哮喘教育和管理工作中的一些新的启示与思考

简要叙述了目前哮喘防治中存在的问题,提出必须彻底转变哮喘防控模式,简单介绍了我们自己的哮喘教育和管理的具体做法及其效果,最后就哮喘的防控和管理提出一些值得思考的问题,包括建立和谐医患关系,减轻医疗经济负担,建立新型疾病防控模式和医疗服务体系等。     

Work-to-family conflict, positive spillover, and boundary management: a person-environment fit approach

This study adopted a person-environment fit approach to examine whether greater congruence between employees’ preferences for segmenting their work domain from their family domain (i.e., keeping work matters at work) and what their employers’ work environment allowed would be associated with lower work-to-family conflict and higher work-to-family positive spillover. Different facets of work-to-family conflict (time-based and strain-based) and positive spillover (affective and instrumental) were examined. According to latent congruence modeling of survey data from 528 management employees, congruence was negatively related to both time-based and strain-based work-to-family conflict and positively related to work-to-family instrumental positive spillover as expected. However, contrary to expectations, congruence was negatively related to work-to-family affective positive spillover. Implications for how boundary management processes may affect both positive and negative experiences of the work-family interface are discussed.     

The protective identity: Evidence that mortality salience heightens the clarity and coherence of the self-concept

Research guided by terror management theory has shown that self-esteem provides a buffer against mortality concerns. The current research extends the theory to examine whether clarity and coherence in the structure of the self-concept serve a terror management function independent of enhancing self-esteem. Specifically, five studies tested whether mortality salience (MS) heightens diverse tendencies to clarify and integrate self-relevant knowledge, especially in individuals predisposed to seek structured knowledge. MS led high, but not low, structure-seeking participants to prefer coherent (Study 1) clearly-defined (Study 2), and simply organized (Study 3) conceptions of their personal characteristics. Also, MS led high structure-seeking participants to prefer causal coherence in recent experience (Study 4) and meaningful connections between past events and their current self (Study 5). Supporting the specificity of these effects on self-concept structuring, MS increased self-enhancement in Studies 1, 4, and 5 but these effects were not moderated by preference for structured knowledge.     

Self‐transcendence as a psychological parenthood motive: When mortality salience increases the desire for non‐biological children

Reminders of existential threat increase people's desire for offspring. In line with terror management theory, we explain these effects by the motivation to transcend the self via offspring that complements biological accounts of reproduction motivation under threat. Accordingly, Study 1 shows that mortality salience increases self‐transcendence motivation but not other parenthood motivations. Furthermore, mortality salience increased willingness to adopt children (Study 2) or a 14‐year‐old child (Study 3) only for those participants who were told that the personality of children is the product of nurture (and thus determined by their parent's self). In addition, mortality salience increased general willingness to adopt, irrespective of whether nurture or genetic influence was made salient in Study 3, where participants imagined being unable to have biological offspring. We discuss how these findings contribute to explaining increased reproduction intentions under existential threat and processes of terror management.     

The Influence of Race and Income on Community Mothers’ Acceptance of Child Management Methods

The consideration of diverse family factors on parents’ acceptance of behavioral parent training (BPT) components aids in the development and delivery of culturally sensitive parenting programs. Perceptions of acceptability are particularly important to investigate among low-income and racial-minority families, as they are less likely to engage in nonadapted BPT programs. Therefore, the current study examines the synergistic effects of race and income on mothers’ acceptance of five common child management methods relevant to BPT. The relationship between mothers’ acceptability ratings and self-reported parenting practices was also explored. Participants were 106 White and Black mothers from different income levels who completed measures related to the acceptability of response cost, positive reinforcement, time-out, spanking, and medication. The results indicated that mothers from varying backgrounds differed in their acceptance of child management methods, particularly with regard to corporal punishment. Additionally, a relationship was found between parents’ acceptability ratings and their self-reported parenting behavior. The findings support the consideration of parents’ perceptions of child discipline methods when recommending and delivering BPT programs to diverse parents.     

