上海社工职业化模式问题与展望

上海社会经济的发展需要职业化和专业化的社会工作。20世纪90年代中期以来,上海一直在稳步推进社会工作职业化。以授权为特征的职业化的主要内容包括:政府购买服务,民间组织经营,行业自律与管理,注册社工提供专业化服务。在职业化的过程中,上海社会工作在性质定位、需求定位、非政府参与和制度框架等方面还存在一些问题。面向新世纪,上海社会工作职业化需要全面拓展,走近百姓,广泛参与,规范运作。     

Delaying factors for maternal health service utilization in eastern Ethiopia: A qualitative exploratory study

BackgroundIn Ethiopia, maternal health service utilization is still unacceptably low. The societal and cultural factors that constrain women from attending these services have not yet been sufficiently explored. Using qualitative methods, we aimed to explore the factors that delay maternal health service utilization in eastern Ethiopia.MethodA total of 13 audio-recorded focus group discussions were conducted comprising 88 participants. We conducted separate group discussions with reproductive aged women, mothers-in-law, traditional birth attendants, husbands, and Health Extension Workers to capture their knowledge, practices, feelings, thoughts and attitudes towards maternal health service utilization. The recorded sessions were transcribed into the local language and then translated into English for analysis.ResultThe study identified a number of factors that may delay maternal health service utilization. Factors were grouped using the Three Delays model as a framework. Low level of awareness regarding need, poor involvement of husband, perceived absence of health problems, social power, community misperceptions and cultural restrictions, negative attitudes towards male midwives, acceptance of traditional birth attendants and poor social networking were Delay One factors. Lack of physical accessibility and high transportation costs were categorised as Delay Two factors for skilled birth care attendance. Perceived or experienced poor quality of care were categorised as Delay Three factors for both skilled birth and postnatal care utilization.ConclusionDespite the ongoing government measures to improve maternal health service utilization in Ethiopia, numerous factors continue to contribute to delays in service use, which in turn contribute to high maternal mortality.     

清人王源《左传评》重“奇”之义蕴抉微

"奇"是清代实学代表人物王源评点《左传》的关键词,在内容、形式评点中皆有体现。借助《左传》具体文本的评点,通过同类相联、正反对举的反复申述,王源将"奇"之内涵赋予"变""活""正"等多重意义,将传统的奇文观念"美文化",以奇诡、辞达、自然为奇文,使"奇"具备了多重文学批评的功能。身处易代,酷爱兵法,好奇人奇事奇文,一生坎壈,皆为王源尚奇批评生成之根源。对明清八股时文取士的不屑,对清初文坛亦步亦趋效法唐宋八大家的不满,使其《左传》奇文评点具备了不同时俗的意义,浸润了明确的针砭时弊与经世致用的色彩。王源《左传》评点之重"奇",在一定程度上彰显出中国古代文论的典型性特征。对此进行考察,可望为揭橥评点的阐释范式、话语体系等提供可行性研究理路。     

Analyzing free-text survey responses: An accessible strategy for developing patient-centered programs and program evaluation

Despite widespread availability of yoga in the Veterans Health Administration (VA), it remains unclear how to best evaluate yoga programs. This is particularly problematic for programs aimed at veterans with mental health concerns, as evaluation typically focuses narrowly upon mental health symptom severity, even though program participants may have other health-related priorities. We analyzed responses to free-text questions on 237 surveys completed by veterans with mental health concerns enrolled in a yoga program at six VA clinics in Louisiana to characterize veteran participants’ experiences with yoga. Qualitative analysis resulted in 15 domains reflecting veterans’ individual health-related values and priorities. We use results to illustrate the potential for analysis of free-text responses to reveal valuable insights into patient experiences, demonstrating how these data can inform patient-centered program evaluation. The approach we present is more accessible to those responsible for decision-making about local programs than conventional methods of analyzing qualitive evaluation data.     

Navigating infant feeding supports after migration: Perspectives of Arabic and Chinese mothers and health professionals in Australia

Optimal feeding practices can establish lifelong, transgenerational and global health benefits. Migration and cultural factors impact infant feeding practices and the support mothers receive for optimal infant feeding. This qualitative study explored support for infant feeding among Arabic and Chinese speaking migrant mothers in Australia.Semi-structured focus groups were conducted in language with 24 Arabic and 22 Chinese-Mandarin speaking migrant mothers with children under five years of age. Individual interviews were conducted in English with 20 health professionals working with Arabic or Chinese speaking migrant families. Data were thematically analysed using the framework method.Traditional family networks and trusted bi-cultural doctors were influential infant feeding supports for mothers. Health professionals perceived maternal and child health services to be poorly understood, and some mothers who accessed services felt they were not always culturally sensitive. Mothers sought additional information and support through online sources and peers. Both mothers and health professionals recognised the challenges of managing conflicting infant feeding advice and seeking best-practice support.The findings of this study highlight opportunities for health professionals to better support migrant mothers’ infant feeding practices, for example through engaging families and working with doctors. There is a need for greater cultural sensitivity within maternal and child health services and culturally relevant programs to support healthy infant feeding practices among migrant communities.     

