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91.
Abstract

With the identification of twenty-six standards, this article argues that the child custody evaluation field has defined a set of minimum practice standards that go beyond the aspirational goals of existing “guidelines” and “parameters.7rdquo; These twenty-six standards constitute a floor, but not a ceiling, for conducting child custody evaluations (CCEs).  相似文献   
92.

Problem

The ability of health care providers to work together is essential for favourable outcomes in neonatal resuscitation, but perceptions of such teamwork have rarely been studied in low-income settings.

Background

Neonatal resuscitation is a proven intervention for reducing neonatal mortality globally, but the long-term effects of clinical training for this skill need further attention. Having an understanding of barriers to teamwork among nurse midwives can contribute to the sustainability of improved clinical practice.

Aim

To explore nurse midwives’ perceptions of teamwork when caring for newborns in need of resuscitation.

Methods

Nurse midwives from a tertiary-level government hospital in Nepal participated in five focus groups of between 4 and 11 participants each. Qualitative Content Analysis was used for analysis.

Findings

One overarching theme emerged: looking for comprehensive guidelines and shared responsibilities in neonatal resuscitation to avoid personal blame and learn from mistakes. Participants discussed the need for protocols relating to neonatal resuscitation and the importance of shared medical responsibility, and the importance of the presence of a strong and transparent leadership.

Discussion

The call for clear and comprehensive protocols relating to neonatal resuscitation corresponded with previous research from different contexts.

Conclusion

Nurse midwives working at a maternity health care facility in Nepal discussed the benefits and challenges of teamwork in neonatal resuscitation. The findings suggest potential benefits can be made from clarifying guidelines and responsibilities in neonatal resuscitation. Furthermore, a structured process to deal with clinical incidents must be considered. Management must be involved in all processes.  相似文献   
93.
94.
National human resource development (NHRD) is now an important area of investigation within human resource development with significant growth in publications over 49 years. Scholars have, however, highlighted the need for multilevel approaches to NHRD. We reviewed 192 papers to identify gaps on multilevel theorizing, and we propose a multilevel framework incorporating macro, meso, and micro levels of analysis. We develop principles and guidelines around WHAT, HOW, WHERE, WHEN, and WHY questions to promote multilevel NHRD research. Finally, we discuss research and methodological implications of our review.  相似文献   
95.

Background

Dietary intake of pregnant women do not appear to meet the dietary recommendations. Nutrition knowledge and practices of pregnant women and their antenatal care clinicians are factors that may be influential on dietary intakes of pregnant women.

Aim

To assess and compare pregnancy nutrition recommendation knowledge and to explore how nutrition knowledge impacts on food choices in pregnant women and nutrition education practices of antenatal care providers.

Methods

An explanatory sequential research mixed methods study design was applied. All participants were recruited from a metropolitan maternity hospital in Melbourne, Australia. The first phase assessed pregnancy nutrition knowledge and sources of nutrition information using a questionnaire (n = 202) then followed semi-structured interviews with women and clinicians (n = 31).

Findings

The clinicians obtained significantly higher nutrition scores than compared to women, however, nutrition knowledge gaps were highlighted for both women and clinicians. Women reported receiving limited nutrition advice, a reflection of the clinicians reporting they provided limited nutrition advice.

Conclusion

A key challenge for women adhering to dietary recommendations was having inadequate knowledge of the dietary recommendations and receiving limited information from their care providers. Similarly, as well as time constraints, limited nutrition knowledge and a lack of nutrition training impacted on the capacity of clinicians to provide adequate nutrition education.  相似文献   
96.
97.
根据不同的标准分类,国际空间合作有多样的形式.1996年联合国《国际空间合作宣言》为国际空间合作确立了八项指导原则,国际合作可以为外空活动长期可持续性工作提供技术和资金的支持,以及法律规范的支撑,故非常必要;然而在外空活动长期可持续性工作中的国际合作经常受到国际政治的消极影响,既缺乏国际协定或国际习惯的规范,又没有国际组织或机构的监督执行,所以目前外空活动长期可持续性问题的解决只能寄希望于《外空活动长期可持续性指南》的制定和执行,但是该指南23关于国际合作机制的规定就有很大的局限性;鉴于此,国际社会可以在技术合作、法律合作、设立基金会、设立外空活动长期可持续性委员会或国际空间合作组织等方面加强合作以促进外空活动的长期可持续性.  相似文献   
98.
通过学习《邓小平文选》(三卷),从六个方面归纳、阐述了邓小平同志关于新时期加强思想政治工作的重要思想和论述。这些思想和论述是建设有中国特色社会主义理论的重要内容,是党的政治优势,是新时期做好思想政治工作的根本指导方针。  相似文献   
99.
The U.S. Environmental Protection Agency's cancer guidelines ( USEPA, 2005 ) present the default approach for the cancer slope factor (denoted here as s*) as the slope of the linear extrapolation to the origin, generally drawn from the 95% lower confidence limit on dose at the lowest prescribed risk level supported by the data. In the past, the cancer slope factor has been calculated as the upper 95% confidence limit on the coefficient (q*1) of the linear term of the multistage model for the extra cancer risk over background. To what extent do the two approaches differ in practice? We addressed this issue by calculating s* and q*1 for 102 data sets for 60 carcinogens using the constrained multistage model to fit the dose‐response data. We also examined how frequently the fitted dose‐response curves departed appreciably from linearity at low dose by comparing q1, the coefficient of the linear term in the multistage polynomial, with a slope factor, sc, derived from a point of departure based on the maximum liklihood estimate of the dose‐response. Another question we addressed is the extent to which s* exceeded sc for various levels of extra risk. For the vast majority of chemicals, the prescribed default EPA methodology for the cancer slope factor provides values very similar to that obtained with the traditionally estimated q*1. At 10% extra risk, q*1/s* is greater than 0.3 for all except one data set; for 82% of the data sets, q*1 is within 0.9 to 1.1 of s*. At the 10% response level, the interquartile range of the ratio, s*/sc, is 1.4 to 2.0.  相似文献   
100.
先就业再择业是一种急功近利的就业指导思想,随着这一指导思想在现实中的应用,其负面影响会更加突出,对此应当引起国家、社会、学校和大学生的重视。  相似文献   
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