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171.

Problem

The ability of health care providers to work together is essential for favourable outcomes in neonatal resuscitation, but perceptions of such teamwork have rarely been studied in low-income settings.

Background

Neonatal resuscitation is a proven intervention for reducing neonatal mortality globally, but the long-term effects of clinical training for this skill need further attention. Having an understanding of barriers to teamwork among nurse midwives can contribute to the sustainability of improved clinical practice.

Aim

To explore nurse midwives’ perceptions of teamwork when caring for newborns in need of resuscitation.

Methods

Nurse midwives from a tertiary-level government hospital in Nepal participated in five focus groups of between 4 and 11 participants each. Qualitative Content Analysis was used for analysis.

Findings

One overarching theme emerged: looking for comprehensive guidelines and shared responsibilities in neonatal resuscitation to avoid personal blame and learn from mistakes. Participants discussed the need for protocols relating to neonatal resuscitation and the importance of shared medical responsibility, and the importance of the presence of a strong and transparent leadership.

Discussion

The call for clear and comprehensive protocols relating to neonatal resuscitation corresponded with previous research from different contexts.

Conclusion

Nurse midwives working at a maternity health care facility in Nepal discussed the benefits and challenges of teamwork in neonatal resuscitation. The findings suggest potential benefits can be made from clarifying guidelines and responsibilities in neonatal resuscitation. Furthermore, a structured process to deal with clinical incidents must be considered. Management must be involved in all processes.  相似文献   
172.
Foster care faces serious challenges, such as behavioral problems in foster children and parental stress and ineffective parenting behavior in foster parents. The results of a pilot study that evaluated a training program for foster parents based on nonviolent resistance are described. In a pretest–posttest design, data were collected from 25 families. Significant reductions in externalizing, internalizing, and total problem behavior in the foster children and in parenting stress were found. Using a reliable change index, significant improvements in externalizing, internalizing, and total problem behavior were found in, respectively, 72, 44, and 80% of the cases. Most improvements proved to be clinically relevant. Effect sizes ranged from medium to large for problem behavior, and from small to medium for parenting stress.  相似文献   
173.
This paper presents a case study of an open-source 3D printer called ‘Rep-rap’. 3D printing derives from computer numerical control machinery, a technology first introduced against a background of industrial conflict. This historical fact reactualises labour process theory as a theoretical resource. However, the hobbyists in the Rep-rap project are located ‘outside’ the typical setting studied in labour process theory, that is, the workplace. The case study is, therefore, suitable for examining the limits of labour process theory. Its key tenet regarding structured antagonism between labour and capital is put to the test when the ‘point of production’ is located in a community and ‘labour’ consists in non-remunerated contributions by hobbyists (i.e. non-employees). Drawing on theories of the social factory and free labour in the cultural sector, the article argues that this is changing as hobbyists, fans, makers, etc., are put to work by start-up firms and venture capital in the so-called “sharing economy.”  相似文献   
174.
To convince people to reduce their energy consumption, two types of persuasive appeals often are used by environmental organizations: Monetary appeals (i.e., ‘conserving energy will save you money’) and environmental appeals (i.e., ‘conserving energy will protect the environment’). In this field study we aimed to compare the effects of monetary and environmental appeals on showering habits. During two weeks we measured showering behavior in one hundred households. As compared to monetary appeals, environmental appeals were more effective in decreasing participants’ shower frequency. Interestingly, the monetary appeal was judged as somewhat more motivating to save water than the environmental appeal. We discuss theoretical and practical implications of these findings.  相似文献   
175.
Population and Environment - The aim of this study was to analyse the association between season of birth, temperature and neonatal mortality according to socioeconomic status in northern Sweden...  相似文献   
176.
Former state‐controlled economies (FSCEs) have become the most important destination of global retail chain investments. These economies, which spread from North Africa, across Central and Eastern Europe, to East Asia, include more than one and a half billion consumers and a large share of the world's agricultural area and poor farmers. They have undergone an often radical transformation of their agrifood system over the past decade. The take‐off of supermarkets in FSCEs started seriously in the mid‐late 1990s, and is now moving fast. This article compares FSCE experience in the supermarket revolution and considers its implications for policy‐makers and rural development practitioners.  相似文献   
177.
VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - The emergence of new types and new levels of poverty in Sweden has spurred civil society organizations to take a more...  相似文献   
178.
179.
There is little empirical knowledge about whether the interpretation process of child sex offenders is offense-supportive in nature and contributes to the offending process. Vignettes were developed to compare child sex offenders’ and nonoffenders’ interpretations of child molestation incidents after ambiguous and nonambiguous victim responses. Results showed that child sex offenders’ (N = 60) interpretations did not differ from nonoffenders’ (N = 40) interpretations. Overall, the more ambiguous the child responses, the more child complicity and child benefit was seen. Our results indicate that offense-supportive interpretations are not unique to child sex offenders. The mechanisms that are responsible for whether or not to commit a sexual offense should be unraveled and treated, to prevent deviant processes to be activated.  相似文献   
180.
Life expectancy continues to grow in most Western countries; however, a major remaining question is whether longer life expectancy will be associated with more or fewer life years spent with poor health. Therefore, complementing forecasts of life expectancy with forecasts of health expectancies is useful. To forecast health expectancy, an extension of the stochastic extrapolative models developed for forecasting total life expectancy could be applied, but instead of projecting total mortality and using regular life tables, one could project transition probabilities between health states simultaneously and use multistate life table methods. In this article, we present a theoretical framework for a multistate life table model in which the transition probabilities depend on age and calendar time. The goal of our study is to describe a model that projects transition probabilities by the Lee-Carter method, and to illustrate how it can be used to forecast future health expectancy with prediction intervals around the estimates. We applied the method to data on the Dutch population aged 55 and older, and projected transition probabilities until 2030 to obtain forecasts of life expectancy, disability-free life expectancy, and probability of compression of disability.  相似文献   
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