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141.
Research on mate selection rarely considers singles' preferences for their future partners' family configurations and experiences. Using online dating records from a matchmaking agency in Japan, a society with a strong emphasis on family and kinship, we examine how singles' responses to date requests correspond to potential mates' family circumstances. Results showed that singles' preferences for potential partners' family characteristics stem from a concern about future obligations toward the partner's family and stereotypes associated with certain family traits. Singles are less likely to accept requests from those from large families, which are seen as traditional. Being from a large family, however, hampers individuals' dating chances more if they are firstborn and have no brothers, two conditions that make them the designated child to care for elderly parents. We also find that Japanese singles seek partners with more of the universally valued family traits rather than traits similar to their own.  相似文献   
142.
ABSTRACT

Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’ use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.  相似文献   
143.
144.
A critical need exists to challenge approaches to nursing home care due to rigid organizational factors and hospital-like culture. It has been argued that resident care needs to move toward a person-centered approach by addressing the organizational, social, and physical environments in nursing home facilities, a process often known as culture change. In response to this need, the Centers for Medicare & Medicaid Services (CMS) has created funding for pay for performance (P4P) nursing home incentive programs to allow nursing home providers to receive CMS reimbursements for culture change in the facilities. Through care staff interviews, site observations, and a document review, this qualitative study assesses the impact of a Midwestern state P4P incentive program in three participating nursing homes. Using an environment and behavior (E-B) policy orientation framework, this study examines culture change through a focus on policy, the physical environment, place attachment, and social and psychological processes in the study settings.  相似文献   
145.
This study assessed social work and nursing students’ intentions to provide end-of-life care, based on the Theory of Planned Behavior. A total of 181 social work and nursing students completed a questionnaire examining intentions to provide end-of-life care, attitudes, subjective norms, perceived control, death anxiety, subjective knowledge, and sociodemographic characteristics. Students manifested a moderate level of intentions to provide end-of-life care, with nursing students indicating higher levels of intentions than social work students. Multiple regression analyses revealed that attitudes, subjective norms, and previous experience were the main predictors of intentions to provide end-of-life care. Recommendations for academic programs are discussed.  相似文献   
146.
Abstract

Categories of mental disorders are generally understood through a biomedical paradigm of clinical research, diagnosis, and intervention. Here, diagnoses operate as professional tools, facilitating care organization and information exchange across diverse social contexts. In this article, I focus on how the diagnosis of autism-spectrum disorder operates in this manner. Autism conceived as a biomedical disorder is then contrasted with proposals by the neurodiversity movement, who understand core qualities of autism as alternative expressions of otherwise normal processes of brain development. Finally, I supplement these conversations with insights from Gerald Edelman’s theory of neural plasticity and Felix Guattari’s paradigm of ethico-aesthetic care. Understood together, these allow mental disorders and community care generally to be reconceived in terms of networks of expressive, embodied, and dynamically embedded rhythms that transcend individual persons. This serves, additionally, to illustrate a concept of empathy that traverses neurological, psychological, and sociocultural domains.  相似文献   
147.
This article comments on infantilisation by attending to South African adult intellectual disability (ID) care through an intersubjective ethics of care lens, and shows how such an ethic can shine light on shifting our responses towards ID. Care performance data were gathered from three sources within two South African specialist ID care sites – from 10 adult residents, 16 nurses as spatiotemporal carers, and three wards as ethnographic sites. Deeply embedded and interwoven throughout various care practices is the disabling of adults with intellectual impairment when literally referred to as ‘children’. These adult-unmaking processes constitute practices that fall short of Tronto and Kittay’s caring societies ethic. Care exchanges generate relational and intersubjective spaces in which people are understood as never meeting full criteria for personhood. Infantilising care dynamics require urgent attention if we wish to change ways in which ID is viewed and responded to in South Africa.  相似文献   
148.
强势文化冲击下的黑人文化流失是莫里森的小说《最蓝的眼睛》所表达的一个重要的主题。小说边缘化的叙述方式即百纳被的创作手段得到了充分的演绎,让读者在参与拼接的阅读中得到这样的启示:以白人文化和生活方式作为价值取向,只会给黑人带来困惑和错乱;如果放弃黑人文化,迷失在白人文化的冲击中,只能造成人生的悲剧。  相似文献   
149.
目的:了解新医改背景下锦州市民营口腔医疗机构的资源状况。方法:通过调查问卷、现场采访等方式,以民营口腔医疗机构的负责人和口腔医生为调查对象,对锦州市区民营口腔医疗机构进行走访。结果:锦州市没有民营口腔医院,84个民营诊所拥有213台椅位,从业口腔专科医生186人。结论:个体诊所分布广泛,口腔业务量较大,占有一定市场份额;口腔诊所规模较小,医生素质偏低,专业化程度不高;民营口腔市场潜力较大,民营口腔机构也将成为口腔专业毕业生的一个重要就业渠道。  相似文献   
150.
社会事业是为确保社会转型、维护社会稳定、促进社会和谐和人的全面发展所提供的各种公益性支持与服务活动的总和,也是保障社会可持续发展,实现社会公正,维持社会运行和发展的重要活动。在社会转型期,通过加大和改善对西南边疆多民族地区社会事业的投入和建设,提高西南边疆多民族地区公民文化素质,加强公民法制意识,改善公民精神风貌,完善社会安全体系,使西南边疆少数民族文化教育事业有了长足发展,农村医疗卫生事业有了新突破,社会保障事业有了新进展。这在很大程度上促进了西南边疆社会和睦,逐步实现社会公平正义,为社会主义和谐社会的建设提供了基础。  相似文献   
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