Discursive Practices Of Organizational Identity Negotiations

How do organizations discursively negotiate organizational identity? In a longitudinal interpretive case study, we investigate the discursive practices of identity negotiations in a non-profit organization. Drawing on semi-structured interviews, documents and participant observations, and in applying a discourse analytical framework, we first identify three distinct discourses that provide the discursive resources for three different identity propositions. Then and in order to understand how these discursive resources are activated and utilized, we reconstruct four distinct discursive practices of organizational identity negotiations: (1) external comparison and differentiation (2) denial of trade-offs and harmonization (3) historization, and (4) moralization. We discuss how this structure relates to other similarly pluralistic organizational contexts.

Health promotion attitudes and practices of Texas nurse practitioners

The purpose of this descriptive cross-sectional survey was to examine the health promotion attitudes and practices of Texas nurse practitioners and to evaluate the applicability of the Theory of Reasoned Action and the Theory of Planned Behavior as a theoretical model to guide nurse practitioner health promotion research. A questionnaire developed to elicit responses regarding demographic information, practice characteristics, behavior, behavior intention, attitudes toward health promotion, subjective norm and perceived behavioral control for health promotion practices was mailed to the home address of 727 Texas nurse practitioners. The majority of the 442 respondents reported positive attitudes toward health promotion. Texas nurse practitioners provide health promotion for more than 50% of their patients. Significant barriers to the provision of health promotion cited by Texas nurse practitioners were lack of time, lack of reimbursement and lack of patient desire to change behavior. The findings of this study support the use of the Theory of Reasoned Action and the Theory of Planned Behavior in nurse practitioner research. ^

ATTITUDES AND PRACTICES OF GENETIC COUNSELORS IN PROVIDING PREDICTIVE TESTING TO MINORS AT RISK FOR LI-FRAUMENI SYNDROME

Li- Fraumeni Syndrome (LFS) is a rare autosomal dominant hereditary cancer syndrome caused by mutations in the TP53 gene that predisposes individuals to a wide variety of cancers, including breast cancer, soft tissue sarcomas, osteosarcomas, brain tumors, and adrenocortical carcinomas. Individuals found to carry germline mutations in TP53 have a 90% lifetime cancer risk, with a 20% chance to develop cancer under the age of 20. Despite the significant risk of childhood cancer, predictive testing for unaffected minors at risk for LFS historically has not been recommended, largely due to the lack of available and effective screening for the types of cancers involved. A recently developed screening protocol suggests an advantage to identifying and screening children at risk for LFS and we therefore hypothesized that this alongside with the availability of new screening modalities may substantiate a shift in recommendations for predictive genetic testing in minors at risk for LFS. We aimed to describe current screening recommendations that genetic counselors provide to this population as well as explore factors that may have influenced genetic counselors attitude and practice in regards to this issue. An online survey was emailed to members of the National Society of Genetic Counselors (NSGC) and the Canadian Association of Genetic Counsellors (CAGC). Of an estimated 1000 eligible participants, 172 completed surveys that were analyzed. Genetic counselors in this study were more likely to support predictive genetic testing for this population as the minor aged (p

Comparative Evaluation of Groundwater Management Practices of the Ogallala Aquifer

Mining of groundwater, or extracting a larger quantity of water than what is naturally returned to the aquifer through recharge, has been occurring for more than fifty years. The minimal natural recharge to the Ogallala Aquifer makes sustainable use of this resource a daunting task for states across the High Plains that rely on it to support their well-established ways of life. This task is compounded when considering the different combinations of federal, state and local governance, as well as regional economic and social frameworks that each state overlaying the aquifer experiences. This project critically examines factors contributing to groundwater management successes and failures of three states that overlay the majority (87%) of this resource: Nebraska, Kansas and Texas.

Review and analysis of State legislation and reimbursement practices of physician's assistants and nurse practitioners : final report /

Mode of access: Internet.

Review and analysis of State legislation and reimbursement practices of physician's assistants and nurse practitioners : annotated bibliography /

Mode of access: Internet.

Practices of school principals; a summary of practices used by school principals in the solution of their administrative problems.

Mode of access: Internet.

Report to the F.T.C. on the use of automatic fuel adjustment clauses and the fuel procurement practices of investor-owned electric utilities.

Primary authors: Michele F. Crown, L. Jorn Dakin, and Douglas W. Webbink.

Principles and practices of network radio broadcasting;

Mode of access: Internet.

The Indian manual of hygiene : being King's Madras manual of hygiene /

Title on cover: Salus populi suprema lex.

Coastal construction manual : principles and practices of planning, siting, designing, constructing, and maintaining buildings in coastal areas.

Mode of access: Internet.

Abstracts of papers : communicated to the Seventh International Congress of Hygiene and Demography, London, August 10-17, 1891.

Mode of access: Internet.