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941.

Problem

Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems.

Background

Due to minimal experience and cultural resistance, few practitioners offer vaginal breech birth, and many practice guidelines and training programmes recommend delivery techniques requiring supine maternal position. Fewer practitioners have skills to support physiological breech birth, involving active maternal movement and choice of birthing position, including upright postures such as kneeling, standing, squatting, or on a birth stool. How professionals learn complex skills contrary to those taught in their local practice settings is unclear.

Question

How do professionals develop competence and expertise in physiological breech birth?

Methods

Nine midwives and five obstetricians with experience facilitating upright physiological breech births participated in semi-structured interviews. Data were analysed iteratively using constructivist grounded theory methods to develop an empirical theory of physiological breech skill acquisition.

Results

Among the participants in this research, the deliberate acquisition of competence in physiological breech birth included stages of affinity with physiological birth, critical awareness, intention, identity and responsibility. Expert practitioners operating across local and national boundaries guided less experienced practitioners.

Discussion

The results depict a specialist learning model which could be formalised in sympathetic training programmes, and evaluated. It may also be relevant to developing competence in other specialist/expert roles and innovative practices.

Conclusion

Deliberate development of local communities of practice may support professionals to acquire elusive breech skills in a sustainable way.  相似文献   
942.
Psychosocial benefits of activism include increased empowerment, social connectedness, and resilience. Yet sexual minority women (SMW) and transgender individuals with multiple oppressed statuses and identities are especially prone to oppression-based experiences, even within minority activist communities. This study sought to develop an empirical model to explain the diverse meanings of social justice activism situated in SMW and transgender individuals’ social identities, values, and experiences of oppression and privilege. Using a grounded theory design, 20 SMW and transgender individuals participated in initial, follow-up, and feedback interviews. The most frequent demographic identities were queer or bisexual, White, middle-class women with advanced degrees. The results indicated that social justice activism was intensely relational, replete with multiple benefits, yet rife with experiences of oppression from within and outside of activist communities. The empirically derived model shows the complexity of SMW and transgender individuals’ experiences, meanings, and benefits of social justice activism.  相似文献   
943.
The contested definitions of “swinging” and “polyamory” reveal profound inconsistencies in the logics of sex, love, commitment, and coupledom. In this article, I use a number of non-monogamy blogs and online glossaries as examples of the way these two words are often deployed against each other in an effort to position the speaker in relation to mononormative practices of sex and love. Leaving aside questions of the accuracy of particular definitions, I map a range of definitions against two existing scholarly/activist tools for describing relationship styles, specifically Gayle Rubin’s “Charmed Circle” and Meg-John Barker’s sex/love continuums. This exercise is doubly fruitful: first, the tools reveal the political stakes of the definitional debates; second, the definitions demonstrate that the distinctions we commonly use to distinguish between types of relationships—including types of non-monogamous relationships—in fact rely on mononormative assumptions about sex, love, and friendship. If “mononormativity” is defined as the system of ideas, institutions, and practical orientations that provide the backdrop against which the idea of monogamy as coherent, common, natural, and right congeals, the sex/love skirmishes of “swinging” and “polyamory” remind us that its logics are both pervasive and deeply fractured.  相似文献   
944.
理顺习近平关于“中国特色社会主义进入新时代”的逻辑理路,有助于系统论证“新时代”的科学性和理论性。从方法论上看,习近平新时代观是应用马克思主义立场观点和方法得出的正确结论。从理论归因看,中国社会主要矛盾的转化作为习近平新时代观生成的主要标志,源于马克思主义关于矛盾运动的基本理论。从理论定位看,习近平新时代观展现的是中国发展的特殊阶段,内含着中国对自身发展的时代定位与目标趋向,渗透着中国与世界在共同发展中的新阶段、新高度、新未来,是对中国发展方向的顶层设计。  相似文献   
945.
为提高土木工程专业学生的英语应用能力和《土木工程专业英语》课程的教学效果,本次教改实践以OBE(成果导向教育)教育理念为教改指导思想,以土木工程专业英语教学为教改对象,设计了土木工程专业英语教学的教学内容、教学组织和教学评价等教学环节,在河北工程大学土木工程专业学生中进行了教改实践。教改实践结果表明,基于OBE的土木工程专业英语教学模式在提升土木工程专业学生英语应用能力方面具有很好的效果。本次教改实践的成果值得本校其他工科专业和其他兄弟院校借鉴。  相似文献   
946.
“互联网+”、3D打印技术为代表的信息化浪潮已经到来,创新创业教育的已经在全国展开,这既是高等教育教学的挑战,更是不可多得的机遇。为适应信息技术的需求,高等院校要未雨绸缪,及时应对,从创新体系构建信息技术要先行、教育教学创新体系构建要结合学科、专业特点进行、二级学院联动、对教师要求及激励等多个方面探讨信息技术背景下教育教学多维度创新体系。  相似文献   
947.
为提高土木工程专业《结构实验与方法》研究生课程的教学质量,培养研究生的应用与创新研究能力,基于《结构实验与方法》研究生课程的具体教学实践,分析了建设《结构实验与方法》研究生课程教学案例库的必要性,探讨了《结构实验与方法》研究生课程教学案例库建设的程序与目标,提出了建设《结构实验与方法》研究生课程教学案例库的基本方法。  相似文献   
948.
949.
Thirty‐five years ago, Gillian Rose articulated a significant critique of classical sociological reason, emphasizing its relationship to its philosophical forebears. In a series of works, but most significantly in her Hegel contra Sociology, Rose worked to specify the implications of sociology's failure, both in its critical Marxist and its ‘scientific’ forms, to move beyond Kant and to fully come to terms with the thought of Hegel. In this article, I unpack and explain the substance of her criticisms, developing the necessary Hegelian philosophical background on which she founded them. I argue that Rose's attempted recuperation of ‘speculative reason’ for social theory remains little understood, despite its continued relevance to contemporary debates concerning the nature and scope of sociological reason. As an illustration, I employ Rose to critique Chernilo's recent call for a more philosophically sophisticated sociology. From the vantage point of Rose, this particular account of a ‘philosophical sociology’ remains abstract and rooted in the neo‐Kantian contradictions that continue to characterize sociology.  相似文献   
950.
Van Eeden-Moorefield, Few-Demo, Benson, Bible, and Lummer (2018) recently reviewed the content of seven family social science journals with respect to theory and methods used in 153 articles featuring LGBT research or reviews of LGBT research. They concluded that less than three percent of 6,832 articles published in those journals between 2000 and 2015 were LGBT-related and that most had not used explicit theory and had used purposive cross-sectional samples consisting mostly of White and middle-class participants. During the tenure of the present editor, between 2010 and 2017, Marriage & Family Review featured 14 research reports, reviews, or commentary on LGBT-related issues out of 250 articles, not counting brief editorials or biographies between 2010 and 2017, an odds ratio of over 2.0 compared to the other “top-tier” journals. Likewise, the Journal of Family Theory & Review published at least 15 articles, mainly reviews or commentaries, on LGBT-related issues between 2009 and 2017. Articles in Marriage & Family Review and Journal of Family Theory & Review were more likely to be reviews of the literature, or feature explicit theory, to be qualitative in methodology, or to involve interviews or surveys, while other characteristics were similar to those in the other seven journals. Thus, even if some mainstream family journals did not publish often on LGBT-related issues, other important family science journals have done so. Furthermore, there are numerous scholarly journals that welcome LGBT-related research and reviews almost exclusively.  相似文献   
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