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151.
In recent years, solution‐focused parenting support has been developed and implemented as a promising brief and strength‐based approach. Given the fundamental differences between solution‐focused and the historically more common problem‐focused parenting support and the complexity of transforming professional practice, an actual shift towards solution‐focused parenting support can be expected to be limited up to now. However, because research into the specific communication characteristics of professional parenting support is currently lacking, no conclusion can be drawn at present. Therefore, this study aims to explore the current problem‐ and solution‐focused characteristics of parenting support in the Dutch youth healthcare (YH). In total, 15 support sessions performed by 10 public health nurses were audio recorded and transcribed verbatim. A detailed qualitative content analysis of professional communication was conducted to identify problem‐ and solution‐focused factual, expressive, relational and appealing aspects of parenting support. Problem‐focused characteristics dominated all sessions of parenting support. This study is the first to thoroughly analyse the problem‐focused and solution‐focused communication characteristics of professional parenting support using a qualitative content analysis. Parenting support practice in the Dutch YH did not shift substantially to a solution‐focused approach. More effort is required to stimulate and facilitate this professional transformation.  相似文献   
152.
ProblemWomen commonly experience emotional distress following miscarriage but do not receive the support they need from healthcare providers.BackgroundMiscarriage can result in psychological morbidity; however, appropriate support at the time of a miscarriage can lead to better psychological outcomes. Early Pregnancy Assessment Services (EPASs) are dedicated outpatient services considered the “gold standard” for miscarriage care. Little is known about the psychosocial support EPASs provide in Australia.AimsThe aim of this study was to explore the provision of psychosocial support in Australian EPASs.MethodsSemi-structured interviews were conducted with 29 purposively sampled key-informants from 13 EPASs. Interviews were audio-recorded, transcribed, and thematically analysed.FindingsConsiderable variation was found in how EPASs functioned and their provision of psychosocial support. Many services were co-located with antenatal services, run by doctors with limited experience and most did not offer any psychosocial training to staff specific to EPAS. Referrals for additional support were generally not offered for first trimester miscarriages, and follow-up typically focused on physical management rather than emotional wellbeing. All EPAS staff demonstrated a strong commitment to providing best possible care to women within their own clinical setting and acknowledged the need for improved psychosocial support.ConclusionThis study provides the first exploration of Australian EPASs’ provision of psychosocial support. It has shown that while health care professionals working in EPASs are dedicated to providing the best possible care to women within their clinical setting, psychosocial support is very limited and could be improved.  相似文献   
153.
Building a law-based government is a central element of the comprehensive framework for promoting the rule of law in China, while using evaluation to catalyze growth is in line with the incentive principle of management studies. Since China started to implement reform and opening up over thirty years ago, rule of law development and organizational evaluation have gone through several stages, each with different characteristics. Efforts to build a law-based government have met with success, but what the country now has is essentially still goal-oriented assessment. At present, this suffers from the lack of a clear goal orientation or definition of functions, an imperfect technical system and unsound motivation mechanisms, not to mention the practical problems of each government department going its own way, duplicating evaluations or being left rudderless. Drawing on a combination of value rationality and instrumental rationality and using government performance evaluation to promote the building of a law-based government not only conforms to the spirit of the rule of law and value rationality in government performance, but also strengthens the role of evaluation as an instrument for organizational management. Therefore, we need to create new evaluation theories, expand public participation, introducing diversified evaluating entities, improve technical systems, strengthen institutional buildup, and foster a performance-based culture. In addition, replacing goal-oriented assessment with performance evaluation will help the emergence of a new discipline—the performance evaluation of rule of law government, thus promoting multidisciplinary efforts to integrate and create new public administration theories in China.  相似文献   
154.
政府审计是对权力的监督和制约,现阶段,我国地方政府审计面临的发展困境主要是审计职能软化问题,针对地方政府审计存在的主要问题,剖析原因,从多角度提出解决审计职能软化的对策。  相似文献   
155.
This paper assesses the performance of common estimators adjusting for differences in covariates, such as matching and regression, when faced with the so-called common support problems. It also shows how different procedures suggested in the literature affect the properties of such estimators. Based on an empirical Monte Carlo simulation design, a lack of common support is found to increase the root-mean-squared error of all investigated parametric and semiparametric estimators. Dropping observations that are off support usually improves their performance, although the magnitude of the improvement depends on the particular method used.  相似文献   
156.
社会资本与健康研究领域存在核心概念界定不清与理论解释欠缺两大不足。文章在社会网络的视角下对社会资本、社会凝聚和社会支持三个相互杂糅的概念进行辨析区分,并在此基础上以调查数据实证检验了社会资本对身心健康的作用效果与影响机制。结果显示,在控制社会凝聚和社会支持作用的条件下,社会资本依然对自评健康和心理健康存在显著的独立影响,但其对两种健康在影响因素和影响方向上呈现一些差异。其中,网络规模和网络顶端对自评健康和心理健康都具有显著的正向作用,而心理健康同时还受到网络差异的负向影响。从这个角度而言,社会资本对个体身心健康的影响并不必然是积极正向的。  相似文献   
157.
良好的政府形象是政府巩固统治合法性的基础,是社会稳定和发展的必要条件,也是政府赢得国际良好声誉的保障。在全球化背景下,政府形象本身所承载的价值也被提升和扩展到全球,因此政府形象构建面临着前所未有的压力和挑战。就我国政府形象构建而言,应进一步增强形象塑造意识,着力构建能力型政府和开放型透明政府,以构建起理想的政府形象体系。  相似文献   
158.
往来款项是公司与客户之间的业务往来所形成的款项。在市场信用危机存在的情况下这种方式却导致企业相互间账款的拖欠现象越来越严重,造成企业往来款项负担增加,资金周转困难,影响到公司的正常经营。为此我们应积极寻求新的理念,及时解决往来款项中存在的问题,促进企业积极正常发展。所以,本文分析了中小型旅行社往来款项的问题,针对存在的问题提出相应的改进对策。  相似文献   
159.
汉代社会中广泛存在着雇佣关系,此种关系也被汉政府以"招募"的形式大量利用。除募兵外,汉政府在许多经济、政治活动中采用了"招募"的形式,像募凶杀人、募人出使、募人除害等。其薪酬除金钱给付外,还有封王赐爵、赐田宅、赦免罪行等。其有着自己的特点,如带有强制性、种类多样化、报酬多元性及非等价性、主体范围特别大。它们保证了政务活动的顺利实施,加强了社会的稳定,促进了社会经济的发展,优化了社会资源的配置。  相似文献   
160.
Legislation within England states that local authorities should provide services for all those families in need. However, research has identified that regardless of the introduction of strategies to identify need and enhance family support, ongoing barriers to services adhere. Taking a social constructionist approach, this study explored professionals' experiences of the use of the Common Assessment Framework form. Data were collected in four different local authorities in two phases. Forty‐one professionals from a variety of agencies took part in semi‐structured interviews. Data were analyzed thematically. Findings demonstrate that the professionals experienced difficulties in working through the Common Assessment Framework process, for example, in completing the form and engaging families. This situation led to the more experienced and knowledgeable professionals utilising creative ways to successfully navigate the ‘referral process’. Such creative working practices included the terminology used to complete the form and how the process was ‘sold’ to parents, so that they could be in a better position to engage parents and complete the Common Assessment Framework form. Because of this, more experienced professionals seem to be able to accelerate the referral process in order to access much needed support services for children and young people.  相似文献   
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