Being a good or a just teacher: Which experiences of teachers’ behavior can be more predictive of school bullying?

In two cross‐sectional questionnaire studies with N = 2,931 German students, aged between 12 and 17 years (M = 14.1, SD = 0.5), we investigated the relation between students’ bullying behavior and their personal belief in a just world (BJW). We considered students’ personal experience of teacher justice as a possible mediator in this relation and investigated whether the students’ experiences of their teachers’ classroom management explained bullying behavior in addition to personal BJW and teacher justice, while statistically controlling for sex and school type. In both studies, multilevel modeling results showed that the more students endorsed personal BJW and the more they evaluated their teachers’ behavior toward them personally as being just, the less likely they were to report that they bullied others. The students’ personal experience of teacher justice mediated the association of personal BJW with bullying. Furthermore, the students’ personal experience of classroom management significantly predicted bullying in addition to personal BJW and teacher justice. The observed relations were mainly significant at the individual level. The pattern of results persisted when we controlled for school type and when we considered student sex as a moderator. We discussed the adaptive functions of BJW and implications for future school research and practice.

     

Romantic love versus reproduction opportunities: Disentangling the contributions of different anxiety buffers under conditions of existential threat

Romantic relationships and offspring are discussed as anxiety buffers in terror management processes. We examined the relationship between these possible buffers and tested whether romantic relationships reduce existential threat due to reproduction opportunities or if they represent a distinct anxiety buffer. Contrary to our initial expectations, thinking about a positive romantic relationship without (vs. with) own children increased partner affect (Study 1) and commitment (Study 2) and decreased punishment intentions (Study 2) after mortality salience. These effects were mediated by participants' desire for romantic love. Furthermore, thinking about positive nonparental (vs. parental) romantic relationships lowered death‐thought accessibility (Study 3). Together, these findings suggest that romantic relationships form a distinct anxiety buffer that is only effective when the cultural (romance) instead of the biological (having children) nature of the relationship is highlighted. We discuss the role of anxiety buffer salience for determining whether offspring concerns buffer or increase existential threat.     

儿科住院医师规范化培训的核心制度建设

住院医师规范化培训在儿科专科医师成长历程中发挥重要作用。高质量的儿科住院医师培养需要不断完善的核心制度作为保障。本文围绕招生录取、培训方案、考核管理、人事管理和配套政策等方面展开讨论,勾勒出一套行之有效的儿科住院医师规范化培训核心制度。     

The significance of organizational factors for the incidence of bullying

It is frequently assumed that a poor psychosocial working environment will create conditions that encourage bullying. However, few studies have examined this assumption while comparing work environment ratings of bullied and non-bullied employees who work in the same organization and/or department. The objective of this study was to examine the relationship between organizational factors and the incidence of acts of bullying based on two different approaches: the first by comparing bullied with no-bullied, the second by comparing departments with widespread bulling with departments with little bulling. The study was a part of a general survey study of the work environment and employee well-being in 12 different local social security offices. A total of 898 persons participated in the study (a response rate of 88%).
First, the results showed a clear relationship between bullying and fear of organizational change; secondly, weak, but significant, correlations between bullying and other organizational factors; thirdly, the subsequent analyses compared departments in which bullying were most widespread with the rest of the departments. The results supported the hypothesis that departments that suffer from much bullying also have a poorer psychosocial work environment, results that support the assumption that organizational factors such as changes in one's position, pressure of work, performance demands, autocratic management and role conflict and lack of role clarity, as well as a poor social climate can contribute to the emergence of higher incidences of bullying.     

浅谈科主任非权力性影响力的培养

科主任的非权力性影响力是由本人的素质和行为造成的,也可以说是个人的影响、威望和威信,这主要靠领导者具有良好的品格、素质和能力。本文就科主任应具备的良好的职业道德和人格魅力、丰富的才能和渊博的知识、良好的自制能力和人际关系、严谨的工作作风和高超的专业技术等这些非权力影响力进行了分析,并对如何提高这些素质进行了阐述。