护理本科男生护理学基础实践技能操作学习的质性研究

目的：了解护理本科男生在学习护理学基础实践技能操作过程中的真实感受,探讨其参与护理学基础实践技能操作的学习态度及影响因素,并提出相应措施。方法：运用质性研究的方法,对16名大学二年级护理本科男生进行深入访谈,记录访谈资料,并分析、整理,提炼主题。结果：从访谈内容中提炼出两个主题：一是护理本科男生参与护理学基础实践技能操作学习的态度——认识到操作学习的重要性但参与性不高;二是影响护理本科男生对护理学基础实践技能操作学习态度的因素。包括：缺乏职业认同感,性别冲突;缺乏归属感,心里负担严重及感觉疲劳。结论：护理本科男生普遍认为掌握护理学基础实践技能操作是必要的,但学习态度并不理想,主要与归属感受的需要、尊重与自尊的需要、自我实现的需要等得不到满足有关。     

Organizational support for evidence-based practice within child and family social work: a collaborative study

Research in Practice works in collaboration with over 50 English local authorities and voluntary childcare organizations, to explore new and dynamic ways to increase the use of quality evidence to improve services to children and families. One Research in Practice initiative was a two‐year collaborative project involving the social services departments of six local authorities. This paper reports on how the views of more than 100 professional staff involved with the provision of services to children and families have been gathered to offer insight into how evidence‐based practice can be supported or frustrated in social care organizations. The findings suggest considerable uncertainty about the nature of evidence in social care and its validity in relation to decision‐making, policy and planning. Mechanisms essential for the dissemination, implementation and adoption of research messages are underdeveloped and tensions exist around the explicit use of research evidence within reports and reviews. Many practitioners and teams may be excluded from making decisions based on the best available research evidence through lack of access to internet resources and adequate information dissemination mechanisms. The paper concludes that there remain considerable areas for further debate if evidence‐based practice is to become a reality in work with children and families.     

Practice Frameworks: Conceptual Maps to Guide Interventions in Child Welfare

This paper discusses the development of a practice frameworkfor child welfare in New Zealand. A practice framework is definedas a conceptual map that brings together, in an accessible design,an agency’s approach to social work practice with childrenand families. Designed as a tool for practitioners, the NewZealand practice framework integrates three perspectives: child-centred;family-led and culturally responsive; and strengths and evidence-based.The practice framework establishes a vision for New Zealandchild welfare work that is grounded in the realities of practice,supported by research and embedded in a set of principles andvalues that are essential to the work. As a concept, it providesa clear understanding of what underpins the work, and how thisinforms our interventions with children and families. As a toolfor practitioners, it provides a theoretically informed interventionlogic and a set of triggers to support best practice.     

A review of the research priorities of practitioners working with children in social care

It has been argued both that research in social care is insufficiently relevant to practice, and that a clearer steer is needed from the social work community in shaping national research priorities. The work reported here systematically searched for and analysed findings from studies that asked practitioners working with children for their suggestions for research. Eight studies were found, and authors gave us access to the primary data from four of these, to which we added responses from the What Works for Children? website survey of practitioners’ research priorities. Responses were analysed in terms of both topic and type of research. Family support, parenting and child protection research were among the most frequently requested child‐focused topics. In terms of question type, almost half the research suggestions concerned the effectiveness of interventions. These findings suggest that a commitment to outcomes, and to robustly researched interventions to attain those outcomes, are increasingly important to practitioners. These views from the front line may well be useful in assisting decision‐makers in social work, and research funders, to set priorities.     

Analysis on the Make-up of China＇s Disabled Seniors and the Demand for Long-term Care

According to Chinese Food Safety News, China Food and .Drug Administration has organized and formulated the Provisions on Food and Drugs Administrative Penalty Procedure （Hereinatter referred to as ＂the Provisions＂） to regulate tbod and drug administration departments toCarry out the administrative ptinisbment authority;     

Developing the NICE/SCIE Guidelines for Dementia Care: The Challenges of Enhancing the Evidence Base for Social and Health Care

Internationally, interest is developing in the challenges ofdeveloping evidence-based guidelines for social work practice.The paper reports on the process of establishing the UK’sfirst joint health and social care evidence-based practice guideline,which is in dementia care. The paper addresses the methodologicaland procedural challenges of reviewing, meta-analysing and synthesizingknowledge for health and social care given the contrasting historiesof the two sectors in relation to the emergence of evidence-basedpractice. Dementia care is a complex domain within which socialand clinical perspectives intersect, reinforcing the desirabilityof producing ‘joined up’ health and social carepractice guidelines that are relevant to integrated services.It is suggested that the exemplar of producing a joint healthand social care guideline for dementia may be a model for futuredevelopment of practice guidelines. Some of the main recommendationsare presented to illustrate the character of the joint guideline,lessons are drawn for future guideline development, and implicationsfor policy and practice implementation are considered.     

A Review of the Empirical Literature About Child Development and Adjustment Postseparation

This article provides a substantial review of the empirical data that have steered the work of child custody experts for the last 30 years. Child custody evaluators who are designated the responsibility of designing parenting plans postseparation for children exposed to family breakdown must be capable of sifting through the literature to select valid and reliable data to support their recommendations and plans. This article provides a review of this literature and discusses the methodological impairments in this body of knowledge.     

Addressing Sexually Transmitted Infections (STIs), including HIV/AIDS,in the Context of Sexual Health

ABSTRACT

Sexually transmitted infections (STIs) have occupied a central place in public health agendas for at least the past 500 years, but have been the subject of opinions, decrees and “moral positions” for much longer. Societies have long tried to control the sexual behaviors of their populations, not only for reasons of social control, but also with the objective of controlling the spread of disease—HIV is the latest example of how societies respond to infections spread through the most private of individual behaviors. The article outlines the burden of disease associated with sexually transmitted infections including HIV, and explores their impact on efforts to achieve the Millennium Development Goals (MDGs). A large number of options for prevention and care of the sexually transmitted infections and HIV are currently available in both resource-rich and resource-constrained settings. In this article I move beyond the narrow focus of biomedical interventions concentrated on the individual and explore the evidence for public health measures aimed at controlling these infections. Using a public health framework I outline the various measures that can be implemented for STI/HIV control, and in addition to exploring the evidence for their public health effectiveness, I also look at how each of these interventions can be delivered within a paradigm of sexual health more generally. Finally, the article proposes recommendations for which effective strategies should be incorporated into a broader framework for promoting sexual health.     

Design Characteristics of Sensory Gardens in Norwegian Nursing Homes: A Cross-Sectional E-Mail Survey

ABSTRACT

Sensory gardens are increasingly popular in Norwegian nursing homes. This study examined the design characteristics of Norwegian sensory gardens using a cross-sectional web survey design addressing nursing home leaders (n = 121). The findings revealed that Norwegian sensory gardens were generally compliant with recommended design guidelines involving sensory experiences, stable walkways, landmarks, accessibility, visibility from indoors, seating features, and prosthetic supports. There is, however, a potential for further improvements concerning walkways with rails, access to alarm systems, clear signposts to toilets from the outdoors, lighting in the evenings, greenhouses, increased awareness of edible and nontoxic plants, and maintenance of the gardens.