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Background

Annually, up to 2.7 million neonatal deaths occur worldwide, and 25% of these deaths are caused by birth asphyxia. Infants born in rural areas of low-and-middle-income countries are often delivered by traditional birth attendants and have a greater risk of birth asphyxia-related mortality.

Aim

This review will evaluate the effectiveness of neonatal resuscitation educational interventions in improving traditional birth attendants’ knowledge, perceived self-efficacy, and infant mortality outcomes in low-and-middle-income countries.

Methods

An integrative review was conducted to identify studies pertaining to neonatal resuscitation training of traditional birth attendants and midwives for home-based births in low-and-middle-income countries. Ten studies met inclusion criteria.

Findings

Most interventions were based on the American Association of Pediatrics Neonatal Resuscitation Program, World Health Organization Safe Motherhood Guidelines and American College of Nurse-Midwives Life Saving Skills protocols. Three studies exclusively for traditional birth attendants reported decreases in neonatal mortality rates ranging from 22% to 65%. These studies utilized pictorial and oral forms of teaching, consistent in addressing the social cognitive theory. Studies employing skill demonstration, role-play, and pictorial charts showed increased pre- to post-knowledge scores and high self-efficacy scores. In two studies, a team approach, where traditional birth attendants were assisted, was reported to decrease neonatal mortality rate from 49–43/1000 births to 10.5–3.7/1000 births.

Conclusion

Culturally appropriate methods, such as role-play, demonstration, and pictorial charts, can contribute to increased knowledge and self-efficacy related to neonatal resuscitation. A team approach to training traditional birth attendants, assisted by village health workers during home-based childbirths may reduce neonatal mortality rates.  相似文献   
44.
“Wine mom” discourse encourages American women to self-deprecatingly bond over the stressors of parenting and touts alcohol use as necessary means for coping and escapism. Before the added stress of the COVID-19 pandemic, whereby alcohol sales and consumption increased in the United States, rates of heavy drinking and alcohol-related illnesses among US women have been steadily increasing. Exceeding the clinical markers of responsible alcohol use, “wine mom” discourse normalizes an inextricable link between alcohol misuse and expectations of (White, middle-class) motherhood. Online communities and businesses emphasize “wine mom” discourse for self-acceptance and bonding in response to the impossible demands of hegemonic motherhood. In this critique of “wine mom” discourse, we argue that although alcohol consumption is commonly touted as self-care, this messaging operates in toxic ways that harms women and reinforces patriarchy. Applying Merton's strain theory, we argue that “wine mom” trends and related discourse encompass a harmful form of conformity, if not false resistance, to the strain of flawed cultural goals and lacking institutionalized supports for American mothers. We call for true rebellion, emphasizing positive discourse as well as structural changes and policy reforms to dismantle patriarchal barriers and hegemonic motherhood constraints to better support American families.  相似文献   
45.
Despite increased attention to policy choices to support family and informal caregivers, relatively little is known about states' experiences in providing caregiver support services. This article reports on the first nationwide survey of all 50 states and the District of Columbia in providing caregiver services since the passage of the National Family Caregiver Support Program. State program administrators reported that their program differs from other home and community-based services because of the explicit focus on the family or informal caregiver. Results suggest that despite an increasing availability of caregiver supports in all 50 states, there is also a great unevenness in services and service options for family caregivers across the states and within states.  相似文献   
46.
Reputational Capital and Academic Pay   总被引:2,自引:0,他引:2  
This article examines how research productivity, administrative service, and teaching affect reputational capital in the market for academic economists. Also, we investigate the issue of the durability of reputational capital, estimating the penalties associated with gaps in research output. Our results reveal that (1) the market makes a distinction between the quantity and the quality of an individual's research output, (2) a smaller number of frequently cited papers enhances reputational capital more than a greater number of less frequently cited papers, (3) reputational capital does not depreciate rapidly during research breaks, and (4) the market does not discount co-authored papers.  相似文献   
47.
Rochelle S. Newman 《Infancy》2011,16(5):447-470
Infants and toddlers are often spoken to in the presence of background sounds, including speech from other talkers. Prior work has suggested that infants 1 year of age and younger can only recognize speech when it is louder than any distracters in the environment. The present study tests 24‐month‐olds’ ability to understand speech in a multitalker environment. Children were presented with a preferential‐looking task in which a target voice told them to find one of two objects. At the same time, multitalker babble was presented as a distracter, at one of four signal‐to‐noise ratios. Children showed some ability to understand speech and look at the appropriate referent at signal‐to‐noise ratios as low as ?5 dB. These findings suggest that 24‐month‐olds are better able to selectively attend to an interesting voice in the context of competing distracter voices than are younger infants. There were significant correlations between individual children’s performance and their vocabulary size, but only at one of the four noise levels; thus, it does not appear that vocabulary size is the driving factor in children’s listening improvement, although it may be a contributing factor to performance in noisy environments.  相似文献   
48.
This study examined how men's masculine gender-role conflict and the importance men placed on interpersonal relationships in defining their self-identities predicted their relational health experiences in same-sex, dyadic friendships and community relationships. Using an Internet sample of 283 self-identified bisexual, gay, and straight men, results of hierarchical linear regression analyses indicated that for men across sexual orientations, the more importance men placed on interpersonal relationships with other men, the greater the degree of relational health they experienced in dyadic friendships. Additionally, for bisexual and gay men in dyadic friendships with other men, gender-role conflict was inversely related to the relational health of their friendships. In the domain of community relationships, the importance that bisexual and straight men placed on interpersonal relationships in defining their self-identities and levels of gender-role conflict predicted relational health experiences. For gay men, however, feelings of masculine gender-role conflict, alone, predicted poorer relational health in community relationships. Study limitations, clinical implications for practice, and future research directions are discussed.  相似文献   
49.

Researchers and institutional review boards are routinely called upon to evaluate the cost‐benefit status of proposed research protocols that involve human participants. Often these assessments are based on subjective judgments in the absence of empirical data. This reliance on subjective judgments is of particular concern for studies involving clinical samples where unfounded assumptions may adversely affect research progress or clinical outcomes. The Reactions to Research Participation Questionnaire (RRPQ) was designed to address this shortcoming and to help promote ethical decision making about research practice. The present study describes development of the RRPQ and presents a series of exploratory and confirmatory analyses investigating its structure. Based on these findings, a revised version of the instrument and suggestions for future research are presented. This approach provides a foundation for scientifically informed protection of human subjects.  相似文献   
50.
Three statistics are developed to test tor treatment by time interaction after a certain point in repeated measures designs under several covariance matrix configurations, viz., unstructured, spherically symmetric and autoregressive. An example is fully developed.  相似文献   
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