Japanese women's experiences of pharmacological pain relief in New Zealand

BackgroundIn Japan, most women manage labour pain without pharmacological interventions. However, New Zealand statistics show a high percentage of epidural use amongst Asian women. Entonox (a gas mixture of nitrous oxide and oxygen) and pethidine are also available to women in New Zealand. This article investigates how Japanese women in New Zealand respond to the use of pharmacological pain relief in labour.QuestionsThe study was guided by two research questions: (1) How do Japanese women experience and manage labour pain in New Zealand? (2) How do they feel about the use of pharmacological pain relief?MethodsThirteen Japanese women who had given birth in New Zealand were interviewed individually or in a focus group. The conversations were analysed using thematic analysis.FindingsAlthough in Japan very few women use pain relief, nine women received epidural and/or Entonox out of 11 women who experienced labour pain. The contrast between their Japanese cultural expectations and their birth experiences caused some of the women subsequent personal conflict.ConclusionJapanese women's cultural perspectives and passive attitudes were demonstrated to influence the decision-making process concerning pain relief. It was concluded that understanding Japanese cultural worldviews and approaches to the role of pain in labour would help maternity providers in their provision of appropriate care for Japanese women.     

Hypermedia Computer-Based Education in Social Work Education

Abstract

Hypermedia computer-based education (CBE) is an emerging information technology that makes possible user-directed, nonsequential exploration of, and interaction with, information presented through a variety of media including text, animation, graphics, sound, and video. This article describes hypermedia CBE and briefly reviews the research on its instructional efficacy. A synopsis of the theoretical foundation covers cognitive theory concepts of information networks and associative learning, web teaching principles, andragogical theory as it relates to social work education, and hypermedia CBE structure. Examples of current and potential applications in social work education demonstrate that hypermedia CBE can emulate the dynamic, iterative learning process of knowledge acquisition, knowledge testing, and content integration through practice simulation.     

Are Self‐Service Customers Satisfied or Stuck?

This paper investigates the impact of self‐service technology (SST) usage on customer satisfaction and retention. Specifically, we disentangle the distinct effects of satisfaction and switching costs as drivers of retention among self‐service customers. Our empirical analysis examines 26,924 multi‐channel customers of a nationwide retail bank. We track each customer's channel usage, overall satisfaction, and retention over a 1‐year period. We find that, relative to face‐to‐face service, customers who use self‐service channels for a greater proportion of their transactions are either no more satisfied, or less satisfied with the service they receive, depending on the channel. However, we also find that these same customers are predictably less likely to defect to a competitor if they are heavily reliant on self‐service channels characterized by high switching costs. Through a mediation model, we demonstrate that, when self‐service usage promotes retention, it does so in a way that is consistent with switching costs. As a robustness check, we examine the behavior of channel enthusiasts, who concentrate transactions among specific channels. Relative to more diversified customers, we find that self‐service enthusiasts in low switching cost channels defect with greater frequency, while self‐service enthusiasts in high switching cost channels are retained with greater frequency.     

Of Polls, Mountains: U.S. Journalists and Their Use of Election Surveys

Polls are a prominent feature of U.S. election news coverage.Although polls are used to explain voter opinion, they are employedmostly to fuel horse-race coverage and to craft images consistentwith the candidates’ positions in the race. Moreover,U.S. journalists sometimes misinterpret polls by slighting thepossibility that changes in candidate preference are the resultof survey error rather than real change. On balance, U.S. journalists’dependence on polls adversely affects the quality of Americanelection coverage.     

Making midwifery work visible: The multiple purposes of documentation

Background

Midwives have a professional, ethical and legal obligation to effectively and thoroughly document the care provided to women and the decisions made within the partnership relationship. To appreciate the best approach to documenting midwifery care, it is important to first understand the purpose of midwifery documentation.