Women’s reports of satisfaction and respect with continuity of care experiences by students: Findings from a routine,online survey

BackgroundPre-registration midwifery students in Australia undertake a minimum of ten continuity of care experiences with childbearing women. However, women are rarely asked to formally evaluate this care by students.AimTo evaluate data from a routine, web-based survey of women about having a midwifery student provide a continuity of care experience.MethodsAll women (n = 886) recruited by a midwifery student for a continuity of care experience during a 12 month period received an email inviting them to complete an online survey. The survey included personal details, experiences of care, and two scales on Respect and Satisfaction.ResultsA response rate of 57% (n = 501) was achieved. On average students attended six antenatal visits (mean = 5.83) and had six postnatal contacts with women. Most students attended labour and birth (92.6% n = 464). Most women rated overall satisfaction with care by their student as ‘better than they had hoped’. Positive correlations were found between number of antenatal visits and postnatal contact with students on both levels of satisfaction and respect felt by women. Women felt more satisfied when their midwifery student attended labour and birth.ConclusionsThe online survey was feasible and provided valid and reliable feedback from women about their student during a continuity of care experience. Women valued having an ongoing relationship with a student during pregnancy, labour and birth, and postpartum. Pre-registration midwifery education programs should continue to privilege relationship-based care and national standards should support the effective integration of continuity of care experiences.     

Effectiveness of training to promote routine enquiry for domestic violence by midwives and nurses: A pre-post evaluation study

Background

Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills.

‘Mafia Baroque’: post‐socialist architecture and urban planning in Bulgaria

This paper traces the reception of the architectural style known as ‘Mafia Baroque’ within the professions of architecture and urban planning in Bulgaria. The debate within these professions was strongly linked to the general decline of power among former intellectual elites and the specific decline of architects and planners, who were sidelined as arbiters of ‘good taste’ and disempowered as regulators of urban growth. The reaction to this style also highlights the rise in public concern over corruption and organized crime and dissatisfaction with post‐socialist urbanization. This paper chronicles the extent of changes in construction and regulation in Bulgaria during the 1990s and argues that planners and architects were challenged not only by their professional marginalization but also by a deeper embarrassment over cultural change. It then relates this debate to broader post‐socialist anxieties over insufficient regulation of urbanization and fear of failing to meet Western European goals for economic and political change.     

论价值语言

语言有描述语言和价值语言之分。虽然在纯粹的描述语言和纯粹的价值语言之间也存在兼有描述和价值二重性的混合语言,但这并不能作为没有描述语言与价值语言之分野的依据。价值语言有两种功能,一是评价对象,一是指令人。价值语言的类型有评价语言与指令语言、自然价值语言与人工价值语言、肯定性价值语言与否定性价值语言、原生价值语言与派生价值语言之分。价值语言内部还存在四个级别的差异,它们相互之间存在统摄与被统摄的关系,并由此形成一个有内在逻辑关联的有机系统。价值语言在性质上似乎与以真假为值的传统语言逻辑不相容,但实际上,价值语言也一直遵守的是传统语言逻辑。如果我们将传统语言逻辑所注重的真假值改为对错值,那么,传统逻辑就既可在实际上与价值语言相容,也可在名义上和性质上与价值语言相容。     

Constructing a strategy map for banking institutions with key performance indicators of the balanced scorecard

This study presents a structural evaluation methodology to link key performance indicators (KPIs) into a strategy map of the balanced scorecard (BSC) for banking institutions. Corresponding with the four BSC perspectives (finance, customer, internal business process, and learning and growth), the most important evaluation indicators of banking performance are synthesized from the relevant literature and screened by a committee of experts. The Decision Making Trial and Evaluation Laboratory (DEMATEL) method, a multiple criteria analysis tool, is then employed to determine the causal relationships between the KPIs, to identify the critical central and influential factors, and to establish a visualized strategy map with logical links to improve banking performance. An empirical application is provided as an example. According to the expert evaluations, the three most essential KPIs for banking performance are customer satisfaction, sales performance, and customer retention rate. The DEMATEL results demonstrate a clear road map to assist management in prioritizing the performance indicators and in focusing attention on the strategy-related activities of the crucial indicators. According to the constructed strategy map, management could better invest limited resources in the areas that need improvement most. Although these strategy maps of the BSC are not universal, the research results show that the presented approach is an objective and feasible way to construct strategy maps more justifiably. The proposed framework can be applicable to institutions in other industries as well.     

Challenging the international peacebuilding evaluation discourse with qualitative methodologies

Monitoring and evaluating international peacebuilding efforts have become more sophisticated over the past years, but still relies on managerial approaches that often do not capture the complexity of war, peace and the grey areas in between. The article argues that organizations should embrace qualitative approaches more widely and introduces ethnographic vignettes as one example to explain the complexity of post-conflict situations. By understanding the personal dimension, the life- and work-styles of international peacebuilders, the current evaluation discourse can become more meaningful-both for organizational learning and sustainable peace efforts on the ground. The article ends by highlighting some approaches that deserve more attention and that promise to help to critically enhance current and future debates about the evaluation of peacebuilding.     

The unique effects of environmental strategies in health promotion campaigns: a review

Various strategies are used as tools in health promotion campaigns to increase health-related outcomes among target populations. Evaluations of these campaigns examine effects on changing people's knowledge, attitudes, and/or behaviors. Most evaluations examine the combined impact of multiple strategies. Less is known about the unique effects of particular strategies. To address this gap, we used highly systematic methods to identify and review scientifically rigorous evaluations of 18 campaigns that examined the unique effects of three sets of intervention strategies (entertainment education, law enforcement, and mass media) on changes in knowledge, attitudes, and practice with regard to various health behaviors. Results showed differences in evaluation processes based on the type of strategy used to promote campaign messages. For instance, evaluations of mass-media based campaigns were more likely to examine changes in knowledge, relative to evaluations of campaigns that used law enforcement strategies. In addition, campaign effects varied by particular strategies. Mass media-based campaigns were more likely to affect knowledge, relative to behaviors. Law enforcement and entertainment education-based campaigns showed positive effects on behaviors. The implications for planning and evaluating health promotion campaigns are described.     

中国农村公共服务评价体系研究

农村公共服务水平低下和不平衡是导致城乡差距日益扩大的重要影响因素之一。本文试图构建农村公共服务发展状况评价指标体系,并基于2006年的数据进行实证研究,给出了研究结果的进一步分析评价。     

民族地区能源、经济与环境系统协调评价研究

随着我国民族地区经济的发展,能源和环境对经济的制约越来越强,能源—经济—环境[3E]系统协调矛盾凸显。本文旨在科学发展观的指导下,通过建立民族地区3E系统协调评价体系和评价指标,并结合实证数据,分析研究民族地区3E系统存在的主要问题,提出促进民族地区3E系统协调性发展的建议。