Time to listen: strategies to improve hospital-based postnatal care

BACKGROUND: In Australia and internationally, women report high levels of dissatisfaction with hospital-based postnatal care. AIM: To design and implement strategies to improve hospital-based postnatal care at a Sydney metropolitan hospital. METHOD: This was an Action Research study. In Phase One, midwives considered the literature and participated in group discussions and interviews to determine their perceptions of postnatal care and the factors that facilitate or hinder the provision of quality care. In Phase Two, midwives participated in 12 working group meetings to design strategies to improve care. RESULTS: Several important principles of postnatal care were described, including building a relationship with women, meeting their individual needs, being flexible in approach and providing continuity of care. 'Listening to women', 'being there,' and 'normalising experiences and expectations' were believed to be critical to achieving these principles. A key strategy 'One to One Time' was designed to provide women with an uninterrupted period of time each day with a midwife who was available to listen to their needs and concerns and discuss issues related to their health and that of their baby. CONCLUSION: Midwives designed and implemented strategies that they believed would improve in-hospital postnatal care.     

Child protection and family support practice in Ireland: a contribution to present debates from a historical perspective

This paper takes the opportunity of the current child welfare system change in Ireland to promote the value of learning from history to better understand the interface between family support and child protection. The paper draws from the histories of child protection and family support to illuminate the commonalities and differences that have come to define the two practices. Using findings from two historical studies – one on family support and the other on child protection – the paper demonstrates the unique features and the many integrated elements of family support and child protection in Ireland. It is argued that students and practitioners need to be provided with a stronger sense of the historical developments that have shaped the present. This will enable comprehension of the complex context within which current relations between ‘protection’ and ‘support’ are negotiated and help to avoid operating in a vacuum of a present only viewpoint. The paper concludes with reference to the need for students and practitioners to navigate the complex relationship between family support and child protection at practice, policy and organizational level through a well‐informed knowledge of the historical as well as the present context.     

Giving Victims of Bullying a Voice: A Qualitative Study of Post Bullying Reactions and Coping Strategies

Current research on how adolescents cope with bullying is primarily quantitative, examines youth in Grades 1 through 6, and neglects to specifically assess how victims of bullying cope with being bullied. The current qualitative study explored the coping strategies of 22 rural middle- and high-school youth victimized by bullying. Results indicated that youth report using an array of emotion focused coping strategies (an internal coping strategy that focuses on emotion regulation) and problem focused coping strategies (active behaviors that are aimed to decrease or eradicate the stressor). These coping strategies included help seeking, physical and verbal aggression, standing up for themselves, and prosocial bystander behavior. While the majority of coping strategies were similar between middle- and high-school participants, these groups reported utilizing verbal and physical aggression in different ways. Further, certain coping strategies, such as help seeking and lashing out with physical and verbal aggression, were utilized as both emotion- and problem-focused coping strategies. Implications are discussed.     

Adjustment for nonresponse with variables from different sources: Bias correction and precision loss,with application to the Swiss European Social Survey 2012

ABSTRACT

Adjustment for nonresponse should reduce the nonresponse bias without decreasing the precision of the estimates. Adjustment for nonresponses are commonly based on socio-demographic variables, although these variables may be poorly correlated with response propensities and with variables of interest. Such variables nevertheless have the advantage of being available for all sample units, whether or not they are participating in the survey. Alternatively, adjustment for nonresponse can be obtained from a follow-up survey aimed at sample units which did not participate in the survey and from which the variables are designed to be correlated with response propensities. However, information collected through these follow-up surveys is not available for people in the sample who participated neither in the survey nor in its nonresponse follow-up. These two sets of variables when used in a nonresponse model for the Swiss European Social Survey 2012 differ only slightly with regard to their effect on bias correction and on the precision of estimates. The variables from the follow-up are performing slightly better. In both cases, the adjustment for nonresponse performs poorly.     

Invisible computer for collaborative design: evaluation of a multimodal sketch-based environment

In the areas of design, especially in architectural design, collaboration has become an important challenge. The specialization of skills increase, work teams are more and more extensive and the geographic distance between them increases too. The economic and ecological stakes related to remote collaboration are an evidence. This context involves the need to support most efficiently possible remote working meetings. We present the Distributed Collaborative Digital Studio (DSDC), a tool designed to recreate, in distant situations, the context of copresence meetings. This shared environment is created in the "invisible computer" approach [11]. The idea is that the tool should disappear from user's consciousness. Indeed, creative design activities require some fluidity in their process. Therefore, any involuntary interruption created by the system can potentially brake creativity. In this perspective, we investigate specifically the "invisibility" of our environment. To do this, we propose a framework for the operationalization of the concept and a methodology to test the system invisibility. This methodology was applied through a case study consisting of a corpus of 12 hours of remote collaborative design sessions with the DSDC. We highlight the learning effects while using our system, conclude on its effectiveness and discuss our methodology.