Conflicting contexts: Midwives’ interpretation of childbirth through photo elicitation

IntroductionThis study seeks to explore midwives’ perceptions about childbirth and in particular their beliefs about normality and risk. In the current climate of increasing interventions during labour, it is important to understand the thought processes that impact on midwifery care in order to examine whether these beliefs influence midwifery clinical decision-making.Method12 Midwives who worked in a variety of metropolitan hospitals in Sydney, Australia were interviewed about how they care for women during labour. The study utilised an inductive qualitative design using photo elicitation during the interview process.ResultsSix themes emerged from the data that clearly indicated midwives felt challenged by working in a system dominated by an obstetric model of care that undermined midwifery autonomy in maintaining normal birth. These themes were: desiring normal, scanning the environment, constructing the context, navigating the way, relinquishing desire and reflecting on reality. Most midwives felt they were unable to practice in the manner they were philosophically aligned to, that is, promoting normal birth, as the medical model restricted their practice.DiscussionThe polarised views of childbirth held by midwives and obstetricians do little to enhance normal birth outcomes. Midwives in this study expressed frustration that they were unable to practice midwifery in a way that reflected their belief in normal birth. This, they cite is a result of the oppressive obstetric model prevalent in maternity care facilities in Sydney and the over use of technological interventions during childbirth.     

Testing a New Operationalization of the Basic Values on Estonian- and Russian-speaking Subpopulations in Estonia

The theory of basic human value developed by Shalom Schwartz has held a dominant place in the field of value studies for at least two decades. Despite of some modest adaptations, the theory has maintained its original form. Still, an increasing number of critical discussions have recently been published throwing doubt upon universality of its inner structure (e.g. Mohler and Wohn in Persönliche Wertorientierungen im European Social Survey, ZUMA-Arbeitsbericht, 2005; Clercq 2006; Perrinjaquet et al. in J Res Pers 41:820–840, 2007; Davidov and Schmidt in Measuring meaningful data in social research, Acco, Leuven, pp 373–386, 2007; Davidov et al. in Public Opin Quart 72:420–445, 2008; Davidov in Surv Res Methods 2:33–46, 2008; Knoppen and Saris in Surv Res Methods 3:91–103, 2009a; Knoppen and Saris 2009b; Fischer et al. in J Cross Cult Psychol 41:135–151, 2010). Most of these studies have proposed that the shortcomings of that model can be improved through unification of some adjacent value types (e.g. Davidov and Schmidt in Measuring meaningful data in social research, Acco, Leuven, pp 373–386, 2007; Davidov et al. in Public Opin Quart 72:420–445, 2008; Davidov in Surv Res Methods 2:33–46, 2008). However, Knoppen and Saris (Surv Res Methods 3:91–103, 2009a; Knoppen and Saris 2009b) have showed that the given grouping of factors was a consequence of misspecifications in the model and proposed an alternative structure with 19 value types, which has been largely confirmed by several recent papers (Cieciuch and Schwartz in J Pers Assess 94:321–328, 2012; Beierlein et al. in Surv Res Methods 6:25–36, 2012). Current study will also test the new model, but contrarily to cited papers, a representative national sample is used, which raises the robustness of findings. The data is from Estonia and collected in late 2008. Due to the existence of large ethnic minority in Estonian society, the sample allows additionally testing the equivalence of the measurement in the two subpopulations. This study shows that the alternative value-structure, proposed by Knoppen and Saris, applies well to the representative Estonian data.     

The role of the gerontological social worker in assisted living

This qualitative study reports on thirteen assisted living (AL) administrators' perspectives of the role and the importance of the AL social worker in addressing the unmet needs of older adults as they move and transition into AL. Participant interviews were analyzed using the constant comparative method. Administrators described 5 AL social work roles: (a) decision-making and adjustment coordinator; (b) resident advocate; (c) mental health assessor and counselor; (d) family social worker; and (e) care planner. Implications include directly examining AL social workers' views, analyzing costs and benefits of employing AL social workers, and developing social work practicum sites within AL.     

