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Maria Noonan Julie Jomeen Rose Galvin Owen Doody 《Women and birth : journal of the Australian College of Midwives》2018,31(6):e358-e366
Background
Midwives have a primary role in facilitating the first stage of perinatal mental health risk reduction through inquiring about perinatal mental health, identifying risk factors and current perinatal mental health problems, providing support or crisis intervention, referring for treatment and decreasing stigmatisation.Aims
The aims of this study were to determine midwives’ (a) knowledge of and confidence to identify and manage perinatal mental health problems, (b) attitudes towards women who experience severe mental illness and (c) perceived learning needs.Design
A cross-sectional survey design.Methods
The study was conducted between September 2016 and April 2017 in seven Maternity services in the Republic of Ireland with a purposeful non-random convenience sample of midwives (n = 157). Data was anonymously collected utilising the Perinatal Mental Health Questionnaire, the Mental Illness: Clinician’s Attitudes scale and the Perinatal Mental Health Learning Needs questionnaire.Findings
Midwives indicated high levels of knowledge (71.1%) and confidence (72%) in identifying women who experience depression and anxiety however, they reported less confidence in caring (43.9%) for women. Only 17.8% (n = 28) of midwives felt equipped to support women whilst 15.3% (n = 24) reported having access to sufficient information. Midwives desire education on the spectrum of perinatal mental health problems. The mean score for the Mental Illness: Clinician’s Attitudes scale was 36.31 (SD = 7.60), indicating positive attitudes towards women with severe mental illness.Conclusion
Midwives require further education on perinatal mental health across cultures with a skill focus and which explores attitudes delivered in a study day format. 相似文献74.
The study of Quality of Life, Poverty and Human Development shares several elements. Nonetheless, while poverty is a measure of “lack” based on a set of basic need variables (unsatisfied basic needs—UBN), human development index (HDI) is derived from the notion of human capabilities. Quality of Life, however, is a measure of achievement. Our goal is to analyze the degree of spatial correspondence between a life quality index (LQI) and the other indices by using bivariate spatial autocorrelation with its global and local values. The comparison of these three indicators at a municipal level in the province of Buenos Aires and in the Autonomous City of Buenos Aires (the Federal Capital of Argentina) reveals a medium spatial correspondence which leaves room for discussion about the scope and limitations of the indicators. HDI and UBN have a similar spatial configuration while the LQI yields a more fragmented distribution associated to the complexity of its variables, dimension and weights. 相似文献
75.
This article examines the effect of tobacco prices on the decision to start smoking in Argentina. Argentina is an interesting case to explore given its high smoking rates, its recent experience with periods of very high and hyperinflation, and the mixed evidence of the effect of prices on smoking onset, particularly in low‐ and middle‐income countries. We used data from four cycles of two large national surveys conducted between 2005 and 2011 and discrete‐time hazard models. We found that tobacco prices had a statistically significant and fairly large impact on the hazard of smoking onset, and these findings were robust to alternative specifications. We also found that prices had little effect on the hazards of smoking onset during periods of hyper‐ and very high inflation, which provide some support for the notion that prices lose their informational role in such periods. Governments need to be cognizant that their most important policy tool to reduce tobacco use—taxes that increase real tobacco prices—is likely no longer effective during these times. (JEL C41, H20, I12, I18) 相似文献
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In a diverse country such as Peru, moral education should reflect social, cultural, political and spiritual dilemmas of both indigenous and non-indigenous peoples and their communities. To promote understanding and respect amongst people from different sociocultural backgrounds, moral education should encourage a dialogue between indigenous values and mainstream hegemonic values. In this article, we argue for the need to conceptualise moral education as intercultural. Against a common view that portraits indigenous people as incommensurable, that is, as trapped in their own radically different moral perspective, our own research in Shipibo-Konibo and Asháninka communities show that indigenous people display a moral point of view when analysing cultural traditions and practices. This moral point of view appears intertwined with their cultural values and ethnic identities and allows intercultural dialogue. In this vein, we argue for the need to incorporate intercultural moral conflicts and dilemmas into moral education to promote understanding and respect for others. 相似文献
77.
The aim of this study was to determine potential explanatory factors that may be associated with different attitudes amongst the global population of elite footballers to the use of different surfaces for football. A questionnaire was used to capture elite football players’ perceptions of playing surfaces and a mixed effects ordinal logistic regression model was used to explore potential explanatory factors of players’ perceptions. In total, responses from 1129 players from 44 different countries were analysed. The majority of players expressed a strong preference for the use of Natural Turf pitches over alternatives such as Artificial Turf. The regression model, with a players’ country as a random effect, indicated that players were less favourable towards either Natural Turf or Artificial Turf where there was perceived to be greater variability in surface qualities or the surface was perceived to have less desirable properties. Player’s surface experience was also linked to their overall attitudes, with a suggestion that the quality of the Natural Turf surface players experienced dictated players’ support for Artificial Turf. 相似文献
78.
In this article, we introduce a new extension of the Birnbaum–Saunders (BS) distribution as a follow-up to the family of skew-flexible-normal distributions. This extension produces a family of BS distributions including densities that can be unimodal as well as bimodal. This flexibility is important in dealing with positive bimodal data, given the difficulties experienced by the use of mixtures of distributions. Some basic properties of the new distribution are studied including moments. Parameter estimation is approached by the method of moments and also by maximum likelihood, including a derivation of the Fisher information matrix. Three real data illustrations indicate satisfactory performance of the proposed model. 相似文献
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Gareth Williams Olly Owen Alex Duncan William Kingsmill Anna Paterson 《Development policy review : the journal of the Overseas Development Institute》2019,37(Z1):O33-O49
The UK Department for International Development's country office in Nigeria (DFID Nigeria) has gradually adopted a thinking and working politically (TWP) approach in its governance programming. The initial focus on strengthening analysis has progressively been linked to discussion about the country and programme strategy, as well as programme‐management practices. Important lessons can be learned from this experience on how the TWP approach can be applied in practice. The article addresses three research questions: (1) To what extent have DFID Nigeria and its governance programmes adopted a TWP approach? (2) How has the TWP approach influenced the design and delivery of programming? (3) Has the application of the TWP approach enhanced the results of the DFID governance programming? Using project documentation and wider theoretical literature, but mainly relying on extensive participant observation within DFID Nigeria programmes, the article uses a historical perspective to outline how the TWP approach has been applied in Nigeria over 15 years of programme design, delivery, lesson‐learning and refinement . Published evaluation reports are used to provide evidence of programme results. DFID Nigeria and its programmes have progressively adopted TWP principles. This has led to clear changes in country strategy and programme design, as well as programme‐management practices. There is some evidence that the adoption of these principles has enhanced the results of DFID Nigeria programmes. By focusing on experimentation and “small bets,” TWP has proven relatively successful in generating and supporting ‘islands of effectiveness,’ but has had more limited impact in terms of generating more systemic, transformational change. The results obtained in Nigeria using the TWP approach have depended not only on Nigeria's political economy but also on the political economy of the development agency and donor country. DFID Nigeria's ability to engage in critical self‐reflection and to create an authorizing environment for risk‐taking have been vital to create enabling conditions for the TWP approach. However, other aspects of DFID and the UK's political economy are creating constraints that limit the prospects to go further and to go deeper in adopting the principles of TWP. 相似文献