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41.

Problem

Information that women receive about the importance of monitoring fetal movements and what to do if there are changes is inconsistent and may not be evidence based.

Background

This paper reports a summary of the kind of messages a group of South Australian midwives (n = 72) currently give pregnant women.

Methods

Comment data from two questions in a larger survey asking (1) what information midwives routinely provide to women about fetal movements and (2) their practice regarding advice they give to women reporting reduced fetal movements. Data were analysed using summative content analysis.

Findings

Four main recurring words and phrases were identified. With respect to information midwives give all women about monitoring fetal movements, recurring words were “10”, “normal”, “kick charts” and “when to contact” their care-provider. Recurrent words and phrases arising from answers to the second question about advice midwives give to women reporting reduced fetal movement were “ask questions,” “suggest fluids,” “monitor at home and call back” or “come in for assessment”.

Discussion

These findings suggest that a group of South Australian midwives are providing pregnant women with inconsistent information, often in conflict with best practice evidence.

Conclusion

As giving correct, evidence based information about what to do in the event of an episode of reduced fetal movement may be a matter of life or death for the unborn baby it is important that midwives use existing guidelines in order to deliver consistent information which is based on current evidence to women in their care.  相似文献   
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This article uses feminist theory to investigate how the socialization processes used to maintain the clergy community in the Roman Catholic Church contributes to a vulnerability in some clergy for sexually abusing children. This vulnerability is identified first in an examination of the literature on the impact of socialization processes on clergy offenders between the 1960s and 1980s. A comparison is then made with the implications of the apostolic exhortation, Pastores Dabo Vobis, which provides a theological basis to clergy formation. The article argues that the document works to ensure a continuity of socialization processes that not only have been shown to create a vulnerability for committing child sexual abuse but compound existing vulnerabilities. The article concludes that constraints produced by the preservation of a hegemonic masculinity and patriarchy retain a threat of violence against children and require recommended reforms.  相似文献   
43.
Young graduates in England often return to the parental home after a period of living away during their university studies. Little is known, however, about why they return and how coresidence with parents fits within a life trajectory. This paper reports upon an in-depth cross-sectional qualitative study of young graduates’ coresidence with their parents. It identifies a five-part typology of the purpose of coresidence as perceived by the graduates: a base camp for exploration before settling into adulthood; a launch pad for careers; a savings bank, in particular for future property purchases; a refuge for respite and reflection; and a preferred residence, whether on account of comfort, cultural practice or to support parents. The paper further explores how far these purposes were associated in young adults’ accounts with social structures, individual agency or some combination of these. It concludes that the default understanding of graduates’ return and coresidence as a residual function when other options fail is insufficient. Such a generalisation obscures the different purposes which the return can enable; it overplays some notion of a broken biography rather than the positive contribution of coresidence to graduates’ trajectories towards adulthood and to their life experiences.  相似文献   
44.
Fathers' absence is a pattern that shows intergenerational continuity, most notably within disadvantaged populations. The process whereby this pattern is repeated across generations is not well understood. Using data from the Concordia Longitudinal Risk Project, the authors investigated pathways between fathers' absence in 1 generation and the experience of fathers' absence by their children. The current sample included 386 socioeconomically at‐risk individuals across 2 waves of data collection: (a) when they were children and (b) when they were adults with their own children. Analyses based on structural equation modeling revealed that men whose fathers were absent when they were children were more likely to become absent fathers, and women whose fathers were absent when they were children were more likely to have children with absent partners. Indirect pathways between fathers' absence in 2 generations through aggression, education, and substance abuse were illustrated for women. These findings add to the literature suggesting that fathers' absence during childhood has intergenerational effects.  相似文献   
45.
Many studies have documented significant differences in sexual desire between individuals of European and Chinese descent, but few have examined the mechanisms that underlie these differences. A recent study of university students found that sex guilt is one mechanism by which culture influences sexual desire among Chinese and Euro-Canadian women. The goal of this study was to examine whether sex guilt also mediates the relationship between ethnicity and sexual desire in a sample that is more representative of women in the general population. Euro-Canadian (n = 78; mean age = 42.1 years) and Chinese (n = 87; mean age = 42.8 years) women were recruited from the community. Euro-Canadian women reported greater sexual desire and less sex guilt. In the entire sample, sex guilt mediated the relationship between ethnicity and sexual desire such that the Chinese women reported greater sex guilt, which, in turn, was associated with lower sexual desire. Among the Chinese women, sex guilt mediated the relationship between mainstream acculturation (degree of Westernization) and sexual desire such that more Westernized Chinese women reported less sex guilt, which, in turn, was associated with greater sexual desire. These results support recent findings and further suggest that sex guilt may be one mechanism by which ethnicity affects sexual desire.  相似文献   
46.
This article examines the notion of ‘family’ to consider how it may be understood in people's everyday lives. Certain recurrent and powerful motifs are apparent, notably themes of togetherness and belonging, in the context of a unit that the person can be ‘part of’. At the same time, there may be important variations in the meanings given to individuality and family, evoking differing understandings of the self and personhood. I consider these ideas further through globally relevant but variable cultural themes of autonomy and relationality, suggesting the term ‘social person’ as a heuristic device to distinguish the sense of ‘close‐knit selves’ that may be involved in some understandings of personhood. I argue that this version of personhood may be powerfully expressed through ‘family’ meanings, with a significance which can be at least provisionally mapped along lines of inequality and disadvantage within and between societies around the world. These forms of connectedness may be hard to grasp through those theoretical and methodological frameworks which emphasize the (relational) individual. I argue that, in affluent English speaking societies, 1 there may be little alternative to the language of ‘family’ for expressing such forms of relationality and connection.  相似文献   
47.
This article reports on work to date by an arts practice-led research team exploring older adults’ conceptions of, and connectivity with, the physical, social and cultural landscapes in which they locate themselves. The team is based at the Department of Art and Design, University of the West of England (UWE) and has conducted fieldwork, interviews and small-scale interactions in an area of rural North Cornwall with a view to “deep mapping” older adults’ “lived landscapes” using a variety of practical methods derived from creative arts practices, critical reflection on deep mapping, ethnographic approaches, and referencing a range of theoretical positions. The project forms part of a work package within “Grey and Pleasant Land? An interdisciplinary exploration of the connectivity of older people in rural civic society” (abbreviated below as GaPL), funded by the UK Cross-Research Council ‘New Dynamics of Ageing’ Programme. In what follows we will describe and critically discuss the fieldwork undertaken and the various ways in which the performative interactions and the creative multimedia evocations that draw on the team’s interactions with older people might extend the growing dialogue between deep mapping, visual and other innovative ethnographies, and critical gerontology.  相似文献   
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