Caring for families experiencing stillbirth: Evidence-based guidance for maternity care providers

BackgroundEvidence-based guidance is needed to inform care provided to mothers and families who experience stillbirth. This paper focuses upon how meaningful and culturally appropriate care can be provided to mothers and families from when they are informed that their baby will be stillborn to many years after the experience. Avoidable suffering may be occurring in the clinical setting.AimsTo promote and inform meaningful and culturally appropriate evidence-informed practice amongst maternity care providers caring for mothers and families who experience stillbirth.MethodsA comprehensive systematic review was conducted which primarily synthesised relevant qualitative research studies. An expert advisory group comprised of stillbirth researchers, clinicians, and parents who have experienced stillbirth provided guidance for the review and the development of implications for practice.FindingsGrieving parents want staff to demonstrate sensitivity and empathy, validate their emotions, provide clear, information, and be aware that the timing of information may be distressing. Parents want support and guidance when making decisions about seeing and holding their baby. Sensitivity, respect, collaboration, and information are essential throughout the experience of stillbirth. Culturally appropriate care is important and may require staff to accommodate different cultural practices.ConclusionThe findings of the review and expert consensus inform the provision of meaningful and culturally appropriate care for mothers and families that have experienced stillbirth. Evidence informed implications for practice are provided to guide the actions, communication, and behaviours of maternity care providers.     

Using concept mapping as a planning tool: Child welfare citizen review panels

Citizen Review Panels (CRPs) are groups of citizen volunteers authorized by U.S. federal law to examine state child welfare agencies. These groups inspect policies and practices related to child protection responsibilities and are tasked with making recommendations for systemic improvement. Despite the federal mandate for each state to develop a CRP and the potential of these groups to positively impact child welfare practices, there is a dearth in the literature related to CRPs. Consequently, planning and evaluation processes of these groups vary widely. This study reports on the use of concept mapping (CM) to outline a framework for planning and subsequently evaluating the CRP in one southeastern state. CM is a mixed-method research approach that uses multi-dimensional scaling and hierarchical cluster analyses to explore an area of study. Through these analyses, the method creates visual depictions of conceptual relationships between ideas. Data yielded a seven cluster concept map that CRP members (N = 36) utilized for planning processes, and subsequently for developing an internal evaluation tool. Results from this study offer a unifying framework by which CRPs, and similar groups in other areas can utilize for planning and evaluation purposes. After a review of pertinent literature on CRPs, this article explicates CM processes utilized in this study, describes results, discusses lessons learned, and outlines apposite areas for future CRP research.     

Changing Frameworks in Attitudes Toward Abortion

For more than two decades, legal abortion has been the subject of heated political debate and adversarial social movement activity; however, national polls have shown little change in aggregate levels of support for abortion. This analysis examines how the determinants of abortion attitudes have changed between 1977 and 1996, using data from the General Social Surveys. While in early time periods, whites were more approving of abortion than blacks, that pattern had reversed by the late 1980s. After controlling for other factors, older people are more accepting of abortion throughout the two decades, while gender is generally unrelated to abortion views. Catholic religion weakens slightly as a predictor of abortion attitudes, while religious fundamentalism and political liberalism increase in explanatory power. The associations between attitudinal correlates and abortion approval also change over this time period. Religiosity becomes a less powerful predictor of abortion attitudes, while respondents' attitude toward sexual freedom and belief in the sanctity of human life increase in their predictive power. Support for gender inequality remains a weak but stable predictor of abortion attitudes. This pattern of results suggests that the public is influenced more by the pro-life framework of viewing abortion than by the pro-choice perspective.     

德国行政赔偿制度的特色与成因

德国行政赔偿制度有着不同于大陆法系国家和普通法系国家行政赔偿制度的特色,这种特色突出体现在行政赔偿基础的赔偿请求权和对行政赔偿案件进行救济的赔偿审理制度两个方面。德国行政赔偿制度的特色是由在漫长的历史过程中所形成的思想因素、制度因素和文化因素造就而成。     

高效液相色谱—核磁共振联用技术

本文简要地综述了高效液相色谱与核磁共振联用技术,并列举了该技术在药物、天然产物以及异构体研究中的应用。     

《学衡》论学者精神与责任

《学衡》杂志以“论究学术 ,阐求真理 ,昌明国故 ,融化新知”为宗旨 ,对 2 0世纪初期的学术弊端提出了严厉批评 ,并在此基础上呼唤对真正的学术精神的追求 ,即自信、自得、贞操、求真、审慎、创造、社会关怀和追求文德之精神 ,同时提出了学者对于前人、今人和世界的责任。     

《史记》“互见法”再论

<史记>叙事首创"互见法",取得了很高的艺术成就.然而,今人在嘉许<史记>"互见法"首创价值的时候,对部分互见文字的真伪要谨慎,还应看到<史记>"互见法"体系并不完备,<史记>"互见法"的运用还不很自觉,特别是"互见法"对于今人还原<史记>"一家之言"的哲学真相有很大的干扰.     

近代新式中国史撰述的开端——论清末中国历史教科书的形式与特点

清末中国历史教科书的编纂与中国通史的撰述,因为编撰性质不同而不应将两者完全等同一致。关注中国历史教科书的编纂与中国通史的撰述之特点及其相互关系,更可得见当时新旧史学转换的种种特征在历史撰述中的具体表现。清末中国历史教科书的编纂通常被认为是开始使用了章节体,其实仍以使用纪事本末体为主,编纂形式新意无多,而其划分历史阶段的分期观念,以及受此影响而在历史叙事方式等方面的改变,其学术意义则不可忽视。清末出现的多种中国历史教科书实际上成为近代新式中国史撰述的开端。     

延安时期的中国古代史研究

延安时期的中国古代史研究在是在相对稳定的政治环境和较为自由的学术氛围下进行的。当时学者坚持以唯物史观为指导,采用了丰富多样的历史研究手段,在立足史料,实事求是的基础上,对中国古代史上一些重大历史问题,从理论高度进行了系统的分析。其研究成果曾产生了重要的影响。但由于过分强调史学研究为现实服务,因而其科学性便受到损害,甚至在个别问题上出现了非历史主义的倾向。