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261.
Arndt Büssing Undine Waßermann Niels Christian Hvidt Alfred Längler Michael Thiel 《Women and birth : journal of the Australian College of Midwives》2018,31(2):e89-e98
Background
Spirituality is part of the basic needs of all humans, yet often undervalued by health professionals. Less is known about the spiritual needs of mothers of preterm or sick new born children.Aim
Identify unmet psychosocial and spiritual needs of these mothers, and to relate these needs to their perceived stress and impairments of life concerns.Methods
Anonymous cross-sectional survey with standardized instruments (e.g., Spiritual Needs Questionnaire) among 125 mothers of two paediatric departments in Germany.Findings
Mothers felt supported by their partner and hospital staff, and hospital staff assured 82% of them that they must not worry about their child’s prognosis. They nevertheless did have specific unmet spiritual needs. Religious Needs and Existentialistic Needs scored lowest, while Giving/Generativity Needs were of moderate and Inner Peace Needs of strongest relevance. With respect to the expected diagnosis and prognosis of their child, there were no significant differences for their secular spiritual needs scores, but significant differences for Religious Needs which scored highest in mothers with children having an unclear prognosis (F = 8.6; p = .004). Particularly Inner Peace Needs correlated with their stress perception (r = .34), impairments of life concerns (r = .25) and grief (r = .23).Discussion
Mothers of sick born/premature children felt supported by the hospital team and their partner, but nevertheless experienced stress and daily life impairments, and particularly have unmet Inner Peace Needs.Conclusions
Addressing mothers’ specific needs may help support them in their struggle with their difficult situation avoiding fears and insecurity and thus facilitating positive bonding to their child. 相似文献262.
263.
Bernhard Klar 《Australian & New Zealand Journal of Statistics》1999,41(3):337-352
In recent years, a large number of new discrete distributions have appeared in the literature. However, flexible discrete models which, at the same time, allow for easy statistical inference, are still an exception. This paper makes a detailed analysis of a family of discrete failure time distributions which meets both requirements. It examines the maximum likelihood estimation of the unknown parameters and presents a goodness-of-fit test for this model. The test is used for the selection of an appropriate model for datasets of frequencies of the duration of atmospheric circulation patterns. 相似文献
264.
Dying in hospital has long been considered as inevitable but talking about it should be avoided, if possible. For some time now, new ideals of dying demand higher social expectations and requirements for the care of dying people (e.g. psycho-social and spiritual care). This trend can also be found in hospitals. On the basis of a running micro-sociological observational study carried out so far in four hospitals and two hospices the social organisation of dying in the hospital is being investigated and results are presented with an example of a case study. Observed dying trajectories show that the staff refers to two competing metaphors as an interpretative frame for performing its work that we call the ideal of the “short and good” dying and the ideal of the “long and laborious” dying. These idealisation correspond with the practice of “discrete” dying (that have been found in hospitals until the 1970s and that are still dominant in the medical world) and with the practice of “intimating” dying (which are drawn from the demands of the hospice-movement). Within this interpretative frame the staff is able to cope with uncertainties of the dying process. The idealisa-tions help to reformulate cumulative mess trajectories as successful and good work and thus tensions between the sick role and the dying role are minimised. 相似文献
265.
H. Schneeweiß 《Statistical Papers》1991,32(1):261-264
The least squares estimate of the slope parameter of a simple linear model with errors in the variables is typically biased. However the bias vanishes asymptotically for increasing sample size if the regressor variable follows a linear trend. For this case asymptotic expansion formulas for bias and variance of the least squares estimator are derived from exact expressions presented by Richardson and Wu (1970) and certain bounds to these expressions given by Friedmann (1990). 相似文献
266.
267.
Maik Adomßent 《Gruppendynamik und Organisationsberatung》2001,32(2):161-175
Within the widespread paradigm of life-long learning, virtual communication is estimated to play an important role not only for distance education, but also concerning educational face-to-face-teaching and hybrid settings. In this article, an overview of forms and modes of computer-mediated communication (CMC) is given, leading to a discussion of both, didactic criteria and technological equipment, for the promotion of computer-supported cooperative/collaborative learning (CSCL). 相似文献
268.
269.
Thomas Kneib Bernhard Baumgartner Winfried J. Steiner 《AStA Advances in Statistical Analysis》2007,91(3):225-244
The multinomial logit model (MNL) is one of the most frequently used statistical models in marketing
applications. It allows one to relate an unordered categorical response variable, for example representing
the choice of a brand, to a vector of covariates such as the price of the brand or variables characterising
the consumer. In its classical form, all covariates enter in strictly parametric, linear form into the
utility function of the MNL model. In this paper, we introduce semiparametric extensions, where smooth
effects of continuous covariates are modelled by penalised splines. A mixed model representation of
these penalised splines is employed to obtain estimates of the corresponding smoothing parameters, leading
to a fully automated estimation procedure. To validate semiparametric models against parametric models,
we utilise different scoring rules as well as predicted market share and compare parametric and semiparametric
approaches for a number of brand choice data sets. 相似文献
270.
A common situation in filtering where classical Kalman filtering does not perform particularly well is tracking in the presence of propagating outliers. This calls for robustness understood in a distributional sense, i.e.; we enlarge the distribution assumptions made in the ideal model by suitable neighborhoods. Based on optimality results for distributional-robust Kalman filtering from Ruckdeschel (Ansätze zur Robustifizierung des Kalman-Filters, vol 64, 2001; Optimally (distributional-)robust Kalman filtering, arXiv: 1004.3393, 2010a), we propose new robust recursive filters and smoothers designed for this purpose as well as specialized versions for non-propagating outliers. We apply these procedures in the context of a GPS problem arising in the car industry. To better understand these filters, we study their behavior at stylized outlier patterns (for which they are not designed) and compare them to other approaches for the tracking problem. Finally, in a simulation study we discuss efficiency of our procedures in comparison to competitors. 相似文献