From alternative,to complementary to integrative medicine: Supporting Australian midwives in an increasingly pluralistic maternity environment

BackgroundThe use of complementary and alternative medicine during pregnancy has become increasingly popular over the past decade in Australia.AimThe purpose of this discussion paper to make recommendations and foster a constructive debate regarding the appropriate response by the midwifery profession.DiscussionMidwives should receive basic education regarding the use of complementary and alternative medicine. All women should be routinely question women about their use and this should be documented. While a few therapies could be safely integrated, in most situations interested women should be referred to a qualified practitioner. Referral frameworks and flexible clinical guidelines should be investigated.ConclusionWith the appropriate education and support, midwives are in an excellent position to engage women in open dialogue and raise awareness of the benefits and risks of CAM practices. The way forwards for midwifery profession is to focus on self-governance, education and flexible clinical guidelines.     

驯鹿鄂温克人的萨满教文化

驯鹿鄂温克人信奉的萨满教,集自然崇拜、图腾崇拜、祖先崇拜之大成,以万物有灵的信仰为其思想意识的基础。萨满教文化作为驯鹿鄂温克人传统文化的核心,渗透于他们社会生活的方方面面。     

Simulation based learning in midwifery education: a systematic review

AimTo critically examine the evidence for simulation based learning in midwifery education.BackgroundSimulated Learning Programs (SLPs) using low to high fidelity techniques are common in obstetric professionals’ education and focus on the development of team work, labour and obstetric emergencies.Review methodsA systematic review incorporating critical appraisal approaches, setting clear objectives and a defined search and analysis strategy. Evidence from obstetrics, neonatology, technical and non-technical skills (teamwork) was included where it informed the development of midwifery curricula. Studies in English from 2000 to 2010 were included searching CINAHL Plus, OVID Medline, Cochrane, SCOPUS and ProQuest and Google Scholar.ResultsTwenty-four papers were identified that met the inclusion criteria. All were quantitative reports; outcomes and levels of evidence varied with two notable papers indicating that simulation had an impact on clinical practice. Benefits of SLP over didactic formats were apparent, as were the development of non-technical skills confidence and competence. The study outcomes were limited by the range of evidence and context of the reports which focussed on obstetric emergency training using a number of simulation techniques.ConclusionThere is evidence that simulated learning of midwifery skills is beneficial. Simulation learning has an educational and clinical impact and advantages over didactic approaches. Where clinical practice is infrequent i.e. obstetric emergencies, simulation is an essential component of curricula. Simulation enhances practice and therefore may reduce the time taken to achieve competence; however there is no evidence from the literature that simulation should replace clinical practice.     

The Power of Perceived Experience: Events That Shape Work as a Calling

Meaning plays an important role in many people's lives and work. A significant source of meaning derives from a greater sense of fulfilling one's calling, or purpose in work. This study examined the specific life experiences that shape people's perceptions of their calling and the characteristics of those experiences that make them so powerful. Fifty‐eight people who self‐identified as leaders responded to a questionnaire about the relevant experiences that shaped their perceptions of their work as a calling. Participants' responses were content‐analyzed to generate a taxonomy of themes in 4 overarching categories: (a) content of the event, (b) context of the event, (c) confirmation of one's call, and (d) the continuing effect that the event has had on the individual's life. By increasing knowledge about events that affect perceptions about one's calling, counselors may be more equipped to shed light on the potential, unexamined trajectories of a client's work and life.     

TOWARD THE IDENTIFICATION OF VARIABLES FOR EVALUATING FAMILY THERAPY WORKSHOPS*

If the field of family therapy is to improve the quality of its continuing education, a useful measurement of workshop quality must be developed. In a preliminary step towards this goal, 14 expert subjects from the field of family therapy were interviewed to identify variables and relationships that can be hypothesized to influence the quality–as assessed by participants–of family therapy workshops. This paper reports the opinions of the subjects, using counts and quotations to convey as much of the raw information as space allows, and presents the methods through which the information was organized by the authors into four categories and 58 (assumed to be interdependent) variables.     

Gambling and Problem Gambling among Recently Sentenced Male Prisoners in Four New Zealand Prisons

Recently sentenced inmates in four New Zealand male prisons (N = 357) were interviewed to assess their gambling involvement, problem gambling and criminal offending. Frequent participation in and high expenditure on continuous forms of gambling prior to imprisonment were reported. Nineteen percent said they had been in prison for a gambling-related offence and most of this offending was property-related and non-violent. On the basis of their SOGS-R scores, 21% were lifetime probable pathological gamblers and 16% were probable pathological gamblers during the six months prior to imprisonment. Of the “current” problem gamblers, 51% reported gambling-related offending and 35% had been imprisoned for a crime of this type. Gambling-related offending increased with problem gambling severity. However, only five percent of problem gamblers said their early offending was gambling-related. The large majority reported other types of offending at this time. Few men had sought or received help for gambling problems prior to imprisonment or during their present incarceration. This highlights the potential for assessment and treatment programs in prison to reduce recidivism and adverse effects of problem gambling and gambling-related offending.     

Dimensions of subjective well-being and effects of physical activity in Chinese older adults

Subjective well-being (SWB) and its relationship with physical activity have not been systematically investigated in older Chinese people. This study explored these issues using qualitative interviews with a purposive sample of 23 community-dwelling Chinese older adults (age 55-78 y, 12 women); 16 were physically active and 7 physically inactive. Using cross-case analyses, 7 dimensions of SWB emerged: physical, psychological, developmental, material, spiritual, sociopolitical, and social. Although elements of SWB may be shared across cultures, specific distinctions were identified. Active respondents reported the unique contributions of physical activity to the physical, psychological, developmental, and social elements of SWB. The findings suggest that physical activity could enhance the quality of life in Chinese older adults.