基于伦理学视域的失能老人照护服务体系研究

研究失能老人照护服务体系问题,对于保障失能老人的生命尊严与生存权利、促进社会和谐发展等具有重要意义.基于失能老人生存需要的服务供给、人才培养、制度安排、组织监管等问题,是照护服务体系构建的基本元素.坚持人本理念以及资源配置的公平、公正与效益目标,是照护服务体系构建的伦理原则.     

可用性测试中用户皮肤电水平变化分析——基于EEMD的方法

根据可用性测试过程中用户皮肤电水平（skin conductance level,SCL）的变化,提出了基于总体平均经验模式分解（ensemble empirical mode deeomposition,EEMD）技术的用户SCL信号趋势和变化特征提取方法。首先,应用EEMD技术对SCL信号进行分解,得到若干独立的基本模式分量及趋势项;然后,对基本模式分量进行显著性检验,进而实现信号的去噪去趋势重构,得到用户SCL的变化特征。实验结果表明：界面的可用性问题使得用户SCL单调趋势变得不明显;当用户遇到可用性问题时,SCL去噪去趋势重构信号波动幅度明显变大,Wilcoxon符号秩检验表明不同阶段用户SCL去噪去趋势重构信号功率差异显著。因此,基于EEMD的信号处理方法能有效支撑可用性测试过程中用户SCL变化的分析。     

Focusing on Educational Outcomes

National education goals, content standards, and national tests are the hot topics of the day in educational reform. Special services personnel eventually will be faced with these issues, and can either be part of the discussion from the beginning, or wait and have to deal with someone else's decisions. In this article, we highlight some recent national and state educational reform activities and their probable implications for students with disabilities. We explain in brief the impetus behind the thrust toward an outcomesbased approach to education, and summarize the response of the National Center on Educational Outcomes for Students with Disabilities to this push. Possible ways in which special service providers can act to influence the focus on outcomes are described.     

The Future of the Church as a Primary Health Place

ABSTRACT

There is a critical need for change in America's Health System, and religious organizations can facilitate not only the redefining of what health is but also the shaping of what the primary health services of the future should look like, function as, and be. The vision presented here is that the local parish or some extension of it be seen by the average citizen as a primary health place. The model proposed is that faith based living in community become the core health concept, defining what it means to be human and healthy become the core teaching, and that healing such that no illness need dominate become the goal. Within that context, health information, education, prayer, care, and support for most chronic illness, lifestyle change, and end of life concerns would begin at one's community of faith and only within that context to specially trained persons. This health system will compliment the sophisticated and complex acute medical care system that now exists.     

The Need for a Continuum of Trauma Services

Summary

Since September 2000, residents of Israel have experienced a prolonged period of terrorist attacks that shows no sign of abating. The ramifications of the ongoing trauma permeate every facet of life. Since existing services provided by government and Non-Governmental Organizations (NGOs) are unable to meet the needs that have emerged, the Continuum of Trauma Services (CTS) was developed for victims of terrorist attacks, their families, friends, emergency and mental health professionals and the community at large. This article also describes the Israel Trauma Coalition and its interest groups, which may be seen as the embodiment of an evolving CTS.     

Transformational leadership and customer service: A moderated mediation model of negative affectivity and emotion regulation

Integrating theories from leadership, emotion management, affectivity, and customer service, this study examines how transformational leadership leads to favourable customer intentions via the mediation of service employees' emotion regulation, job satisfaction, and their service performance and via the moderation of employee negative affectivity. Results obtained from data of 204 matched sets of managers, service employees, and customers show that the effect of transformational leadership on amplification of pleasant emotions was conditioned on service employees' negative affectivity. Employee service performance partially mediated the effect of job satisfaction on customer outcomes. Finally, overall results reveal that transformational leadership and amplification of pleasant emotions were more strongly related to the customer outcomes, as mediated through the intervening variables in the model, when negative affectivity was high than when negative affectivity was low. Results have implications for how service workers with negative affectivity can manage their emotions to achieve effective service outcomes through interactions with a leader, how the effect of transformational leadership can be bounded, and how transformational leadership and emotion regulation are relevant to customer service.     

Service learning in custodial settings in South Africa

This study describes the findings of a community engaged service learning program in which nine female and three male students ranging between 22 and 31 years of age from a large South African university participated in a study conducted in two metropolitan areas of South Africa. They were all senior level students registered for Criminological Evaluation and Assessment, a practically-oriented module aimed at equipping students with the required knowledge and skills to conduct criminological assessments. The students voluntarily assisted correctional centres with the assessment of sentenced offenders and in the compilation of individualized Correctional Sentence Plans (CSP) to inform the rehabilitation process of offenders. Students reported their reflections on their service learning experiences using on-line interviews and with question prompts. Extracts from the thematic data analysis suggest students perceived themselves to be instrumental to the Department of Correctional Services in the fulfilment of its goals, while they benefitted from enhanced learning and social responsibility.     

如何减少医疗差错

医疗差错是危及医疗安全、制约医疗质量、影响医患关系、引发医患纠纷的核心问题,是医院管理的重点和难点。本文通过对医疗差错的分析和美国七大减少医疗差错的借鉴来探讨如何结合我国医院的实际来有效地减少医疗差错的发生。     

放弃治疗后，以护理为主导的医学服务和人文关怀

剖析放弃治疗后死亡病案508例,分析放弃治疗的原因、疾病和形式,放弃治疗后护理工作存在的问题。提出在放弃治疗后,临床护理决策：对于护理工作发生的变化,应该提高认识,培养护理人员人文素质和法律意识,应该加强护理管理和规范,放弃治疗后,护理应该承担医学服务和人文关怀的主导作用。     

女性择偶决策的线索偏好及信息加工方式

以68名20~33岁之间的未婚女性为被试, 探讨了她们在信息板上做出择偶决策时的线索偏好及信息加工方式。结果显示：(1)候选人的性格、健康状况、责任心是女性择偶时优先考虑的线索; (2)被试在完成信息板任务时间接表现出来的线索偏好不完全等同于主观评估给出的线索偏好; (3)择偶决策是一个有限理性的启发式搜索过程, 且时间紧迫性和候选人数量影响被试对择偶线索的信息加工方式; (4)候选人数量与择偶满意度之间不是简单的线性关系, 增加候选人数量并不一定能够提高决策后的满意度。依据有关的理论和发现对这些结果进行了讨论。