地方政府购买公益性法律服务：方式、挑战与路径选择

地方政府购买公益性法律服务既是深化服务型政府建设、转变政府职能之需要,也是贯彻落实党的十八届三中、四中、五中全会和十九大报告精神之具体体现。从实践来看,项目招标制和项目资助制业已成为地方政府购买公益性法律服务的主要方式,但是,公益性法律社团发育程度低、服务购买范围模糊、保障机制不健全,以及政府监管能力薄弱等因素日益对地方政府购买公益性法律服务构成严峻挑战。为此,建议从购买方式的选择、购买范围的界定、保障机制的夯实、法律服务社团的培育,以及政府监管能力的强化等方面入手,构建综合性的政策框架,以推动地方政府购买公益性法律服务朝着健康有序的方向发展。     

国外儿童语言研究综述

国外儿童语言研究源于儿童心理研究,历经了心理学、语言学双重取向的研究和儿童语言研究的独立学科等过程。期间的研究成果丰富,揭示了儿童语言词汇、语法、语义、语用习得和发展的特点。     

波兰语义学派NSM理论对情感词汇的语义解释力

每种语言都为本民族提供了一套阐释范畴,并按照不同的认知图景使人们的情感体验概念化。这些认知图景又与特定语言的词汇范畴联系在一起,因而赋予了特定文化的价值、态度和意义。波兰语义学派的自然语义元语言(NSM)理论从跨语言和跨文化的视角来研究情感概念及其意义。通过梳理前人的有关论述,以自然语义元语言理论为框架,以普遍性语义基元为释义单位,探讨了NSM理论的化简释义方法及其对情感词汇的语义解释力,展示了应用NSM这一用途广泛的释义工具来准确地表征情感概念的意义。普遍的人类概念是构成人类理解情感概念的基石。基于60多个人类普遍概念的NSM研究方法,无疑将有助于我们更好地理解和把握不同文化的人类情感概念。     

Towards an assessment for organizational participatory research health partnerships: A systematic mixed studies review with framework synthesis

Within the health sciences, organizational participatory research (OPR) is defined as a blend of research and action, in which academic researchers partner with health organization members. OPR is based on a sound partnership between all stakeholders to improve organizational practices. However, little research on the evaluation of OPR health partnership exists. This systematic mixed studies review sought to produce a new theoretical model that structures the evaluation of the OPR processes and related outcomes of OPR health partnerships. Six bibliographic databases were searched together with grey literature sources for OPR health partnership evaluation questionnaires. Six questionnaires were included, from which a pool of 95 OPR health partnership evaluation items were derived. The included questionnaires were appraised for the quality of their origin, development and measurement properties. A framework synthesis was performed using an existing OPR framework by organizing questionnaire items in a matrix using a hybrid thematic analysis. This led to our proposed Organizational Participatory Research Evaluation Model (OPREM) that includes three axes, Trust, Collective Learning and Sustainability (with specific dimensions) and 95 items. This model provides information to help stakeholders comprehensively structure the evaluation of their partnerships and subsequent improvement; thus, potentially helping to improve health organization practices.     

How publics’ active and passive communicative behaviors affect their tornado responses: An integration of STOPS and SMCC

During imminent threat crises, such as natural disasters, publics have minutes to decide how to respond after receiving a warning. This study advances understanding of publics’ crisis communicative and noncommunicative behaviors in the context of tornadoes through combining and extending two theories: the social-mediated crisis communication (SMCC) model and the situational theory of problem solving (STOPS). Findings from a survey of Southeast U.S. residents (n = 1,585) indicate that STOPS is internally consistent and accurate at measuring its intended outcomes of communicative action in problem solving. However, the STOPS measures do not have a significant relationship with the desirable outcome for imminent threat crisis communication: individuals following government’s protective action guidance about tornadoes. In comparison, the expanded SMCC model predicts individuals’ self-reported compliance. Finally, variables from the SMCC model and tornado-specific variables were integrated into the STOPS model to explain individuals’ communicative engagement. Implications for theory and public relations practice are discussed.