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1.
BackgroundHaving a positive childbirth experience is an increasingly valued outcome. Few studies evaluated the women’s satisfaction with childbirth through face-to-face interviews out of the health service environment. The objective of this study was to identify factors associated with a higher level of satisfaction with the childbirth experience among Brazilian women.MethodsThis cross-sectional study involved 287 women giving birth in two hospitals in southern Brazil. Women who gave birth to healthy newborns at term were randomly selected. Face-to-face interviews were conducted 31–37 days after delivery, at the mothers’ homes, using a structured questionnaire. Satisfaction with the childbirth experience was measured using a Likert-type scale ranging from very satisfied to very dissatisfied. Prevalence ratios (PR) were estimated using Poisson regression with robust variance.ResultsFollowing hierarchical multivariate analysis, the following factors remained associated with a higher level of satisfaction with the childbirth experience: being satisfied with antenatal care (PR = 1.30; 95% confidence interval [95%CI] = 1.06−1.59), understanding the information provided by health professionals during labor and delivery (PR = 1.40; 95%CI = 1.01−1.95), not having reported disrespect and abuse (PR = 1.53; 95%CI = 1.01−2.31), and having had the baby put to the breast within the first hour of life (PR = 1.63; 95%CI = 1.26−2.11). No association was observed with type of delivery or hospital status (public or private).ConclusionsA higher level of satisfaction with the childbirth experience is related to satisfactory antenatal care, a non-abusive, respectful, and informative environment during childbirth, and to the opportunity to breastfeed the baby within the first hour of life. In clinical practice, greater attention to these basic principles of care during pregnancy and delivery could provide more positive experiences during birth.  相似文献   
2.
通过对医改新形势下三级综合医院甲乳外科的运营分析,进行医院精细化管理的探讨。调研某三甲医院甲乳外科的运营情况,包括工作量、运行效率、损益情况等,分析其运营状况。结果显示,甲乳外科门诊、住院和超声检查患者较多,医师工作负荷重,通过计算该科室需要增加2名文员;损益分析发现甲乳外科属于“金牛科室”,且科室床位使用率较高,应适当扩大规模,新增10张床位。对医院各科室进行详细的运营分析,可为医院管理者提供决策依据,并逐步实现医院的精细化管理。  相似文献   
3.
艺术院系的师生关系与其他院系存在诸多差异,他们之间的互动体现为更多的同质性特点。因此,从同质性互动的视角去理解高校艺术院系和谐师生关系的构建,不仅有利于准确把握互动主体的差异性特点和主体行动的源动力,而且有利于改善影响他们和谐交往的环境,为艺术院系师生和谐关系的构建提供借鉴和参考。当前高等教育内外环境中存在一些影响师生和谐关系的因素,需要从政策、教育方式和教育主体上进行系统的改革才能有效疏解矛盾,提升互动的有效性,营造艺术院系健康、稳定的关系氛围。  相似文献   
4.
Prolonged emergency department (ED) visits are associated with a number of adverse outcomes for patients as well as lower patient satisfaction scores and increased costs. Several factors that influence the length of ED visits are out of the control of hospital employees, but some opportunities exist to improve performance. For this study, the ED department of a 150-bed hospital in the southeastern United States wanted to improve door-to-discharge time. To do so, a subprocess of door-to-discharge time was targeted, door-to-order. After analyzing the process, the team created standard orders for the 10 most common presenting conditions in the ER with preapproval, allowing nurses to submit the orders without the provider first visiting the patient. Following the process change, daily feedback was added to increase utilization of the preapproved orders. Reductions in door-to-order times and door-to-discharge were observed and patient satisfaction remained stable. Implications for future research in this area are discussed.  相似文献   
5.
While the negative impact of child‐raising and caring on women's career progression in academia is well‐established, less is known about the role of academic women's lived experiences of maternity leave as an institutional practice. This article presents the findings of a qualitative study of the lived experiences of female academics and researchers in an Irish university. The analysis intrinsically links organizational structures and problems with the lived and felt dimensions of work. The findings point to the need for better structural accommodations for maternity leave which address the relationship between caring and career disadvantage within academia. The article adds to existing literature on the intersection of motherhood and academia by unpicking the specific role of maternity leave as both a lived experience and an institutional practice that can reinforce gender inequalities in academia.  相似文献   
6.
“三孩政策”标志着生育政策的进一步优化,它为中国人口长期均衡发展提供了政策保障,在对新中国成立以来两次生育政策转型和优化分析的基础上,从人口长期均衡发展战略、人口问题的再认识、生育意愿和生育行为改变的视角分析中国生育政策优化的基础和内在动力。研究认为,优化生育政策不仅提升了人口出生率,缓解人口老龄化,减轻社会保障制度压力,而且将生育权回归家庭,是对家庭福利和人的全面发展的体现; 为此,在充分发挥“三孩”新人口政策作用的同时,还要有相应的配套措施,将构建共享型社会保障制度、保障女性的生育权和劳动就业权、增加人力资本投资等一体考虑,有助于新的优化生育政策的有效实施。  相似文献   
7.
Despite the critical role that paid maternity leave can assume in the economic lives of low-income families, research to date has paid insufficient attention to whether paid maternity leave reduces welfare use for low-income families. Using the Current Population Survey (CPS) March Supplement 2007–2014 with the difference-in-difference (DiD) technique, this study finds a significant policy effect of paid maternity leave on reducing the probability of using Temporary Assistance for Needy Families (TANF), TANF benefit amounts and TANF participation length. This study confirms that paid maternity leave is likely to prevent low-income families from using welfare during job interruptions stemming from the birth of a child. Given that TANF is often associated with negative political and social connotations, paid maternity leave can be used as an important social policy to improve economic security as well as offer empowerment in overall social standing for low-income mothers. The discussion focuses on the implications of the findings in a broader context of American welfare states.  相似文献   
8.
加强施工单位项目部领导班子建设是对搞好项目管理有着至关重要的作用。本文主要从理论学习、素质提升、加强沟通和坚持民主制度四个方面对加强领导班子建设进行了分析。  相似文献   
9.
党政工联席会议制度是高校工会从源头上维护教职工合法权益的重要渠道,是教职工参与高校民主管理的重要形式。该制度在推动学校科学发展、维护教职工利益和拓展工会职能发挥空间等方面具有重要功能。为此,高校必须改进理念,明确职责,完善制度,创新举措,积极推进党政工联席会议制度的完善和落实。  相似文献   
10.
顾英 《职业时空》2012,(3):94-97
在对国内外课程模式进行研究的基础上,按照项目式模块化课程构建的基本思路,对园林专业课程中实验内容进行了调整和重新构建,并对部分课程内容进行了教学实践。教学实践充分证明:该课程教学激发了学生主动学习的积极性,满足了相似专业不同培养目标及培养方向的学生对实验课程的不同需要,对学生的考查评价更为科学合理;同时在课程构建的过程也推动了学校的教学改革和实验室建设。  相似文献   
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