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1.
Britni L. Ayers Nicola L. Hawley Rachel S. Purvis Sarah J. Moore Pearl A. McElfish 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e294-e301
Problem
Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care.Purpose
The purpose of this study was twofold: (1) to explore maternal health care providers’ perceptions and experiences of barriers in providing care to Marshallese women, and (2) providers perceived barriers of access to care among Marshallese women. This is the first paper to explore perceived barriers to maternal health care among a Marshallese community from maternal health care providers’ perspectives in the United States.Methods
A phenomenological, qualitative design, using a focus group and in-depth interviews with 20 maternal health care providers residing in northwest Arkansas was chosen.Findings
Several perceived barriers were noted, including transportation, lack of health insurance, communication and language, and socio-cultural barriers that described an incongruence between traditional and Western medical models of care. There was an overall discord between the collectivist cultural identity of Marshallese families and the individualistic maternal health care system that merits further research.Discussion
Solutions to these barriers, such as increased cultural competency training for maternal health care providers and the incorporation of community health workers are discussed. 相似文献2.
This paper examines the emerging use of complementary therapies in British nursing practice at the end of the twentieth century. Many nurses turned to complementary therapies as a means to provide a closer therapeutic relationship with their patients and this paper will establish how nurses were informed and empowered. The paper places complementary practices in the context of nursing developments in the closing decades of the twentieth century and concludes that the extent of the supporting networks that encouraged nurses to incorporate these therapies into their work was more significant than has been previously recognised and exemplifies a distinct period in the history of modern nursing. 相似文献
3.
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
4.
In this article, a classification model based on the majority rule sorting (MR‐Sort) method is employed to evaluate the vulnerability of safety‐critical systems with respect to malevolent intentional acts. The model is built on the basis of a (limited‐size) set of data representing (a priori known) vulnerability classification examples. The empirical construction of the classification model introduces a source of uncertainty into the vulnerability analysis process: a quantitative assessment of the performance of the classification model (in terms of accuracy and confidence in the assignments) is thus in order. Three different app oaches are here considered to this aim: (i) a model–retrieval‐based approach, (ii) the bootstrap method, and (iii) the leave‐one‐out cross‐validation technique. The analyses are presented with reference to an exemplificative case study involving the vulnerability assessment of nuclear power plants. 相似文献
5.
Optimization of Cascade‐Resilient Electrical Infrastructures and its Validation by Power Flow Modeling 下载免费PDF全文
Large‐scale outages on real‐world critical infrastructures, although infrequent, are increasingly disastrous to our society. In this article, we are primarily concerned with power transmission networks and we consider the problem of allocation of generation to distributors by rewiring links under the objectives of maximizing network resilience to cascading failure and minimizing investment costs. The combinatorial multiobjective optimization is carried out by a nondominated sorting binary differential evolution (NSBDE) algorithm. For each generators–distributors connection pattern considered in the NSBDE search, a computationally cheap, topological model of failure cascading in a complex network (named the Motter‐Lai [ML] model) is used to simulate and quantify network resilience to cascading failures initiated by targeted attacks. The results on the 400 kV French power transmission network case study show that the proposed method allows us to identify optimal patterns of generators–distributors connection that improve cascading resilience at an acceptable cost. To verify the realistic character of the results obtained by the NSBDE with the embedded ML topological model, a more realistic but also more computationally expensive model of cascading failures is adopted, based on optimal power flow (namely, the ORNL‐Pserc‐Alaska) model). The consistent results between the two models provide impetus for the use of topological, complex network theory models for analysis and optimization of large infrastructures against cascading failure with the advantages of simplicity, scalability, and low computational cost. 相似文献
6.
