福州市社区空巢老年人健康状况调查

目的了解空巢老年人的健康现状及其影响因素,为老龄工作提供科学依据。方法2002年4~5月进行入户调查,采用分层整群抽取福州市鼓楼、台江、仓山三个区60岁及以上的社区老年人,共得到有效样本1767例,其中空巢老人696名。空巢老人躯体健康、生活自理能力(ADL)、经济状况、精神健康、社会健康5个维度的健康状况及其影响因素的调查是本次研究的主要内容。结果福州市社区空巢老年人占老年人总体比例的39%,其中男性多于女性;由logistic检验得出空巢老年人健康状况受年龄、性别、原职业、是否赞成非家庭养老方式、锻炼程度等因素的影响。结论倡导空巢老年人形成良好的生活饮食习惯与自我保健意识,加强对空巢老年人慢性病的防治,丰富老年人的精神生活、社会生活,提高对空巢老年人经济支持,完善社区为老服务,从而改善空巢老年人的健康状况。     

Institutional Ethnography and Experience as Data

Experience, as concept, is contested among feminists as to its epistemological status, thus its usefulness in knowledge claims. Institutional ethnography (Smith 1987) is a feminist methodology that nonetheless relies fundamentally on people's experience. Not as Truth, nor the object of inquiry, but as thepoint d'appui for sociological inquiry. This article offers a demonstration of institutional enthnography using observational and interview data that show experience as methodologically central to a trustworthy analysis. A moment in the work lives of nursing assistants in a long-term care setting is captured by a participant observer. The analysis produces two lines of argument. One is methodological; it is argued that nursing assistants' experiences are an entry into the social relations of the setting that, when mapped and disclosed, make those experiences understandable in terms of the ruling arrangements permeating both the organization and their own experiences. The other argument is substantive; the inquiry uncovers how a quality improvement' strategy in a long term care hospital in Canada is reorganizing caregivers' values and practices toward a market orientation in which care appears to be compromised. Use of experience as data in this approach holds the analysis accountable to everyday/everynight actualities in a lived world.     

Staff Perceptions of Same-Gender Sexual Contacts in Long-Term Care Facilities

An ongoing fear in the gay and lesbian community is that long-term care (LTC) facilities may not be sensitive to their needs. In the present study, 218 LTC staff members responded to one of three vignettes in which resident sexual contact was observed, with only the gender of the characters changing, to create different gender pairings. Results suggested that staff rated male-male and female-female pairings more negatively than heterosexual intimacy. Knowledge about older adult sexuality made little difference in staff ratings. However, staff attitudes were directly related to ratings of negative reaction and level of acceptability of same-gender sexuality.     

2000—2010年广东省老年人口空间分布演变研究

根据2000年第五次人口普查数据、2010年第六次人口普查数据和相关社会经济统计数据,利用地理信息系统技术对广东省老年人口空间分布变化和特征进行分析,阐明导致该空间格局演变的主要原因,并据此提出完善养老服务的建议,主要包括：全面提高全省医疗卫生服务水平;经济落后的、老人比例较高的地区应完善公办老年公寓、托老所、老人活动中心等相关养老福利的落实;经济发达的、老人比例较低的地区除提供基本养老福利以外,还可以尝试新型老人居住模式,如旧社区适老性改造、商住—养老复合社区等。     

Children's nurses' experiences of child protection: what helps?

This paper reports on one area of findings of a study undertaken in the spring of 2008 at a district general hospital in the south of England. Individual semi‐structured interviews using an interpretive phenomenological approach were undertaken with 15 nurses and midwives working in paediatrics who had been involved in child protection cases. The aim was to explore their views and feelings of the experience. Very little research was found to inform this subject and none specifically with nurses working with sick children. Interviews were taped, transcribed and analysed thematically. It was discovered that involvement in child protection has a lasting impact on individuals; nurses need procedural information from a knowledgeable supporter during a case; and they need support from the right person in the right place at the right time for them. The Named Nurse was identified as being crucial in giving effective support to individuals during child protection cases and trusted advice and support helps staff follow through on niggling concerns, potentially preventing abuse. Copyright © 2009 John Wiley & Sons, Ltd.     

Differential Assessment and Treatment of the School Age Child

No abstract available for this article.     

Improving medicolegal death investigative gaps of fatal elder abuse

The purpose of this brief is to present several case vignettes that illustrate omissions in the investigation of elder deaths. These vignettes demonstrate the need for a standardized approach in the conduct of medicolegal investigations of fatal elder abuse. For each of the described oversights, a recommendation is offered to address the gap in investigation processes, which in turn could improve the determination of cause and manner of elder death. Inherent limitations of resources and practical realities of death investigation are discussed and recommendations are made for future research. Viewed broadly, deficiencies in elder death investigations can lead to the underreporting of elder abuse and the reduction of legal options for victims, which may reflect a systemic pattern of social injustice.     

家庭状况对残疾人服务模式选择的影响

利用2009年北京市残疾人服务需求状况调查数据,以1 198名残疾人为研究对象,采用Logistic Regression模型进行逐步回归,研究了残疾人的家庭状况对其服务模式选择的影响。研究发现,家庭特征、照料资源、家庭及社区环境等因素对残疾人的服务模式选择有重要影响:残疾人多乐于选择居家服务;由子女/孙子女和配偶照料的残疾人选择机构托养服务的较少;社区服务设施状况越好,残疾人越乐于利用社区服务。     

舟山独生子女家庭养老的策略选择

独生子女家庭养老备受社会关注。舟山作为计划生育政策执行好的城市,独子家庭比例较高。家庭规模缩小,传统家庭赡养功能被削弱,加之社会养老准备不足,"空巢"现象突出、养老产业滞后、医疗护理服务缺失等,造成影响经济社会发展的系列问题。为此,必须弘扬传统敬老美德,保障老人正当权益;改变传统养老的陋习,创新养老模式;大力发展中介机构,全面推进"银发工程";强化政府责任和投入,完善独生子女家庭养老政策;制定鼓励政策和措施,开发并利用老人发挥余热。     

角色扮演法在《护理人际沟通》教学中的应用

在《护理人际沟通》的教学过程中采用角色扮演法,能激发学生的学习兴趣,调动其主动性和积极性,培养学生的创新思维能力和自学能力,增强学生对所学理论知识的理解和记忆,并提高学生的人际沟通能力。