HEALTH NEEDS OF MIGRANT VIETNAMESE WOMEN IN SOUTH‐WEST BRISBANE: AN EXPLORATORY STUDY

This study was conducted in the southwest area of Brisbane, Australia, and is designed to explore and assess the health needs of Vietnamese migrant women. The needs of this group are becoming increasingly urgent due to ageing of the original immigrant refugee community and decreased capacity for support from their children and families. The study used a qualitative research strategy involving focus groups and in‐depth interviews with Vietnamese women between 18–65 years and interviews with Vietnamese health care providers. It shows that the women have had to deal with culture shock, low self‐esteem, lack of friends and relatives, unrecognized professional skills and most importantly in health terms, low socioeconomic status. Significant barriers to access health services and to improved health and well‐being were also identified, such as language difficulties, transportation, time, and knowledge about health education. Recognition of specific requirements of sub‐populations as well as broader socio‐economic and cultural determinants of health should be a guide to more effective planning and implementation of health promotion strategies. The changing needs, over time, of these sub‐populations should also be recognized.     

Editorial: genetic and genomic research-changing patterns of accountability

Debates about genomic science have raised questions about the implications for ethics and accountability. Accountability has external and internal aspects. Whereas ethical review, including attention to appropriate consent procedures, has been central to 'giving an account' externally, there are also issues internal to the practice of science itself. The pursuit of truth is central to the scientific endeavour, but truths can sometimes be 'inconvenient', leading to complex questions of accountability that go beyond the issues of consent. This is illustrated by the case of the Havasupai.     

Warehouses or Welfare?: Legislative Dispositions for Alcoholics

Skid row alcoholic offenders and the various legislative responses to this social problem are examined. Recent United States case law is discussed in the context of sociological explanations of societal intervention against this group. The validity of the medical model of alcoholism as a basis for planning social policy in respect of alcoholic offenders is questioned. Traditional justifications for civil commitment programmes are rejected as an infringement of civil liberty and human dignity. The effectiveness of criminal sanction on a cost benefit basis is analysed. Finally,. alternative policies are discussed and recommendations are made as to possible long-term solutions.     

Religion and World Change: Violence and Terrorism versus Peace

Our article portrays religion as a double-edged sword that can both encourage and discourage world change, and can facilitate both violent and peaceful activism. The article demonstrates how the meaning system approach to religion can shed light on the complicated relationship between religion and world change by illuminating the meaning of world change and the means to achieve it, inherent differences across religious groups, the complexity and malleability of religious meaning systems, and processes that can facilitate either the status quo or violent and peaceful activism. The article discusses context and personality variables that may determine whether religion supports world change and either violent or peaceful activism. It recommends intensive collaboration between researchers, policy–makers, and religious leaders in the contexts of national and international conflicts and religious terrorism.     

Cognitive Pretesting and the Developmental Validity of Child Self-Report Instruments: Theory and Applications

OBJECTIVE: In the context of the importance of valid self-report measures to research and evidence-based practice in social work, an argument-based approach to validity is presented and the concept of developmental validity introduced. Cognitive development theories are applied to the self-report process of children and cognitive pretesting is reviewed as a methodology to advance the validity of self-report instruments for children. An application of cognitive pretesting is presented in the development of the Elementary School Success Profile. METHOD: Two phases of cognitive pretesting were completed to gather data about how children read, interpret and answer self-report items. RESULTS: Cognitive pretesting procedures identified validity problems with numerous items leading to modifications. CONCLUSIONS: Cognitive pretesting framed by an argument-based approach to validity holds significant potential to improve the developmental validity of child self-report instruments.     

Who cares about consent requirements for sourcing human embryonic stem cells? Are errors in the past really errors of the past?

Through an Access to Information Act request, we have obtained the consent forms used by the providers of every human embryonic stem cell (hESC) line approved for use by the Canadian Institutes of Health Research (CIHR), and examined them to verify whether or not they meet the consent requirements established by Canadian law and regulations. Our findings show that at least seven out of ten consent forms studied did not satisfy these minimum requirements. We then outline various options for responding to this situation in terms of: (i) remedial measures for dealing with executive problems with regulatory oversight procedures; and (ii) remedial measures for dealing with the impugned lines.