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Objective

To investigate pregnant women’s decision making in relation to their choice of birthing hospital and, in particular, their priorities regarding hospital characteristics.

Methods

The focus of this study was the choice of birthing hospital among pregnant women. A qualitative interview design was used and women were recruited during their first pregnancy-related visit to a general practitioner. The interviews were conducted using a semi-structured interview guide, and a thematic analysis of the data was carried out.

Results

Women made their hospital choice decision independently and they relied extensively on their own or peers’ experiences. Travel distance played a role, but some women were willing to incur longer travel times to give birth at a specialized hospital in order to try to reduce the risks (in case of unexpected events). The women associated the presence of specialized services and staff that were more qualified and experienced with increased safety. Other priorities included continuity of care (i.e., being seen by the same midwife) as well as service availability, which in this case referred to the possibility of a water birth and postnatal hoteling services.

Conclusions

The choice of hospital provider appears to be strongly influenced by experience, whether personal experience or the experience of peers. However, there appears to be room for more information to be provided on safety and service attributes as an instrument for making an informed decision.  相似文献   
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What type of urban nature do urban dwellers prefer? Contributing to this ongoing discussion, this study presents the results of an internet and on-site field survey on general use and visitation pattern conducted in Grunewald Forest via a questionnaire; this is a 3000 ha area southwest of Berlin, Germany. The questions were developed in close cooperation with the local forestry administration and targeted the uncovering of user-specific needs and climate change-related conflicts. More than 1300 valid answers were analyzed, which made it possible to (1) identify and characterize different visitor groups, (2) identify reasons for an urban forest visit, (3) uncover the needs for infrastructure and information, (4) reflect on the survey methods used. The interesting findings include (I) the reasons for a visit highly coincide with forest-related properties in particular; however, the infrastructure preferences reveal the desire for managed greenspace; and (II) the answers obtained from the field differ significantly from those obtained online in various respects. The differences found suggest that the survey, with both online and on-site answers, is a major advantage for future studies regarding urban green infrastructure use. These results can be fruitfully used to inform urban forest management regarding user needs and create a better forestry information policy in the future.  相似文献   
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Although studies have shown that inflated self-perceptions of transformational leadership behavior negatively affect leader performance, insight into the underlying processes explaining this relationship is lacking. The current study addresses this gap by identifying vertical conflict between leaders and subordinates as one such underlying process. Using a sample of 52 leaders supervising 259 subordinates, it was found that leader self-enhancement of transformational leadership behavior is significantly and positively related to vertical conflict about both task and relationship issues. Results further indicate that vertical task conflict rather than vertical relationship conflict mediates the negative relationship between leader self-enhancement and leader performance.  相似文献   
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