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Economic models of regulation suggest that the introduction of regulation is closely linked to the magnitude and distribution of costs and benefits anticipated by various groups and their costs of action. This paper draws on economic models to examine the development of systems of professional regulation in nursing since the end of the 19th century. It concludes that changes in supply and demand conditions and labor market organization have played a major role in the introduction of voluntary and mandatory licensure laws for registered and practical nurses.  相似文献   
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There has been a debate for years about what the role of the ombudsman is. This article examines a key component of the role, to promote trust in public services and government. To be able to do this, however, an ombudsman needs to be perceived as legitimate and be trusted by a range of stakeholders, including the user. This article argues that three key relationships in a person’s complaint journey can build trust in an institution, and must therefore be understood as a system. The restorative justice framework is adapted to conceptualize this trust model as a novel approach to understanding the ombudsman institution from the perspective of its users. Taking two public sector ombudsmen as examples, the paper finds that voice and trust need to be reinforced through the relationships in a consumer journey to manage individual expectations, prevent disengagement, and thereby promote trust in the institution, in public service providers, and in government.  相似文献   
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The high stress environment of law enforcement places officers at risk for a variety of mental and physical health problems; however, officers are reluctant to seek out treatment. The purpose of this study was to identify which factors associated with law enforcement officers had predictive value in the level of stigma perceived in seeking mental health treatment by currently employed, certified peace officers in Arizona. The factors included sex, age, race/ethnicity, years employed as an officer, size of the department, current rank/position within the department, the type of government operating the agency, and payment of union dues. The study included 454 participants. Participation included the completion of demographic data, the Self-Stigma of Seeking Psychological Help (SSOSH), and the Perceptions of Stigmatization by Others for Seeking Help (PSOSH). Using standard multiple regression, the most significant finding was the relationship between the size of the department and levels of stigma (p = .014); such that, the size was inversely related to the levels of perceived stigma. As the agency size increased, the perceptions of stigma decreased. Such a finding has several implications for law enforcement agencies related to preparedness and training.  相似文献   
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青年的概念   总被引:1,自引:0,他引:1  
文章讨论了"青年"概念的使用和有用性,讨论了年轻人被概念化的方式,探讨了青年向成年过渡的假设,提出将青年概念看作是一个社会过程的观点.青年时期是重要的,它是成年的临界点,同时它又有很大的问题.媒体话语中的青年流行概念不仅再现了青年而且实际上建构了青年的经历和意义.  相似文献   
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Policy and budgetary debate about Social Security is greatly affected by understandings of how the program is financed and, therefore, what steps would make it more affordable in the future. Unfortunately, both the standard justifications for and criticisms of buildups in the Social Security trust funds do not reflect the extent to which such buildups in fact would help finance future program costs. This article argues for a different standard, based explicitly on the fiscal capacity of the federal government and the effect of the government's obligations to pay interest on that capacity. I explain how both this definition of the role of the trust funds, and a broader understanding of fiscal capacity, would affect analysis of Social Security's condition and of possible reforms.  相似文献   
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