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.     

Housing Conditions of Nuclear and Extended Households in the Miami-Fort Lauderdale Area

Arrivals of new immigrants into the south Florida area have put increased pressure on housing markets and fostered renewed efforts to provide more affordable housing. Many view household extension largely as a response to the lack of a sufficient amount of affordable housing. This paper examines the nature, proportion and housing condition of nuclear and extended households in the Miami-Fort Lauderdale area. The study also investigates how the incidence and housing situation of extended households has changed during the period from 1986 to 1990. This study illustrates that extended families in the Miami-Fort Lauderdale area are not uniformly worse off than nuclear families, given ethnicity and income level. While the area's housing problems require attention, some of that attention should be focused on removing institutional barriers to household extension and to providing broader housing choices for minority ethnic groups.     

Punks,Goths, and Other Eye‐Catching Peer Crowds: Do They Fulfill a Function for Shy Youths?

Adolescent peer crowds such as Punks and Goths are mainly identified by their strikingly unusual or even shocking appearances. Although many studies find these crowds, few have tried to explain why some youths take on these startling or shocking appearances. We hypothesized that an off‐putting appearance is a way to cope with behavioral inhibition by limiting social contacts. Using data from 1,200 7th–11th graders, we compared peer crowds characterized by their startling appearance (“Radical” crowds) with three theoretically relevant comparison groups. Results showed that youths affiliating with Radical crowds were more inhibited than other youths, including those in crowds previously shown to be shy or socially anxious. Inhibited Radicals, however, had poorer emotional adjustment than inhibited youths in other crowds. If Radical styles are a way for inhibited youths to cope by limiting social contacts, the strategy does not seem to be beneficial for emotional adjustment.     

Ecological research can augment restoration practice in urban areas degraded by invasive species—examples from Chicago Wilderness

Urban biodiversity conservation needs a firm scientific foundation, one that draws upon active and regionally calibrated research programs. Until recently this foundation has not existed. In this paper we examine the way in which the emerging discipline of restoration ecology in an urban context can learn from the experiences of ongoing restoration projects and in turn how novel insights from research of urban soils can help these projects define and reach their goals. Limitations on collaboration between academic researchers and practitioners continues be problematic. We discuss a model whereby this impediment may be removed. A case study of Rhamnus cathartica, an invader of Midwestern woodlands which modifies some important soil ecosystem properties will be used to illustrate the potential for engagement between research and practice.     

Employment and earnings of foreign-born scientists and engineers

Population Research and Policy Review -     

Effects of Group Practice of the Transcendental Meditation Program on Preventing Violent Crime in Washington,D.C.: Results of the National Demonstration Project,June--July 1993

This paper reports the results of a prospective experiment in which a group of approximately 4,000 participants in the Transcendental Meditation and TM-Sidhi programs of Maharishi Mahesh Yogi assembled in Washington, D.C., from June 7 to July 30, 1993. It was hypothesized that levels of violent crime in the District of Columbia would fall substantially during the Demonstration Project, as a result of the group's effect of increasing coherence and reducing stress in the collective consciousness of the District. A 27-member Project Review Board comprising independent scientists and leading citizens approved the research protocol and monitored the research process. Weekly crime data was derived from database records provided by the District of Columbia Metropolitan Police Department (DCMPD), which are used in the FBI Uniform Crime Reports. Statistical analysis considered the effect of weather variables, daylight, historical crime trends and annual patterns in the District of Columbia, as well as trends in neighboring cities. Consistent with previous research, levels of homicides, rapes and assaults (HRA crimes) correlated with average weekly temperature. Robberies approximately followed an annually recurring cycle. Time series analysis of 1993 data, controlling for temperature, showed that HRA crimes dropped significantly during the Demonstration Project, corresponding with increases in the size of the group; the maximum decrease was 23.3% (p < 2 × 10–9) [24.6% using a longer baseline, with 1988--1993 data (p < 3 × 10–5)], coincident with the peak number of participants in the group during the final week of the assembly. When the same period in each of the five previous years was examined, no significant decreases in HRA crimes were found. Robberies did not decrease significantly. However, a model that jointly estimated the effect of the Demonstration Project on both HRA crimes and robberies showed a significant reduction in violent crimes overall of 15.6% (p = 0.0008). Further analysis showed that the effect of the coherence-creating group on reducing HRA crimes could not be accounted for by additional police staffing. The time series analysis for HRA crimes gave results that are highly robust to alternative model specifications, and showed that the effect of the group size was cumulative and persisted after the Demonstration Project ended. Also, calculation of the steady state gain based on the time series model predicted that a permanent group of 4,000 coherence-creating experts in the District would have a long-term effect of reducing HRA crimes by 48%.     

Vulnerable young people and substance misuse: expanding on the risk and protection‐focused approach using social psychology

This paper critically reviews recent research exploring risk and protective factors for the development of problematic substance use in populations of young people. Specific populations of young people who are most vulnerable to developing problematic patterns of use are identified, and alterations to methods of data collection which would improve the ability of local authorities to monitor these populations and more efficiently target them for early preventative interventions are highlighted. It is argued that social‐psychological research techniques and approaches should be used to complement a risk and protection‐focused approach in order to improve the design and evaluation of interventions, and provide decision‐aids for practitioners when assessing the needs of vulnerable young people. Examples are provided to demonstrate the utility of social psychology in this regard, and the paper concludes with specific recommendations for future research and services. Copyright © 2009 John Wiley & Sons, Ltd.