Support for midwives – A model of professional supervision based on the recertification programme for midwives in New Zealand

Following a traumatic practice experience the physiological and psychological effects experienced by midwives are exacerbated as a result of dysfunctional health organisations and the counterproductive behaviours therein. It is suggested the stress experienced would have been reduced if support in the form of professional supervision had been available.The aim of this article is to demonstrate that professional supervision should be viewed as a competency requirement by the Midwifery Council of New Zealand and incorporated into the midwifery recertification programme. A model of professional supervision for midwives based on the recertification programme is introduced and the importance of reflection on practice emphasised. Providing support by means of professional supervision in the midwifery recertification programme, has the potential to make midwives feel valued, improve their job satisfaction, reduce violence in the workplace, aid in the attrition rate and improve the care for the childbearing woman.     

Adaptable Careers: Maximizing Less and Exploring More

Today, young adults are expected to decide between educational, vocational, and job options and to make the best choice possible. Career literatures emphasize the importance of young adults' career decision making but also acknowledge the problems related to making these decisions. The authors argue that career counselors could support clients' intuitive processing of career information and help their clients to develop a positive and flexible view of the self and the environment while diminishing concerns about accountability for and irreversibility of career decisions. The authors argue that career adaptability rather than decision making should become the focal concept of career theory and practice.     

Maternal mortality: What can we learn from stories of postpartum haemorrhage?

Death from pregnancy is rare in developed countries such as Australia but is still common in third world and developing countries. The investigation of each maternal death yields valuable information and lessons that all health care providers involved with the care of women can learn from. The aim of these investigations is to prevent future maternal morbidity and mortality.Obstetric haemorrhage remains a leading cause of maternal death internationally. It is the most common cause of death in developing countries. In Australia and the United Kingdom, obstetric haemorrhage is ranked as the 4th and 3rd most common cause of direct maternal death respectively. In a number of cases there are readily identifiable factors associated with the care that the women received that may have contributed to their death. It is from these identifiable factors that both midwives and doctors can learn to help prevent similar episodes from occurring.This article will identify some of the lessons that can be learnt from the recent Australian and UK maternal death reports. This paper presents an overview of the process and systems for the reporting of maternal death in Australia. It will then specifically focus on obstetric haemorrhage, with a focus on postpartum haemorrhage, for the 12-year period, 1994–2005. Vignettes from the maternal mortality reports in Australia and the United Kingdom are used to highlight the important lessons for providers of maternity care.     

Evaluation case histories as a parallel to legal case histories: Accumulating knowledge and experience in the evaluation profession

Legal case histories are a basic and essential part of the law. It is proposed that evaluation case histories would be valuable to the evaluation profession in that they would serve both to accumulate knowledge and experience and as examples of how to do evaluations. Part I of the paper is a discussion of the nature, place and use of case histories in law. The format of a reported case, the use of cases by attorneys and how case decisions are reported and categorized are also discussed. Part II of the paper tries to envision the nature and use of evaluation case histories as a parallel to legal case histories. Matters discussed include the possible function and use of evaluation case histories, the difference between an evaluation report and an evaluation case history, information an evaluation case history could contain, and how case histories might be reported and categorized.     

Theorising the power of citizenship as claims-making

I advance a conceptual approach to citizenship as membership through claims-making. In this approach, citizenship is a relational process of making membership claims on polities, people and institutions, claims recognized or rejected within particular normative understandings of citizenship. Such a conceptual shift moves scholarship beyond typologizing—enumerating how citizenship is (or is not) about status, rights, participation and identity—to identifying the mechanisms through which claims on citizenship have power. This framework requires a relational approach and attention to dynamics of recognition within contexts of structured agency. Immigrants and their children can make claims to modify the normative content of citizenship, affect recognition evaluations and change the allocation of status and rights. But they are also constrained by legal structures, a society's institutional practices, and prevailing public perceptions. Citizenship as claims-making may require a reassessment of boundary approaches and a turn to metaphors of positionality, as well as more serious commitment to mixed-methods research. The stakes of understanding citizenship's power, as practice and status, are especially high right now. Yet based on existing scholarship, it is not entirely clear how much citizenship matters, in what ways, for whom, or why. This is the challenge for future scholarship.     

Wrapping and Unwrapping Emotions: Clinical Practice with East Asian Immigrant Elders

Using the cultural norm of the way gifts are wrapped, unwrapped, and exchanged as a metaphor for interpersonal connections, this paper presents the way therapists can establish therapeutic relationships with East Asian clients who do not express emotions openly. We first discuss the ways in which emotions are conceptualized, experienced, and expressed in East Asian cultures. We then present vignettes of our work with older Chinese and Japanese immigrant women to illustrate the importance of therapist authenticity and co-construction of the therapeutic relationship. Using the framework of relational/cultural theory, which posits that healing takes place in the context of mutually empathic growth-fostering relationships, we illustrate the importance of establishing mutuality between therapist and client as a form of cultural empathy.     

Transmuted generalized exponential distribution: A generalization of the exponential distribution with applications to survival data

In this article, we investigate the potential usefulness of the three-parameter transmuted generalized exponential distribution for analyzing lifetime data. We compare it with various generalizations of the two-parameter exponential distribution using maximum likelihood estimation. Some mathematical properties of the new extended model including expressions for the quantile and moments are investigated. We propose a location-scale regression model, based on the log-transmuted generalized exponential distribution. Two applications with real data are given to illustrate the proposed family of lifetime distributions.