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41.
Since it was first introduced in the 1980s, Wraparound has been defined as ‘a philosophy,’ ‘an approach,’ and ‘a service’ which is designed to work with youth and families with high and complex needs. Wraparound is most commonly understood as an intensive, individualised care planning process. It aims to achieve positive outcomes through a structured, creative, and individualised team planning process, which results in effective and more relevant plans for the youth and family. The purpose of this qualitative study was to explore the experiences of Wraparound facilitators, caregivers, youths, and team members to gain a multi‐perspective insight into the process. Sixteen families and Wraparound teams participated in the study which resulted in 56 semi‐structured interviews being conducted involving 16 Wraparound facilitators (some facilitators were interviewed more than once because they served multiple families who participated in the study), 16 caregivers, eight youth, and 16 team members (one person from the team, i.e., teacher, social worker, or mentor). Thematic analysis gave seven themes organised into three broad domains: (1) key elements of the Wraparound process including the Wraparound facilitator, Wraparound's philosophies and principles, and the supportive nature of the process; (2) the outcomes achieved throughout the process including family empowerment and hope, improved family dynamics and relationships as well as individual parent and youth change; and (3) the challenges and feedback respondents identified through the process, which included personal and systemic challenges, improved transition, and continuity of care, role clarity, and accessibility of the service. Overall, the findings from this study support Wraparound as an effective process for youth and their families, identify the importance of key aspects of the process, and suggest some improvements to increase the efficacy of and accessibility to the process.  相似文献   
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Though female genital mutilation is widely practiced in Tanzania, there has been no systematic examination of its long-term implications on girls’ wellbeing. Employing interviews and focus group discussions, this study explored the implications of female genital mutilation (FGM) on girls’ wellbeing in Tarime, Tanzania. The results revealed that the effect of FGM on girls are multifaceted, including early marriages, parents’ negative attitudes towards girls’ education, girls’ change in attitudes and loss of interest in schooling, which lead to poor educational achievement in many ways. Notably, girls who manage to escape FGM suffer from isolation and stigma from their peers who have been circumcised. Arguably, FGM is both a protective and risk factor for girls in Tarime. FGM is a protective factor against stigma and isolation for circumcised girls, and it is a risk factor in denying circumcised girls’ opportunities for education, and in perpetuating stigmatisation for the uncircumcised girls. We have concluded that, in the absence of more positive alternative rites of passage for adolescent girls in Tarime, and despite the widespread awareness about its negative consequences, FGM is likely to continue due to its centrality in the Kuryan cultural, social and economic necessities.  相似文献   
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Background/objectives

British public health and academic policy and guidance promotes service user involvement in health care and research, however collaborative research remains underrepresented in literature relating to pregnant women’s mental health. The aim of this participatory research was to explore mothers’ and professionals’ perspectives on the factors that influence pregnant women’s mental health.

Method

This qualitative research was undertaken in England with the involvement of three community members who had firsthand experience of mental health problems during pregnancy. All members of the team were involved in study design, recruitment, data generation and different stages of thematic analysis. Data were transcribed for individual and group discussions with 17 women who self-identified as experiencing mental health problems during pregnancy and 15 professionals who work with this group. Means of establishing trustworthiness included triangulation, researcher reflexivity, peer debriefing and comprehensive data analysis.

Findings

Significant areas of commonality were identified between mothers’ and professionals’ perspectives on factors that undermine women’s mental health during pregnancy and what is needed to support women’s mental health. Analysis of data is provided with particular reference to contexts of relational, systemic and ecological conditions in women’s lives.

Conclusions

Women’s mental health is predominantly undermined or supported by relational, experiential and material factors. The local context of socio-economic deprivation is a significant influence on women’s mental health and service requirements.  相似文献   
44.
高校图书馆采访工作之我见   总被引:2,自引:0,他引:2  
本文阐述了高校图书馆采访工作的现状 ,并对提高高校图书馆采访工作质量提出了建议。  相似文献   
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Summary: Panel data offers a unique opportunity to identify data that interviewers clearly faked by comparing data waves. In the German Socio–Economic Panel (SOEP), only 0.5 percent of all records of raw data have been detected as faked. These fakes are used here to analyze the potential impact of fakes on survey results. Due to our central finding the faked records have no impact on the mean or the proportions. However, we show that there may be a serious bias in the estimation of correlations and regression coefficients. In all but one year (1998), the detected faked data have never been disseminated within the widely–used SOEP study. The fakes are removed prior to data release.* We are grateful to participants in the workshop on Item Nonresponse and Data Quality on Large Social Surveys for useful critique and comments, especially Rainer Schnell and our outstanding discussant Regina Riphahn. The usual disclaimer applies.  相似文献   
46.
目的:了解老年糖尿病足(diabetic foot ulcer,DF)患者的日常自我管理及社会支持情况,为改善其健康管理效果提供证据。方法:采用目的抽样,对2013年12月~2014年1月在南京军区糖尿病足中心住院治疗的15例老年DF患者进行个人深入访谈。结果:患者能自我监测血糖,但饮食控制、足部保健和运动干预等非药物治疗能力不足;日常照护需求未得到满足。结论:应培养老年DF患者综合自我管理技能,将跨学科的专业化服务前移至社区,并发展我国社区老年健康照护体系。  相似文献   
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电视访谈中介入标记语的人际功能   总被引:1,自引:0,他引:1       下载免费PDF全文
系统功能语言学中的评价理论对说话人表达和协商特定的主体间关系以及意识形态的话语资源进行了归纳,旨在评价语言使用者如何运用话语资源表达赋值语义,解释语言如何用来评估、表示、构建语篇角色及调节人际关系.以评价理论中的介入次系统为出发点,结合巴赫金多声性观点以及语境,可以从主体间定位的角度审视在介入系统视角下,电视访谈这一语类中介入标记作为一种元话语的运作情况和人际功能.主持人面对不同的受访者和观众群,在访谈中通常采取不同的话语策略,利用介入标记进行意义协商.评价是话语人际意义的实现方式.介入标记语所体现的人际意义在交互中生成并受语境的制约,有助于协调主持人、受访人和电视观众之间的互动,促使访谈的成功.  相似文献   
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理科新生英语学习状况调查及建议   总被引:1,自引:1,他引:0  
笔者采用问卷调查和访谈的方式,研究非英语专业理科新生的英语学习状况,探讨学生在英语学习中出现的问题,了解当前学生对英语学习、英语教师的一些要求,进而针对上述状况及问题,对大学英语教学提出一些建议。  相似文献   
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