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91.
This article presents findings from four problem-based research sites that comprise a larger action research project within primary care mental health services. The projects explored in this article are ongoing and involve working with small networks within specific areas: a GP practice counseling service, a Community Mental Health Team, a GP attached social worker scheme and a rural health cross-disciplinary team. By taking a constructivist approach, and through use of grounded theory techniques, the findings share some common features with Action Research and demonstrate two key aims of problem-based methodology, mainly practice improvement and theory generation (Robinson, 1993). First, they illustrate that a particular understanding of mental health service users can be reached from exploring the way in which they are excluded. Four excluded identities are presented (absent, mediated, difficult and elusive). Secondly, within the understanding that the success of problem-based research can be determined by the effectiveness of actions taken in the local setting (Edwards & Talbot, 1994), the article explores how reflection of user perspectives can move the research forward. Actions taken to improve the service include incremental changes and new initiatives, as well as the development of new avenues of research, thus adding to other action research within healthcare services (Hart & Bond, 1997).  相似文献   
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The first months of life are critical for establishing neural connections relevant for social and cognitive development. Yet, the United States lacks a national policy of paid family leave during this important period of brain development. This study examined associations between paid leave and infant electroencephalography (EEG) at 3 months in a sociodemographically diverse sample of families from New York City (N = 80; 53 males; 48% Latine; data collection occurred 05/2018–12/2019). Variable-centered regression results indicate that paid leave status was related to differences in EEG power (ps < .02, R2s > .12). Convergent results from person-centered latent profile analyses demonstrate that mothers with paid leave were 7.39 times as likely to have infants with EEG profiles characterized by increased higher-Hz power (95% CI, 1.9–36.9), potentially reflecting more mature patterns of brain activity.  相似文献   
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The face of Modern Foreign Language education (MFL) in Scotland is changing. A major policy shift in Scottish education in 2012 set out the aspiration that all students up to the end of third level education in Scottish schools would have the opportunity to learn not one but two languages, in addition to their mother tongue. Over the last 20 years, there has been, concurrently, an undertaking by the Scottish government, in a series of policy documents, committing to provision that will ensure that students with additional support needs (ASN) receive equality of access to a broad and balanced education. This paper draws upon policy documents and published research in the area to review the extent to which the vision of language learning of all has been made available to students with ASN and the documented benefits associated with MFL education for those with ASN. Drawing upon case studies of inclusive MFL pedagogies, it identifies successful strategies that can be deployed by teachers. It then considers some of the mechanisms by which the current gaps in provision have arisen and proposes possible remedial steps, drawing on both an analysis of policy and case studies of effective practice.  相似文献   
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The article presents a critique of the discourse of ‘systematic review’ in education, as developed and promoted by the EPPI‐Centre at the University of London. Based on a close reading of the exhortatory and instructional literature and 30 published reviews, it argues that the approach degrades the status of reading and writing as scholarly activities, tends to result in reviews with limited capacity to inform policy or practice, and constitutes a threat to quality and critique in scholarship and research. The claims that are made for the transparency, accountability and trustworthiness of systematic review do not therefore, it is argued, stand up to scrutiny. The article concludes that systematic review is animated, not just by dissatisfaction with the uncertainties of educational research (a dissatisfaction that it shares with the ‘evidence‐informed movement’ with which it is associated), but by a fear of language itself.  相似文献   
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Staff development as opposed to staff training demands a different kind of learning approach. Library staff who are accustomed to the passive learning of technical skills, often equating training with instruction, can be less confident in an active learning environment. The paper describes the design and delivery of a staff development programme which focussed on issues of customer care, interpersonal skills and rules and procedures. Group interactions and outcomes of the programme are analysed and modifications considered. It is concluded that the benefits of a staff development programme both to the service and to individuals within it can be considerable but that success depends on the willingness of individuals to take responsibility for their own development and on the commitment of management.  相似文献   
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Organizations by their very nature will incur conflict and individuals will need to negotiate differences, behaviors, and performance. Effective leaders understand that difficult conversations are necessary in managing an organization or unit. No one wants to initiate a difficult conversation or to address performance issues but it is essential that leaders face the need to have hard conversations and in so doing, the organization will benefit from an ongoing dialogue. This column will discuss the need for difficult conversations and some tips for facilitating a dialogue. Interested authors are invited to submit articles for this column to the editor at farrell@uwyo.edu.  相似文献   
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我是一位有抱负的旅游记者,同时也是一名大一新生。我已经决定将旅游新闻报道当做我的职业。我虽年仅19岁,却有过大量异国旅游经历。我发现旅游和记录这些旅行经历属于我生活中的最爱。我生活中最令人兴奋的事情,其一便是与拥有不同文化背景的人交流、倾听他们的故事,体验他们的生活方式。  相似文献   
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