The stories of women who are transferred due to threat of preterm birth

Background

Women at risk of preterm birth before 32 weeks gestation are routinely transferred to facilitate birth at a hospital that has Neonatal Intensive Care. The clinical outcomes of being ‘in-born” improves newborn and neonatal outcomes is well documented. However little is known about the women's experiences when such a complication occurs.

A historical account of the governance of midwifery education in Australia and the evolution of the Continuity of Care Experience

Background

Midwifery programs leading to registration as a midwife in Australia have undergone significant change over the last 20 years. During this time accreditation and governance around midwifery education has been reviewed and refined, moving from state to national jurisdiction. A major change has been the mandated inclusion of Continuity of Care Experiences as a clinical practice-based learning component.

A Typology of Source of Information About the Continuing Care Retirement Community and Older Adults’ Living Arrangement

Abstract

A continuing care retirement community (CCRC) represents a residential alternative for older adults. It offers a variety of social and health care services to meet older adults’ needs and preferences. Using the theory of innovation as a theoretical basis, the overall goal of the study was to use the source of information about the CCRC as a potential predictor of the decision to move. In total, 76 older adults responded to a question about the source of information on the CCRC. Of these, 40 were CCRC residents and 36 were community dwellers, who expressed an interest in the CCRC but decided to remain in their community. Based on their responses, respondents were classified into one of five clusters (e.g., spouse, friends, children, nonhuman sources, mixed human and nonhuman sources). Those classified into the spouse or adult children as sources of information were more likely to live in a CCRC. Results show that information about the CCRC should be conveyed to additional members in the family, such as adult children, as they often take a major role in the decision to relocated. The findings have implications for administrators as they clearly point to potential sources of greater influence on older adults’ decision to relocate.     

Young Adult Outcomes of Juvenile Court–Involved Girls

ABSTRACT

The recent increase in the number of girls involved in the juvenile justice system has resulted in increased academic and public attention. Thus far, this attention has focused on entry into the juvenile justice system rather than longer-term consequences. This research helps fill this gap by examining a sample of 700 maltreated and/or impoverished juvenile court–involved females. Competing risks models were used to control for time from juvenile-court entry to adult outcomes: criminal justice system involvement, use of public mental health or substance use services, and income maintenance use. Results indicate that there are distinct predictors associated with the different outcomes, although learning disability and adolescent parenthood were associated with higher risk of both mental health/substance use services and income maintenance. Individualized services for juvenile court–involved girls are suggested. Prospective, longitudinal research is needed to investigate intrapsychic and behavioral dynamics associated with females' young adult outcomes.     

Lay Understanding of Synergistic Risk: The Case of Radon and Cigarette Smoking

The combination of radon and smoking produces a synergistic risk of lung cancer. Lay understanding of this risk was examined from the perspectives of mental models theory, the psychometric approach to risk perception, and optimistic bias. As assessed by interview, participants ( N = 50) had more extensive mental models for the risks of smoking than for the risks of radon or the combination of radon and smoking; 32% knew little or nothing about radon. Despite reading an informational brochure, their risk-perception ratings of the three hazards showed no perception of the synergy between smoking and radon risk, although the combined hazard was rated as less familiar but more controllable than the average of the single hazards ( p < .01). No evidence of optimistic bias for the health consequences of radon, or the combination of radon and smoking was observed. Participants appeared to be combining the single-hazard risks subadditively to arrive at their combined-hazard risk perceptions. Further research on the integration of perceived risks would be beneficial for designing optimal communications about synergistic risk.     

Qualitative computing--a methods revolution?

Qualitative computing is often described by enthusiasts as revolutionary, but in stark contrast, its methodological innovations are rarely discussed. Why is the debate missing? The paper charts some of the major developments in support for coding and theory-building, exploring the many reasons why these are either taken for granted or unrecognized and often unused. Whilst these tools had the potential to change methods, their adoption and their impact have been uneven, and they have been subjected to remarkably little sharp and critical debate. The paper concludes by asking what is required if researchers are to benefit from and drive this technological change.     

Critical Theory and Medical Care in America: Changing Doctor–Patient Dynamics

This paper examines the potential for theory to adapt to changing contexts of health in the western world. The commoditization of health and the ideology of biomedicine affects social life in creating dependency, social control, and vast inequalities. At the same time, increased access and diversity of consumer health knowledge as evidenced by the use of the Internet and the sharp rise in alternative medicine point to a different dialectic between doctor and patient and the potential for transforming diagnostic, treatment, and economic components of health care. Recent trends suggest increasing patient autonomy and the possibility of a re-emergence of medical pluralism. New theoretical directions should be considered by social scientists in order to more fully understand these changes.     

Feeling Rushed: Gendered Time Quality,Work Hours,Nonstandard Work Schedules,and Spousal Crossover

The authors investigated gender differences in couple parents' subjective time pressure, using detailed Australian time use data (n=756 couples with minor children). They examined how family demand, employment hours, and nonstandard work schedules of both partners relate to each spouse's non‐employment time quality (“pure” leisure, “contaminated” leisure, multitasking housework, and child care) and subjective feelings of being rushed or pressed for time. Mothers averaged more contaminated leisure and less pure leisure and did much more unpaid work multitasking than fathers. These results suggest that these differences in time quality do partially account for mothers feeling more rushed than fathers. Weekend work was associated with mothers having less pure leisure, but not contaminated leisure. The opposite was found for fathers. Spousal work characteristics also related to time use and feeling rushed in gendered ways, with male long work hours positively associated with higher time pressure for mothers as well as the fathers who worked them.     

Hope Therapy in a Community Sample: A Pilot Investigation

We report findings from an initial empirical test of a hope-based, group therapy protocol. In this context, hope is defined as a cognitive process through which individuals pursue their goals [Snyder, C. R.: 1994, Free Press, New York]. As such, the eight-session group treatment emphasized building goal-pursuit skills. Findings from a randomized, wait-list control trial using a community sample (n=32 completers) are reported. Participants underwent structured diagnostic interviews (SCID-I) and completed assessment packets. Post-participation assessment results indicate the intervention was associated with statistically significant (p<0.05) improvements in the agency component of hope, life meaning, and self-esteem as well as reductions in symptoms of depression and anxiety. These results suggest that a brief hope intervention can increase some psychological strengths and reduce some symptoms of psychopathology.