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Data were collected from a stratified sample of district nurses in the greater Stockholm area on four occasions during one year using questionnaire techniques (to assess psychosocial working conditions and social networks, and self-reported health sums); as well as physiological measurement techniques. Three groups of district nurses were compared: group A, those working independently in the 'traditional' role but outside primary health care centres; group B, those working independently in the 'traditional' role but in primary health care centres; and group C, those working in the model role as part of primary health care teams. The study focused on the effects of these different work environments on the district nurse's psychological and somatic health, and their physiological state.

The data suggested that district nurses in the primary care teams (group C) had a lower objective work load than those working in the more traditional role. Despite this, they reported a less favourable balance (ratio) of work demands to decision latitude. They reported more 'problems' and 'conflicts' at work than did the other district nurses. However, such 'problems' were diminishing during the study period, which could mean that successive adaptation to the 'new' situation was occurring. The 'conflicts', on the other hand, remained. This may indicate that despite this adaptation, the district nurses in the primary care teams were struggling with their new work roles. It points to the need for organizational support during this important change process. The district nurses in group B (traditional role but in a primary health care centre) had the highest objective work load and showed physiological reactions in terms of elevated plasma cortisol levels in the morning, high systolic blood pressure and sleep disturbances.  相似文献   
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On financing the internal enforcement of illegal immigration policies   总被引:1,自引:0,他引:1  
"We introduce a government budget constraint into an illegal immigration model, and show that the effect of increasing internal enforcement of immigration laws on the host country's disposable national income depends on the mix of employer fines and income taxation used to finance the added enforcement. These issues are addressed under alternative assumptions about (a) the ability of host country employers to discern between legal and illegal workers, and (b) host country labor market conditions. Empirical evidence for the United States indicates that the employer sanctions program may have had a negative impact on disposable national income."  相似文献   
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We take advantage of a naturally occurring experiment in a television game show to study the impact of group characteristics on the group's ability to select salient solutions in a matching game. The Family Feud features families seeking to earn prizes by matching the results of public opinion surveys on various subjects. Our main result is that, controlling for task difficulty, families that are more diverse, as measured by both the intra-family generational gap and the relatedness of their members, are more successful at matching wider ranges of survey responses. This highlights the importance of member diversity in expanding information and decision frames of reference within a group.  相似文献   
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This paper explores how politics is experienced by actors who mediate neighborhood organizations and formal political institutions in the Northeastern city of Salvador da Bahia, in Brazil. It is based on a series of ethnographic interviews in 2004 among identified community leaders in the city’s poorer neighborhoods, with attention to their politics of habitus—their socially-situated modes of expression of political proclivities. While all of our informants identified themselves as Black and identified racial structures as shaping their lives, their understandings and evaluations of formal politics were divided. Those who only mediated between the neighborhood and formal institutions were critical of the world of politics and its polluting influence. Those who were also involved in mediating publics tended to experience formal politics as unjust but ultimately accessible through legitimate Black political action. This distinction helps account for the difficulty in mobilizing around a reformist political project and adds a local and political dimension to the understanding of race relations in Brazil.  相似文献   
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When a new product is the result of design and/or process improvements introduced in its predecessors, then the past failure data and the expert technical knowledge constitute a valuable source of information that can lead to a more accurate reliability estimate of the upgraded product. This paper proposes a Bayesian procedure to formalize the prior information available about the failure probability of an upgraded automotive component. The elicitation process makes use of the failure data of the past product, the designer information on the effectiveness of planned design/process modifications, information on actual working conditions of the upgraded component and, for outsourced components, technical knowledge on the effect of possible cost reductions. By using the proposed procedure, more accurate estimates of the failure probability can arise. The number of failed items in a future population of vehicles is also predicted to measure the effect of a possible extension of the warranty period. Finally, the proposed procedure was applied to a case study and its feasibility in supporting reliability estimation is illustrated.  相似文献   
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The literature about organizational evolution has been witnessing a tremendous amount of and continuous development among strategists since the second half of the 20th century and this critical review article aims to provide readers with a thorough discussion of past and contemporary research within this area. From the beginning, the article works through analogies with biology in attempting to trace the current boundaries of the field, with much of the review’s content thus structured around the proposed conceptual (and methodological) framework. In addressing the question of what forces drive organizational evolution, the article then takes on a middle ground by mainly focusing on the development of the dialectical and co-evolutionary approaches. It ends by prospecting what can come next for evolutionary (and co-evolutionary) research in the strategic management field.  相似文献   
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Abstract. One of the reasons why workers' enterprises (WE) still represent a relevant chunk of the economy may lay in some affinities with conventional profit‐maximizing firms. To provide a solid basis to this presumption, we compare the entry policies of WEs and conventional firms when size is set at entry and kept fixed afterwards. Even though short‐run differences remain between WEs and conventional firms, a long‐run coincidence appears in an uncertain dynamic environment. Endogenizing size and time of entry we see that the two kinds of firms enter at the same trigger market price and size. Both of them enter earlier and choose a dimension larger than the minimum efficient scale. This generalized coincidence may be another way to explain why WEs still make for an important share of the economy despite the ongoing mantra of their imminent demise.  相似文献   
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Social cooperation has historically played a pivotal role in developing socio‐educational services for people with disability, thereby contributing to counteracting the social isolation often associated with this condition. Using a mixed‐method methodology, this study maps the diversity of perspectives on how the use of disability‐related services run by social cooperatives impacts on and becomes meaningful to family life. One hundred twenty‐nine interviews with family members of adults with different kinds of disability were studied using emotional textual analysis. It provides a multi‐dimensional model to read and map the multiplicity of emotional meanings related to disability and the use of services, shedding light on key diversities in how family members emotionally make sense of care and support. The results reveal the importance of supporting family‐carers on two main issues: accessing a less passive representation of their relative with disability; and being able to test and acknowledge limits without succumbing to a sense of powerlessness.  相似文献   
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