What factors increase Dutch child health care professionals’ adherence to a national guideline on preventing child abuse and neglect?

Guidelines to support health care professionals in early detection of, and responses to, suspected Child Abuse and Neglect (CAN) have become increasingly widely available. Yet little is known about professionals’ adherence to these guidelines or the determinants that affect their uptake. This study used a cross-sectional design to assess the adherence of Dutch Child Health Care (CHC) professionals to seven key activities described in a national guideline on preventing CAN. This study also examined the presence and strengths of determinants of guideline adherence. Online questionnaires were filled in between May and July 2013 by 164 CHC professionals. Adherence was defined as the extent to which professionals performed each of seven key activities when they suspected CAN. Thirty-three determinants were measured in relation to the guideline, the health professional, the organisational context and the socio-political context. Bivariate and multivariate regression analyses tested associations between determinants and guideline adherence. Most of the responding CHC professionals were aware of the guideline and its content (83.7%). Self-reported rates of full adherence varied between 19.5% and 42.7%. Stronger habit to use the guideline was the only determinant associated with higher adherence rates in the multivariate analysis. Understanding guideline adherence and associated determinants is essential for developing implementation strategies that can stimulate adherence. Although CHC professionals in this sample were aware of the guideline, they did not always adhere to its key recommended activities. To increase adherence, tailored interventions should primarily focus on enhancing habit strength.     

In-house consultation to support professionals’ responses to child abuse and neglect: Determinants of professionals’ use and the association with guideline adherence

This study examined the presence and strengths of determinants associated with consultation of an in-house expert on child abuse and neglect (CAN) by preventive child health care professionals who suspect CAN. This study also assessed the relationship between in-house CAN expert consultation and professionals’ performance of six recommended activities described in a national guideline on preventing CAN for preventive child health care professionals. A total of 154 professionals met the study’s inclusion criteria. They filled in a questionnaire that measured in-house consultation practices and twelve determinants associated with the professional, the in-house expert, and the organizational context. Bivariate and multivariate regression analyses were performed. Almost half of the participants (46.8%) reported to consult the in-house expert in (almost) all of their suspected CAN cases. Professionals who reported better recollection of consulting the in-house expert (i.e. not forgetting to consult the expert) (p = .001), who were more familiar with consultation (p = .002), who had more positive attitudes and beliefs about consultation (p = .011) and who reported being more susceptible to the behavior (p = .001) and expectations/opinions (p = .025) of colleagues regarding in-house expert consultation were more likely to consult the in-house expert. Furthermore, in-house expert consultation was positively associated with two of six key guideline activities: consulting the regional child protection service and monitoring whether support was provided to families. The implications of these results for improving professionals’ responses to CAN are discussed.     

A comparison of student teachers’ perceptions of school placement experience in Malta and China Compare

ABSTRACT

This study explores the insights about teaching that student teachers elicit from schools when they go on their first school placements. It thereby offers an appraisal of how student teachers experience teaching when still at the relatively early stages of training and how they are socialised into a role where they become protagonists who can create a positive teaching climate in the classroom. The authors approach this study from the perspective of construction of meanings and consider the discourse that takes place in candidate teacher-student interactions in two university settings – in Malta and China, respectively. The study shows how student teachers believe that cultures and cultural differences need to be clearly considered across the curriculum if schools are to promote active learning equitably.     

教育见习与师范生职前专业胜任力的提升

从教育见习的特点与性质分析入手,结合教师胜任力结构要求,探讨教育见习在师范生职前专业胜任力提升中的地位、作用,并就此对当前师范院校的教育见习工作提出改进建议。     

试谈新闻作品思想的形成

新闻的思想性是近年来新闻界关注的一个议题。笔者从历史、宏观和微观三个方面去论证新闻作品思想性形成的主客观条件，从而证实了新闻思想性形成的几个重要条件和基础，使新闻作品的思想性形成了一个比较清晰的论证。     

Using Google Forms to track library space usage

This article is a response to the excellent “Using Mobile Technology to Observe Student Study Behaviors and Track Library Space Usage” by Susan Thompson. Thompson reviews the literature regarding user counts on mobile devices and describes the California State University San Marcos (CSUSM) Library's evaluation of SUMA, Counter+, and CloudOn. After trialing these mobile technologies, CSUSM selected CloudOn. At New York University Abu Dhabi, we use Google Forms to conduct user counts on an iPad and Google Sheets to evaluate these data. We find that Google Forms are easy to set up, modify as necessary, and present the data in easy-to-manipulate spreadsheets.     

酸碱滴定可行性的经典理念及其存在的问题

酸碱滴定可行性的经典理念是以终点误差为根据，以弱酸的平衡浓度Csp和离解常数Ka来表征酸碱滴定可行性，并把CspKa≥10^-8作为表征酸碱滴定反应可行性的判据．这种观点是片面的，只有根据终点观测误差推导酸碱滴定可行性才有实际意义，即根据平衡浓度Csp和酸与碱之间滴定反应的平衡常数Kt来表征酸碱滴定可行性．相应地，表征酸碱滴定反应可行性的判据应该是CspKt≥10^6．     

新型化学电源--燃料电池

燃料电池是一种等温并直接将储存在燃料和氧化剂中的化学能高效、环境友好地转化为电能的新型发电装置．燃料电池不受热机效率的限制，能量转换效率高，无污染、无噪音，具有满足环境保护的要求．预计燃料电池系统将在洁净煤燃料电池电站、电动汽车、移动电源、不间断电源、潜艇及空间电源等方面有着广泛的应用前景和巨大的潜在市场．本文介绍了燃料电池的的优点、主要种类、工作原理、国内外发展概况以及燃料电池的前景展望。     

同种异体肾移植26例报告

目的 总结26例肾移植的临床经验和教训。方法 回顾26例肾移植的临床资料，分析供受的状况，组织配型，移植手术，术后并发症及免疫抑制治疗方案对移植效果的影响。结果 70年代有80年代一年人／肾存活率均为33．3％／33．3％，90年代一年，三年人／肾存活率分别为90％／85％，80％／75％，超急性排斥反应发生率3．9％，急性及慢性排斥反应发生率均为11．5％，药物中毒发生率7．8％。结论 合理应用免疫抑制剂，提高外科手术，加强组织配型是提高肾移植受存活率的关键因素。