首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   5篇
  免费   0篇
管理学   2篇
人口学   2篇
社会学   1篇
  2018年   1篇
  2017年   1篇
  2014年   1篇
  1990年   1篇
  1973年   1篇
排序方式: 共有5条查询结果,搜索用时 15 毫秒
1
1.

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   
2.

Background

The expansion of the medicalisation of childbirth has been described in the literature as being a global phenomenon. The vignette described in this paper, selected from an ethnographic study of routine intervention in Saudi Arabian hospitals illustrates how the worldwide spread of the bio-medical model does not take place within a cultural vacuum.

Aim

To illuminate the ways in which the medicalisation of birth may be understood and practised in different cultural settings, through a vignette of a specific birth, drawn as a typical case from an ethnographic study that investigated clinical decision-making in the second stage of labour in Saudi Arabia.

Methods

Ethnographic data collection methods, including participant observation and interviews. The data presented in this paper are drawn from ethnographic field notes collected during field work in Saudi Arabia, and informed by analysis of a wider set of field notes and interviews with professionals working in this context.

Findings

While the medicalisation of care is a universal phenomenon, the ways in which the care of women is managed using routine medical intervention are framed by the local cultural context in which these practices take place.

Discussion

The ethnographic data presented in this paper shows the medicalisation of birth thesis to be incomplete. The evidence presented in this paper illustrates how local belief systems are not so much subsumed by the expansion of the bio-medical model of childbirth, rather they may actively facilitate a process of localised reinterpretation of such universalised and standardised practices. In this case, aspects of the social and cultural context of Jeddah operates to intensify the biomedical model at the expense of respectful maternity care.

Conclusion

In this article, field note data on the birth of one Saudi Arabian woman is used as an illustration of how the medicalisation of childbirth has been appropriated and reinterpreted in Jeddah, Saudi Arabia.  相似文献   
3.
The purpose of this paper is to examine a type of resource allocation problem arising in the context of research and development activities. The particular problem analyzed involves scheduling a group of projects in such a way that total cost is minimized while several precedence relations are satisfied and specific completion times are maintained. The primary difficulty results from the existence of commonalities that allow the successful completion of a particular project to be applied to several different purposes. A solution approach is developed which combines a one-pass network algorithm to deal with the precedence and time restrictions and a dynamic programming procedure to allocate the resources to each project.  相似文献   
4.
Screen/report design for output organization is still very much a common sense-driven activity. This paper identifies a preliminary set of factors beyond display format for examination as screen/report design variables. A laboratory experiment was conducted to assess the influence of one of these factors, spatial layout of information, along with display format in an information recall context. Individual imagery orientation (verbalizer/visualizer) was used as a moderating variable in the experimental design. The findings indicate that spatial layout of information significantly influenced performance when the recall task involved pattern detection. In fact, a central location of data in a document was the most conducive to pattern recall performance. Further, terminal items facilitated pattern recall better than early input items. With respect to display format, the results support previous findings that a tabular display enhances performance for point-value recall tasks while graphs exhibit an edge over tables for pattern types of recall tasks. Overall, the verbalizers demonstrated a complete supremacy in performance. Interaction between individual imagery orientation and display format indicates that, while the verbalizers and the mixed type were immune to display format variations, the graphical stimulus enhanced the pattern recall performance of the visualizers.  相似文献   
5.
Despite the fact that the speciality of obstetrics is considered to be a high risk area, indeed it is estimated that in the UK, maternity services account for massive 60% of all the NHS litigation claims burden; scholarly activity in childbirth performance as part of the risk society is relatively underdeveloped when compared to other areas of health. It is the extent of the influence of risk upon the maternity services that makes this underdevelopment especially striking. In an effort to present childbirth as a worthwhile site for empirical investigation and theoretical discussion, this paper attempts to review the sociology of childbirth and to consolidate some of the multidisciplinary contributions made to date on childbirth within the risk society.  相似文献   
1
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号