggest that immigration from abroad is substituting for the decline in immigrant redistribution through internal migration to new destinations. Across destination types, the relationship between immigration from abroad and the internal migration of the foreign‐born remained the same during and after the Great Recession as in the period immediately before it.     

The Practical Realities of Implementing Progressive Social Work: A Case Example in Parenting Education

What actually happens when an agency sets out to implement progressive social work by shifting power and decision making from agency personnel to people with particular needs? Both staff and participants are thrust into roles different from those they occupy in traditional settings. Interpersonal dynamics change. New ways of making decisions evolve. Tensions arise as new ways of doing things and relating replace usual practices. This article explores what happened when an agency set out to implement progressive social work in the context of developing and implementing a parent education program in which parents designed and taught a parenting program. Results explore decision-making processes, group dynamics, inclusion, team building, program administration, and the impact of participation. Seven lessons learned are described.     

Common Challenges in Conducting Prolonged Exposure Therapy With Active Duty Service Members: Case Discussion and Strategies for Intervention

Prolonged Exposure (PE) Therapy receives most of its empirical support from trials conducted with civilian posttraumatic stress disorder (PTSD) populations. There has been only limited research on its use with military personnel with combat-related PTSD, and as a consequence, there has been less clinical discussion detailing its application with active duty service members. The purpose of this paper is to highlight two challenges that commonly arise when conducting PE with active duty service members: 1) selecting the most appropriate index event to focus on in imaginal exposure out of the numerous traumas an active duty patient is likely to have experienced, and 2) patients’ tendency to engage in “safety behaviors,” which undermine the effectiveness of in vivo exposure. The nature of these challenges is explored from a theoretical perspective, along with two case examples to illustrate their presentation in treatment. Specific strategies for addressing them are reviewed.     

Perspectives of Adult Survivors of Child Sexual Abuse: An Exploration of the Adjustments to Self-Structure through Meaning-Making in Therapy

This critical literature review explored how adult survivors of child sexual abuse experienced adjustments to their self-structure through meaning-making in therapy. Following extensive searches of academic databases, 15 studies were identified for review. Using thematic analysis, eight themes emerged. The eight identified themes of trust, acknowledgement, evolution, acceptance, integration, congruence, relational, and agency represented distinct but interrelated components of self-structure. The findings also indicated that self-structure components may be both intra- and interrelational in nature and that movement in one theme may facilitate movement in another. While recognizing that the nature of the research captured a composite of experiences, it was found that there was a consistent movement and fluidity as to how participants arrived at an adjusted position for each of the themes. A suggested theoretical framework was developed showing the components of the self-structure impacted by meaning-making and the nature of the adjustments made. Recommendations are made regarding future research.