Professional Perspectives on Decision Making about the Long-term Care of Older People

With the increasing pressure on social and health care resources,professionals have to be more explicit in their decision makingregarding the long-term care of older people. This groundedtheory study used 19 focus groups and nine semi-structured interviews(99 staff in total) to explore professional perspectives onthis decision making. Focus group participants and intervieweescomprised care managers, social workers, consultant geriatricians,general medical practitioners, community nurses, home care managers,occupational therapists and hospital discharge support staff.The emerging themes spanned context, clients, families and services.Decisions were often prompted by a crisis, hindering professionalsseeking to make a measured assessment. Fear of burglary andassault, and the willingness and availability of family to helpwere major factors in decisions about living at home. Serviceavailability in terms of public funding for community care,the availability of home care workers and workload pressureson primary care services influenced decision ‘thresholds’regarding admission to institutional care. Assessment toolsdesigned to assist decision making about the long-term careof older people need to take into account the critical aspectsof individual fears and motivation, family support and the availabilityof publicly funded services as well as functional and medicalneeds.     

Making the Best of a Bad Job? Female Part‐Timers’ Orientations and Attitudes to Work

This article uses data from 50 qualitative interviews with female part‐time workers in low‐level jobs in Britain to illustrate their attitudes, orientations and aspirations towards paid work. The research reports two main findings. Firstly, even female part‐time workers at the bottom end of the occupational structure are not a homogeneous group of workers. Secondly, they are not all highly satisfied with their jobs. The article argues that many women (especially those in working‐class households) still do not have a genuine choice between ‘family work’ and ‘market work’. It concludes by presenting a theoretical model of orientations to work.     

我国婴幼儿托育服务标准规范体系的现状及其优化研究

近年来,我国婴幼儿托育服务标准规范建设进程较快,当前体系框架已初步建立。但由于长期以来标准规范建设比较缓 慢、推进机制不健全等客观因素制约,当前婴幼儿托育服务在通用基础标准规范方面整体滞后,婴幼儿安全照护和权益保障标准 规范方面仍存短板,监管和人员标准规范方面较弱等问题。根据托育标准规范体系现状,结合托育服务发展需求,当前亟需建立 托育服务标准规范体系的协同推进工作机制,加快通用基础标准规范研制,促进服务提供标准规范的健全,补足支持保障标准规 范的短板,进而完善标准规范框架体系,推动各类标准规范的兼容,进而为婴幼儿托育服务高质量发展提供支持和保障。     

Institutional Ethnography and Experience as Data

Experience, as concept, is contested among feminists as to its epistemological status, thus its usefulness in knowledge claims. Institutional ethnography (Smith 1987) is a feminist methodology that nonetheless relies fundamentally on people's experience. Not as Truth, nor the object of inquiry, but as thepoint d'appui for sociological inquiry. This article offers a demonstration of institutional enthnography using observational and interview data that show experience as methodologically central to a trustworthy analysis. A moment in the work lives of nursing assistants in a long-term care setting is captured by a participant observer. The analysis produces two lines of argument. One is methodological; it is argued that nursing assistants' experiences are an entry into the social relations of the setting that, when mapped and disclosed, make those experiences understandable in terms of the ruling arrangements permeating both the organization and their own experiences. The other argument is substantive; the inquiry uncovers how a quality improvement' strategy in a long term care hospital in Canada is reorganizing caregivers' values and practices toward a market orientation in which care appears to be compromised. Use of experience as data in this approach holds the analysis accountable to everyday/everynight actualities in a lived world.     

