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61.

Purpose

To examine whether internal resiliency and external assets directly protect juvenile offenders exposed to adverse childhood experiences (ACEs) from psychological distress and moderate the relationship between ACE exposure and psychological distress.

Methods

A total of 429 male and female adolescents involved with juvenile justice systems in a Western state completed an audio computer-assisted self-interview. Validated measures assessed ACEs, psychological distress, internal resiliency, and external youth assets. Hierarchical linear regression was used to assess the direct and moderating protective effects of internal resilience, family communication, school connectedness, peer role models, and nonparental role models on psychological distress. All models controlled for age, sex, race/ethnicity, free/reduced lunch qualification, current custody, supervision status, detention, and site.

Results

The mean ACE score among participants was 3.7 (standard deviation = 2.2) and 52.8% reported four or more ACEs. Participants with 4–5 ACEs (β?=?.37, p < .001) and 6–8 ACEs (β?=?.49, p < .001) were at increased risk for psychological distress. High internal resilience (β = ?.20, p < .001), family communication (β = ?.19, p < .001), school connectedness (β = ?.14, p < .01), and peer role models (β = ?.09, p < .05) were associated with a reduction in psychological distress in the presence of high ACE exposure. In the interaction models, having a high number of ACEs remained strongly associated with increased psychological distress. However, internal resilience (β = ?.24, p < .01) and school connectedness (β = ?.18, p < .05) significantly moderated (reduced) the relationship between high ACE exposure and psychological distress.

Conclusions

Our findings suggest that programs and policies that promote internal resilience and protective factors across multiple levels of influence may protect juvenile offenders exposed to childhood trauma from psychological distress.  相似文献   
62.
通过对衢州市公立医院固定资产管理现状的调查,全面了解衢州市公立医院固定资产规模、组成结构及使用情况,利用DEA分析方法进行效率评价,提出做好区域卫生规划以加强卫生资源管理、实现卫生资源效益最大化的对策建议。  相似文献   
63.
目的:转变医院固定资产管理模式,改变固定资产管理方法,发挥固定资产最大的经济效益和使用效率,更好地为医院发展服务。方法:通过使用条形码和掌上电脑(PDA),实现固定资产的准确盘点,提高盘点效率,并且实现条形码全过程跟踪和资产出库、科室调拨等全过程监管。结果:将医疗设备的使用部门、管理部门及财务部门的管理工作集中在一个信息系统平台。结论:计算机网络及条码技术可有效完成医院各部门固定资产管理,达到医疗设备账、卡、物相符。  相似文献   
64.
本文阐述了院级成本核算管理信息平台的构成,以及运用院级成本核算管理信息平台进行有效的院级成本核算管理,并介绍了院级成本核算辅助管理系统的功能与作用。  相似文献   
65.
军队医院资产管理   总被引:2,自引:1,他引:2  
本文从军队医院资产管理的主要内容与特点出发,对流动资产、固定资产和无形资产的概念和主要内容作界定,分析当前军队医院资产管理现状与主要问题,提出相应的对策与建议。  相似文献   
66.
多院区医院一体化管理模式下,固定资产管理容易出现预算不合理、管理不规范、盘点流于形式、成本核算忽视运行相关费用,以及信息孤岛带来数据脱联等问题.对此,应构建多院区一体化的固定资产管理组织体系,加强综合预算审核,实现固定资产管理与预算管理相结合,统一固定资产的账务处理与盘点管理制度,综合运用信息系统开展资产运行分析,并加...  相似文献   
67.
68.
国有大型医院改制问题探讨   总被引:3,自引:1,他引:2  
文章探讨了国有大型医院的改制问题 ,从市场经济条件下国有大型医院的服务特点入手 ,论述了改制与政府职能转型之间的关系 ,明确了国有资产管理体制改革对改制的影响 ,提出了产权结构多元化的基本途径 ,以及管理层与员工持股的客观性和机制意义 ,并强调了公司治理的地位与作用。  相似文献   
69.
70.

Background

Self‐management of chronic illness can be highly demanding and people need to mobilize their personal strengths to live well with their condition. More knowledge is needed about how people with chronic illness perceive and use their personal strengths as a basis for better integrating empowering person‐centred approaches into health care.

Objective

To explore what people with chronic illness describe as their strengths relevant to their health and well‐being.

Setting and Participants

Thirty‐nine participants (11 men) from 4 outpatient self‐management programmes were recruited to individual or group interviews. Participants included patients with chronic respiratory disease (n = 7), chronic pain (n = 18) and morbid obesity (n = 14). Interviews were analysed using content analysis.

Results

A number of personal strengths were reported and categorized into 3 domains: (i) Internal strengths, (ii) External strengths and (iii) Self‐management strategies. Internal strengths included being persistent, having a positive outlook, being kind and caring, experiencing positive emotions, being kind towards oneself, reconciling oneself with the situation, having courage and having knowledge and insight. External strengths included support from family, friends, peers and health‐care providers. Self‐management strategies included being active, planning and prioritizing, reducing stress, goal setting and seeking knowledge and help.

Discussion and Conclusion

The study provides insights into personal strengths as reported by people with chronic illness. The results complement prior findings on strengths in people with health challenges and can aid in incorporating person‐centred approaches into health care.  相似文献   
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