In order to meet the significant staffing challenges to health care provision in South Africa, the need to support the training and retention of Black medical specialists has been identified. This small qualitative study aimed to explore experiences of mentorship among a group of Black medical specialists in hopes of understanding the value and potential challenges that these relationships raise. Ten Black medical specialists were interviewed about their experiences of being mentored during their registrar training. The interview data was analysed using discourse analysis, and the results comprise of three main themes, namely: Difficulty accessing mentorship, a lack of Black and/or female role models and finally, experiences of feeling excluded from soft networks. The experiences explored in this study indicate the need for open dialogue within the mentorship dyad regarding certain taken-for-granted assumptions surrounding race, so as to aid the provision of more effective and satisfying mentorship outcomes. 相似文献
7.
Urban Ecosystems - Generalist wildlife species often thrive in urban environments because of increased anthropogenic resources. However, human-wildlife interactions, especially if negative, raise... 相似文献
8.
Nicola Short 《Globalizations》2018,15(7):941-955
ABSTRACTIn light of discussions around the common anniversary of the publication of Karl Polanyi’s The Great Transformation and F.A. Hayek’s The Road to Serfdom, this article puts these texts – iconic representations of social democratic and neoliberal political theory – into conversation with Michel Foucault’s subsequent, influential critique of neoliberalism, The Birth of Biopolitics. There are interesting points of contact in the way each text constructs its argument, even as they arrive at distinct positions vis-à-vis the material and subjective nature of market society, while nevertheless sharing an opposition to Marxian approaches. Yet the work of Polanyi and Hayek’s Marxian contemporary, Lukács’ History and Class Consciousness, offers precisely a critical framework for understanding the relationship between markets, liberty and society in which the material and the subjective need not be read as antagonistic. It is thus also examined here, in an effort to shed light on how discussions of contemporary neoliberalism are framed. 相似文献
9.
Salvatore Ioverno Nicola Carone Vittorio Lingiardi Nicola Nardelli Paolo Pagone Jessica Pistella 《Journal of sex research》2018,55(4-5):654-665
This article describes two interrelated studies that investigated beliefs and stereotypes on two-father parenting and two-mother parenting through the development and validation of the Beliefs on Same-Sex Parenting (BOSSP) scale. The BOSSP captures two beliefs: (1) prejudices toward same-sex couples’ inherent inability to parent and (2) concerns about same-sex parenting that are not necessarily related to homonegativity. In Study 1 (301 heterosexual participants), exploratory factor analysis (EFA) suggested an 11-item scale for attitudes toward both two-father families and two-mother families, with two factors: parenting skills, which evaluates beliefs on same-sex couples’ ability to take care of their children; and parental adjustment, which assesses beliefs on the impact of challenges related to same-sex parenting on children’s well-being. Support for convergent validity between BOSSP factor scores and those of theoretically related measures were provided. In Study 2 (346 heterosexual participants surveyed in two time points), CFA indicated that the two-factor model provided the best fit. Test-retest reliability and longitudinal invariance were documented. Finally, results revealed that more negative attitudes toward same-sex parenting were held by men than by women and were associated with negative opinions on reproductive techniques. The innovative characteristics of the BOSSP and implications for future practice are discussed. 相似文献
10.
ABSTRACTDrawing on multiple data sources, including key informant interviews, participant observation and archival study, this paper provides an analysis of the civil society’s role in foregrounding the agenda of women migrants in migration and development (M&D) fora, and reflects on its role in realising the UN Sustainable Development Goals (SDGs). Yet, the dominant narrative within the state-led Global Forum on Migration and Development (GFMD) tends to be a gender-blind migration for development approach, which emphasises national-level economic growth at the centre of migration processes, while negating the subjectivities of women migrants and neglecting their contributions to the global economy; this approach diverts attention to a narrow focus on macro-economic development through forms of financial remittances. Based on an examination of the GFMD as a site for gender mainstreaming M&D, we reflect on lessons learned as we look forward to achieving the SDGs. We argue that while the SDGs include some significant provisions for women in migration, only critical civil society advocacy and activism networked within grassroots organisations can address the structural changes necessary (such as a re-articulation of the care economy to value economic contributions of women’s reproductive work) to transform and improve the lived realities of women in migration and realise the SDGs in a manner that fosters their empowerment. 相似文献