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261.
Mental health care in Australia in the last 20 years has moved from stand-alone psychiatric hospitals to general hospitals and the community. This paper reports an action research project exploring the experiences of nurses on an acute mental health unit for older adults staffed with a skillmix of mental health and general nurses, which recently transitioned from a psychiatric to a general hospital. The new service provides comprehensive health care, including the management of physical co-morbidity and a recovery orientation. Recovery acknowledges the role and rights of consumers and carers in planning and management of care, choice and individual strengths (Shepherd). The new ward received additional resources to establish the model of care, including a broader skillmix. The paper explores the dynamics of development of a new model of care and of bringing together staff with different professional orientations, cultures and priorities. Focus groups and interviews were conducted with 18 staff. Analysis resulted in three themes relating to the impact of competing goals and foci of care upon professional boundaries; competing organisational cultures and the impact of service change upon work practices. The findings are explored in relation to ideas about health care delivery associated with neoliberalism. 相似文献
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Petersen AM Jung WS Yang JS Stanley HE 《Proceedings of the National Academy of Sciences of the United States of America》2011,108(1):18-23
The Matthew effect refers to the adage written some two-thousand years ago in the Gospel of St. Matthew: "For to all those who have, more will be given." Even two millennia later, this idiom is used by sociologists to qualitatively describe the dynamics of individual progress and the interplay between status and reward. Quantitative studies of professional careers are traditionally limited by the difficulty in measuring progress and the lack of data on individual careers. However, in some professions, there are well-defined metrics that quantify career longevity, success, and prowess, which together contribute to the overall success rating for an individual employee. Here we demonstrate testable evidence of the age-old Matthew "rich get richer" effect, wherein the longevity and past success of an individual lead to a cumulative advantage in further developing his or her career. We develop an exactly solvable stochastic career progress model that quantitatively incorporates the Matthew effect and validate our model predictions for several competitive professions. We test our model on the careers of 400,000 scientists using data from six high-impact journals and further confirm our findings by testing the model on the careers of more than 20,000 athletes in four sports leagues. Our model highlights the importance of early career development, showing that many careers are stunted by the relative disadvantage associated with inexperience. 相似文献
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两个学科视角下的“社区卫生服务” 总被引:2,自引:2,他引:0
医学和社会学是建构社区卫生服务的两个基本理论视角.在医学视角下,社区卫生服务是"卫生服务到社区".在社会学视角下,社区卫生服务是"基于社区的卫生服务".为了克服社区卫生服务缺乏社区认同和参与这个制约社区卫生服务发展的瓶颈问题,社区卫生服务应该加强社会学的研究. 相似文献
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王光荣 《南通大学学报(哲学社会科学版)》2006,22(2):51-56
当今城市环境问题突出,甚至出现了严重的生态危机,使城市陷入了困境。生态学的长足发展和生态学思维方式的出现,为研究和彻底解决城市问题提供了有力的工具。因此。城市社会学作为一门运用多种方法研究城市问题的学科,应当吸收生态学的最新观念和方法,以城市的发展模式、城市人的生活方式、城市人对环境的关注和参与等为研究主题,开拓城市社会学研究的新方向。 相似文献
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Sarah Hoare PhD Gwilym P. A. Thomas MPhil Alison Powell PhD Natalie Armstrong PhD Jonathan Mant FMedSci Jenni Burt PhD 《Health expectations》2023,26(6):2216-2227