The dwelling space of postnatal care

BackgroundThis paper considers the dwelling space of postnatal care, how being-there feels for the woman going through the experience of matrescence. The research takes a hermeneutic approach and draws on philosophical notions from Heidegger. Question: ‘What is the nature of the dwelling space of valued postnatal care?’.MethodsAppropriate ethics approval was gained. Participants were midwives, nurses, women, and other relevant stakeholders. There were 4 focus groups involving 11 participants and 19 individual interviews. Data collection was conducted over a one week period by a team of three researchers. An interview schedule had been organised by the administrator at the Centre. Participants chose whether to come to the centre to be interviewed, or be interviewed in their own homes. Most interviews were an hour. All interviews were tape recorded and transcribed, with the participant's permission. Data was analysed through a hermeneutic process set in the context of related literature.FindingsWhen women are invited into a dwelling space that strengthens them they feel ‘mothered’: being listened to, have their needs anticipated, and are cared for in a loving manner. In such a way they grow confidence. A child health nurse reported the difference such care made to on-going mothering at home.Implications for practiceAll women deserve a dwelling space in their early days of matrescence. Small birthing centres perhaps achieve such care and ambience more easily than large institutional units. Nevertheless, wherever the place, practices need to be enabled that foster the spirit of dwelling.     

Forgiving Perpetrators of Violence: Colombian People’s Positions

Colombian people’s positions regarding the granting of forgiveness to persons who have been more or less actively involved in the violence that ravaged the country during the past 60 years were examined. Four hundred lay people living in Bogota were presented with 48 concrete cases in which a former perpetrator of violence (a member of the guerillas, the paramilitary, the military or a drug cartel) asked for forgiveness from a victim’s family. These cases were constructed using a three-factor orthogonal design: Degree of Responsibility × Severity of the Negative Acts Committed × Apologies. Four basic positions were found. The most common one, which was shared by nearly 40 % of the sample, mostly people from the wealthier segments of society, was “no forgiveness under any condition”. Eighteen percent of the participants, mostly from the poorest segments of society, considered that forgiveness could be granted each time the former perpetrators expressed true repentance (and, in the case of former organizers, if they have offered adequate compensation and had not committed very severe crimes). This was the most frequently observed attitude when perpetrators were former members of the paramilitary. Fifteen percent of the participants considered that forgiveness should be systematically granted. Finally, 28 % of the participants were undecided about the issue.     

New model helps find missing link between financial and clinical health care management.

U.S. health care is missing a link between the financial managers and clinical health managers of defined patient populations. Utilization and cost management try to bridge the gap by focusing on restricted access to care or tightly managed provider reimbursement to control costs. But frequently, they do not take clinical outcomes or health status into consideration. Take a look at another method based on the science of epidemiology that brings a more balanced knowledge of the clinical world to financial managers and more financial insight to clinicians.     

Gender Identity and Social Services: Barriers to Care

ABSTRACT

Transgender people seek social services for a variety of reasons. This literature review highlights needs assessments and social science research articles (N = 30) from the last 16 years that demonstrate the many ways in which social services are further revictimizing transgender people. Studies indicate that transgender people often encounter ignorance, hostility, and transphobic environments while attempting to access social services, and these environments can dissuade transgender people from gaining needed care. Suggestions are made to address these inequalities and include simple measures that social service agencies can begin with to make their services more transinclusive. Future research should address the bias in social services more directly and also develop a clear plan of action and best practices to help agencies remove discrimination from social service settings.