An Ecological Understanding of Caregiver Experiences in Palliative Care

Palliative care is specialized health care to improve quality of life for patients with serious illness and their families through prevention and relief of suffering. A Palliative Care Institute was held in western Washington to capture community voices about diverse needs, strengths, and opportunities for improvement of palliative care. Researchers employed qualitative methods to obtain thematic data, provide real-time analysis, and engage in a multivoting technique to reflect stakeholder interest in individual themes and prioritize larger group interests. Bronfenbrenner’s ecological systems framework was used to explore caregiver experiences. Within the microsystem, caregivers reported difficulties in interactions with medical providers as a key challenge. Within the mesosysytem, interactions between patients and medical providers and the impact on caregivers were explored. Within the exosystem, caregivers reported lack of control over the schedules of personal care staff. Macrosystem influences included impact of local culture on the development of palliative care services. Chronosystem influences include de-medicalization of childbirth and its impact on perceptions of palliative care. Implications include the need for social workers to be proactive in fostering trust and effective communication between care providers and caregivers, and the demand for health care provider training in communication with patients and families.     

Shit is good: Mental health social work with lives of squalor

This paper investigates the phenomenon of three clients living in squalor, all of whom have severe and enduring mental health problems, and are on the caseload of a mental health social work team. By thinking about the clients both individually and as a group, within a psychoanalytic framework, it attempts to understand their squalor in a new way, with particular regard to the transference and countertransference experienced by the practitioner. By making use of social work literature as well as that concerning organisations and community care, it also discusses the impact these clients make on the wider community around them, and examines some of the dilemmas faced by the practitioner. The implications for social work are serious and far-reaching and these are discussed with regard to long-term intervention as well as professional and personal scrutiny.     

论老年人犯罪从宽暨免死的年龄标准与立法模式——以《刑法修正案(八)》为视角

老年人犯罪从宽的年龄标准应当有别于老年人免死的年龄标准。当前,中国对老年人犯罪从宽的年龄宜规定为"年满70周岁",而对老年人犯罪免死的年龄则宜规定为"年满75周岁"。对老年人犯罪从宽应当与对未成年人犯罪从宽相一致,统一规定为"应当从轻或者减轻处罚",而没有必要区分故意和过失犯罪分别规定。考虑到老年人犯罪免死的根据、刑罚目的和国际上的普遍做法,中国应当免除所有老年人犯罪的死刑,而不应有例外。     

80后农民工的城市就业现状与对策建议

分析了80后农民工在城市的就业特征,主要从四方面提出了对策建议:建立健全80后农民工就业的社会保障机制;改革创新80后农民工就业培训模式;为农民工塑造良好的工作环境;构建农民工双向流迁就业体系。     

语文课程素养培养模式的探索与建构——以湛江师范学院中文专业为例

语文课程素养是师范院校中文专业人才培养的综合素养,也是人才培养目标的高度浓缩。"课程整合、平台贯通、操作一体化"培养模式,则是针对当下中文专业人才培养中的问题及素养形成规律提出的具体方案。要使这个方案落实到教学中,既需要教师改变课程观念、确定语文课程素养的培养目标,又要通过教学评价进行引导。而这一方案一旦成为教学中的共识,将大大提高师范院校中文专业的人才培养效率和水平。     

Providing a secure base for LGBTQ young people in foster care: The role of foster carers

The experiences and needs of lesbian, gay, bisexual, trans and queer/questioning (LGBTQ) young people in care have been overlooked in England, in both policy and research. This paper reports on findings from the first study of LGBTQ young people in care in England and focuses on the nature of foster carers' experiences and perspectives on caring for LGBTQ young people. Qualitative interviews regarding the fostering role in caring for LGBTQ young people were conducted with a sample of foster carers (n = 26) and analysed thematically. Foster carers described the importance of offering LGBTQ young people not only the nurturing relationships that all children in care need but also availability, sensitivity and acceptance to help young people manage stigma and other challenges associated with minority sexual orientation and gender identity. The Secure Base caregiving model provided a framework for analysing the different dimensions of these relationships. Understanding caregiving roles and relationships for LGBTQ young people in care has important implications for recruiting, training, matching and supporting foster carers to care for LGBTQ young people effectively.     

园林专业实验课程的项目式模块化构建及教学实践

在对国内外课程模式进行研究的基础上,按照项目式模块化课程构建的基本思路,对园林专业课程中实验内容进行了调整和重新构建,并对部分课程内容进行了教学实践。教学实践充分证明:该课程教学激发了学生主动学习的积极性,满足了相似专业不同培养目标及培养方向的学生对实验课程的不同需要,对学生的考查评价更为科学合理;同时在课程构建的过程也推动了学校的教学改革和实验室建设。     

基于信息反馈的实践教学质量评价体系构建

提出了一种基于信息反馈的实践教学质量评价体系,依据实践教学过程中的各种信息反馈,动态地调整对于实践教学各指标的评价。评价的结果反映了实践教学各个阶段、各个环节的表现,从而提升教师参与实践教学的积极性与有效性,促进实践教学管理水平的提高。     

Long-term care in Spain: Difficulties in professionalizing services

The aim of this article is to analyze the difficulties in professionalizing the long-term care system in Spain. Since 2006, the new Spanish law has recognized care as a subjective right, and regulations are being designed to create a framework for its professionalization. Nowadays, family remains the most important group of providers who care for their elders, and women remain the main informal caregivers. Why do families resist using public long-term care services and professional carers included in the new law? The hypothesis highlights sociocultural factors as an obstacle to professionalization of long-term care services in addition to political and economic factors. The results show qualitative data about expectations, preferences, and discourses that women caregivers have in relation to their responsibility. The empirical material includes 25 interviews with different profiles of caregivers and six focus groups with family caregivers. The article suggests that the Spanish ideal of care is a problem for the professionalization of services because the family remains as the main provider of care—without specific skills, knowledge, and abilities.