Homework and domestic work

This study assesses two competing theories about the extent to which homework—paid work in the home—helps integrate work and domestic roles for men and women. Contrasting male and female homeworkers with their counterparts working outside the home, it supports some aspects of both the resource and role overload theories, but predominantly the role overload perspective. Homeworkers, especially in the working class, experience less interference between job and family life, but perform more housework and child care. They have no more leisure time nor greater marital satisfaction than those working outside the home, but receive more family assistance with their paid jobs, suggesting that they combine tasks from their first and second shifts. Working at home does not break down gender roles in domestic life. Despite time saved from commuting, male homeworkers perform no more housework than comparable men working outside the home. Thus, the gender division of unpaid household labor is not simply a matter of resources or spatial logistics.An earlier version was presented at the meetings of the Eastern Sociological Society, Providence, Rhode Island, April 1991.     

江苏省基层医务人员工作压力研究

对905名基层医务人员进行问卷调查,了解基层医务人员工作压力情况及其影响因素,为建立适合基层卫生机构的良性人才发展机制提供依据。基层医务人员整体工作压力得分为56.54分;单因素方差分析显示,不同性别、年龄、婚姻状况、学历、职称、机构类型、工作量、工作年数、受患者尊重程度和社会地位的医务人员工作压力得分差异具有统计学意义;多元线性回归分析结果显示,社会地位、工作量、工作年数、受患者尊重程度、最高学历和性别对基层医务人员工作压力的影响具有统计学意义。需要着重关注乡镇卫生院医生的工作压力情况,重点应放在提升基层医务人员社会地位、及时关注中坚力量等方面,从而减轻其工作压力,提高工作积极性。     

农民工市民化的成本与收益：研究评述与理论框架构建

农民工市民化不仅存在成本,收益也不容忽视。在成本与收益进行比较分析后,才能更加合理地分摊市民化的成本,推进高质高效的市民化。首先,从农民工市民化的成本、收益、成本与收益的关系、成本分摊机制等方面对已有文献进行了梳理总结。其次,首次总结了农民工市民化成本与收益关系中的两大矛盾：农民工个人福利最大化与社会福利最大化不一致的矛盾、农民工市民化成本与收益同期不匹配的矛盾,并构建了一个以矛盾为导向的分摊成本与收益的理论框架。最后,分析了以往文献中存在的问题,并对未来的研究提出了展望。     

精准扶贫与老年贫困消减

精准扶贫是针对以往粗放型扶贫方式提出的扶贫方略。 提高扶贫效率,实现社会公平是精准扶贫的核心要件。 老年贫困人口是贫困群体的主体,要低成本、高效率地消减老年贫困问题,要更多地依靠社会保障制度建设,即更多地依靠制度性力量,更多地依赖市场力量。 只有建立和完善与我国社会发展阶段相契合的“ 普惠+特惠冶 的基本社会保障制度,才能真正实现老年人口精准扶贫的政策初衷,从而提升社会的效率与公平。     

基于ROS平台的机械臂精确控制研究

基于我国东部农民工城市创业数据的分析,考察农民工城市创业历程（包括初次创业和调查时点的此次创业）是否受其人力资本的影响。结果表明：人力资本对于农民工进入初次创业与进入此次创业转折点均有显著影响。由此,应尽快制定与完善相关政策（包括加强学历教育、职业教育与创业教育等）,帮助农民工开启城市创业,并促使创业者尽快实现由生存型创业向发展型创业的转化。     

基于三维虚拟环境的机器人运动学分析与轨迹规划

农民工市民化意愿主要包括就业意愿、生活意愿、定居意愿、户籍意愿和身份意愿。农民工人力资本和社会资本对其市民化意愿具有显著影响。包括农民工年龄、健康状况、受教育程度、在职培训、技能水平在内的人力资本,通过就业效应、融合效应、保障效应和学习效应,对农民工市民化产生重要影响;包括农民工社会关系网络广度、网络深度、网络资源三方面内容的社会资本,通过信息效应、信贷效应、心理支持效应等多种机制对农民工市民化产生重要影响。需要通过提高技能水平、加强在职培训、提高健康水平、提高受教育程度、优化年龄结构等措施,提高农民工人力资本存量;通过增加社会关系网络资源、深化网络深度、扩大网络广度等措施,提高农民工社会资本存量,从而提高农民工市民化意愿。