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This article is the fourth in a series on New Directions. The National Health Service is under pressure, challenged to meet the needs of an ageing population, whilst striving to improve standards and ensure decision making is underpinned by evidence. Health Education England is steering a new course for NHS library and knowledge services in England to ensure access to knowledge and evidence for all decision makers. Knowledge for Healthcare calls for service transformation, role redesign, greater coordination and collaboration. To meet user expectations, health libraries must achieve sustainable, affordable access to digital content. Traditional tasks will progressively become mechanised. Alongside supporting learners, NHS librarians and knowledge specialists will take a greater role as knowledge brokers, delivering business critical services. They will support the NHS workforce to signpost patients and the public to high‐quality information. There is a need for greater efficiency and effectiveness through greater co‐operation and service mergers. Evaluation of service quality will focus more on outcomes, less on counting. These changes require an agile workforce, fit for the future. There is a bright future in which librarians’ expertise is used to mobilise evidence, manage and share knowledge, support patients, carers and families, optimise technology and social media and provide a keystone for improved patient care and safety.  相似文献   
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OBJECTIVE: The objective is to describe the prevalence of child sexual abuse (CSA) among women in New Zealand, document ethnic specific rates, and outline the frequency of abuse experienced and the most commonly identified perpetrators. Associations between CSA and later adverse consequences were also explored. METHODS: Retrospective report from a random sample of 2,855 women aged 18-64 years old in two regions in New Zealand. Face-to-face interviews with one randomly selected woman from each household were conducted. RESULTS: The overall prevalence rates for CSA were 23.5% for women from the urban region and 28.2% from the rural region. In both urban and rural regions, Māori women more frequently reported experiences of CSA than women from European and other ethnic groups (urban: 30.5% vs. 17.0% and rural: 35.1% vs. 20.7%). The median age of onset of the abuse was 9 years, and the median estimated age of the abuser was 30 years. Half of those who experienced CSA reported that it occurred once or twice, 27% "a few times," and 23% "multiple times." Sole perpetrators were involved in 83% of cases. The majority of cases were perpetrated by a family member, most frequently male. Compared with non-victims, victims of CSA were twice as likely to experience later intimate partner violence and violence by others. CONCLUSIONS: This study reports on a large, population-based sample in an ethnically diverse population in New Zealand, providing the first ethnic-specific rates of CSA available. Findings suggest important priorities for prevention and intervention activities.  相似文献   
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This article chronicles the rapid expansion since 1990 of research within archival science and characterizes contemporary archival research culture. It examines the role and state of key factors that have led to the development of the existing research infrastructure, such as growth in doctoral education, forums for presenting and publishing research, the numbers and size of graduate archival education programs, availability of diverse funding for research, transdisciplinary and international research collaborations, and application of innovative research methods and tools appropriate for investigating increasingly complex and wide-ranging research questions. An Appendix articulates and names archival research methods, including those derived and adapted from other disciplines, with a view to adding to the “literary warrant” for archival research methods, promoting the rigorous application of research design and methods, and providing sources for the teaching of research methods for professional and research careers. The article concludes with recommendations about how to sustain and extend the emerging research front.  相似文献   
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Recent widening participation policies have been subject to a number of criticisms; they focus on aspirations rather than differences in performance; they place less value on the aspirations of the ‘disadvantaged’ comparing them to a middle class norm; they subordinate what was a radical agenda to the demands of the economy and so constrain the available options to young people. Using data from young people who have taken part in Aimhigher initiatives in the South West of England and from teachers who have organised Aimhigher events, this paper will examine to what extent these features of policy are evidenced in the attitudes and aspirations of these pupils. It will argue that the data shows little evidence of pupils positioning themselves as inferior, that young people display instrumental attitudes to education, but that these attitudes relate to policy discourse and practice in complex ways.  相似文献   
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