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.     

Sociological Factors Affecting Agricultural Price Risk Management in Australia*

Abstract The highly volatile auction system in Australia accounts for 85 percent of ex‐farm wool sales, with the remainder sold by forward contract, futures, and other hedging methods. In this article, against the background of an extensive literature on price risk strategies, we investigate title behavioral factors associated with producers' adoption of price risk‐management strategies (specifically futures and forward contracts) for selling wool. This research presents a behavioral model based on Diffusion of Innovations, the Theory of Reasoned Action, and the Theory of Planned Behavior. We found that the auction system is used as a price risk‐management tool because other selling methods are considered more risky. We also report on a curious relationship between risk and complexity in terms of wool producers' intentions to use forward contracts. We explored sociological factors in conjunction with focus‐group data in an attempt to understand this relationship. This exercise yielded some interesting findings on the impact that trust, habit, social cohesion, and networks have on decision making in the rural community. The significance of this article lies in its application of core sociological theory in a new research context: the Australian wool industry.     

Divorce and the Divine: The Role of Spirituality in Adjustment to Divorce

This study examined the role of three spiritual responses to divorce for psychological adjustment: appraising the event as a sacred loss/desecration, engaging in adaptive spiritual coping, and experiencing spiritual struggles. A sample of 100 adults (55% female) was recruited through public divorce records. Most appraised their divorce as a sacred loss/desecration (74%), experienced spiritual struggles (78%), and engaged in adaptive spiritual coping (88%). Appraisals of sacred loss/desecration and spiritual struggles were tied to higher levels of depression. Adaptive spiritual coping was tied to greater posttraumatic growth. Spiritual coping and struggles each contributed uniquely to adjustment beyond parallel forms of nonspiritual coping and struggles and mediated links between viewing the divorce as a sacred loss/desecration and depression.     

An examination of the role of online social media in journalists’ source mix

Using telephone surveys of business/financial journalists in the United States (n = 200), this research investigates the agenda-building role of social media content in journalists’ work. Understanding that more non-public relations content from user-generated and social network sites, like YouTube and Twitter, are fast becoming resources for journalists to get story ideas, break scandals, and find sources, we began this scholarly work to determine the frequency of such uses of social media. Overall, findings indicate very little use of social media by these business journalists. Results and implications for public relations practitioners are discussed in detail.     

The Longitudinal Interplay of Maternal Warmth and Adolescents' Self‐Disclosure in Predicting Maternal Knowledge

This study examined the longitudinal associations among maternal warmth, adolescents' self‐disclosure, and maternal knowledge during the transition to adolescence. Three years of self‐report data were collected from 131 married mothers and their adolescents. Results from longitudinal analysis using adolescent reports indicated that greater maternal warmth in sixth grade predicted higher levels of adolescents' self‐disclosure in seventh grade, which in turn led to higher levels of maternal knowledge in eighth grade. Thus, adolescents' self‐disclosure served as an indirect link between higher maternal warmth and greater knowledge over time. An alternative model with prior self‐disclosure predicting subsequent maternal warmth and knowledge was not supported. Overall, this study demonstrated a time‐ordered process by which maternal warmth and adolescents' self‐disclosure predict maternal knowledge. Understanding such processes that affect parental knowledge may be beneficial for future prevention and intervention efforts during the transition to adolescence.     

Comparing Subjective and Objective Quality of Life Criteria: A Case Study of Green Space and Public Transport in Vienna,Austria

Social Indicators Research - A future-oriented spatial planning has to face the challenges of integrating ecological, social, and economic aspects of living. This is often seen as a principle to...     

Disasters,migrations, and the unintended consequences of urbanization: What’s the harm in getting out of harm’s way?

Under many circumstances, the global rural-to-urban migration trend may be increasingly adopted as a short-term coping strategy to shifting ecologies and natural disasters. While offering certain benefits from macro-level economic and public health perspectives, these migrations may also have unintended psychological consequences that are not easily understood through traditional disaster studies or cost–benefit analyses. If the goal of disaster and climate change research is to promote successful adaptation, then the long-term psychological well-being of people who have survived disaster and either adapted in situ or migrated into urban environments, is paramount. This article integrates research on disasters and climate change-induced migration with emerging perspectives from environmental psychology and the psychology of natural disasters to consider the potential costs of particular migration scenarios. We apply this analysis to the case of Shishmaref, Alaska, a rural Iñupiat community on the northwest coast of Alaska facing habitual flooding disasters linked to climate change. Findings from Shishmaref illustrate the cultural vitality of subsistence landscapes and the potential health risks of compromised human–ecological relationships due to migration and/or displacement. Recommendations for policy makers and researchers are offered for promoting long-term well-being among affected individuals and communities.     

The echo chamber is overstated: the moderating effect of political interest and diverse media

ABSTRACT

In a high-choice media environment, there are fears that individuals will select media and content that reinforce their existing beliefs and lead to segregation based on interest and/or partisanship. This could lead to partisan echo chambers among those who are politically interested and could contribute to a growing gap in knowledge between those who are politically interested and those who are not. However, the high-choice environment also allows individuals, including those who are politically interested, to consume a wide variety of media, which could lead them to more diverse content and perspectives. This study examines the relationship between political interest as well as media diversity and being caught in an echo chamber (measured by five different variables). Using a nationally representative survey of adult internet users in the United Kingdom (N?=?2000), we find that those who are interested in politics and those with diverse media diets tend to avoid echo chambers. This work challenges the impact of echo chambers and tempers fears of partisan segregation since only a small segment of the population are likely to find themselves in an echo chamber. We argue that single media studies and studies which use narrow definitions and measurements of being in an echo chamber are flawed because they do not test the theory in the realistic context of a multiple media environment.     

Blood,Sweat, and Tears: Navigating Creepy versus Cool in Wearable Biotech

ABSTRACT

This paper considers how personal data protections figure into the design process of wearable technology. The data question is becoming especially important in the face of recent innovations in biotechnology that capitalize on the new fungibility of biology and electronics, in which new biotech wearables capitalize on the ability to analyze and track changes in blood, sweat, and tears. Interviews and participant observation with wearable tech designers, data scientists, fashion tech entrepreneurs, and select experts in cybersecurity and intellectual property law, reveal a range of approaches to data protection in design within the culture where wearables are beginning to merge with biotech. While a few respondents were extremely vigilant about protecting consumer’s privacy, the majority felt that when consumers ‘opt in’ to data sharing, they should be cognizant of the risks. From their perspective, it is not necessarily the producer’s responsibility to protect user's personal data. These attitudes present a problematic logic, which leaves users vulnerable to data exploitation. The paper concludes by arguing that this laissez-faire culture is the environment in which wearable biotech is being developed and will be deployed. This emerging technology raises issues about bodies, data, and ownership in crucial need of analysis and critique to push its move into the mainstream toward more equitable and inclusive ends.