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.     

知识经济时代传统会计之变革

知识经济条件下会计面临着变革。知识经济对公允价值计量、会计目标、会计处理程序与方法、会计报告内容、无形资产和人力资源成本与价值的确认、会计电算化发展等方面产生巨大影响。     

辛亥革命与早期共产党人的思想启蒙

辛亥革命是中华民族的一次伟大觉醒 ,是民族危机意识、救亡图存理念和民主革命思想的积聚和爆发 ,促进了爱国主义精神的空前高涨。早期共产党人一部分参加过辛亥革命 ,经历了辛亥革命的洗礼 ;一部分受到辛亥革命的深刻影响 ,接受了资产阶级民主革命思想 ,而后 ,又在反思辛亥革命和探索新出路的历程中 ,由民主主义者转变为共产主义者     

知识经济与就业革命

知识经济的到来 ,对传统的就业方式提出了重大挑战 ,引起了就业领域中就业结构、就业机会、工作制等多方面的转变 ,一场有关就业的文明革命悄然兴起。中国应通过提高劳动者素质 ,转变劳动者就业观念 ,调整国家就业政策等多方面措施 ,改善就业环境 ,刺激就业增长 ,以缓解目前所面临的巨大就业压力 ,迎接知识经济的挑战     

浅析英国工业革命的市场条件

国内外市场的存在及市场需求的不断增长的压力是英国工业生产发展的主要动因。英国可资利用的市场规模远较欧洲其它国家的市场大,这大大便利了英国工业品的生产与销售。英国市场的性质也有助于工业再生产的进行。     

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。     

被遮蔽的"文革"叙事--从《玫瑰门》评论小史谈起

<玫瑰门>是铁凝20世纪80年代后期一部以"文革"为背景的重要作品,但从<玫瑰门>的评论小史可以看到,80年代后半期以来,评论界对"文革"主题的忽略与遮蔽是普遍的.其中对抽象人性的偏爱,导致评论界对铁凝等一些小说家揭开"文革"政治对人性阴暗面的催生和放大,与人性固有之丑陋的合谋真相这一努力,大多视而不见.这一情形与80年代中期开始形成的当代文学观密不可分,也与"瞻前"而非"顾后"的社会文化心理有着内在的联系.     

辛亥革命准备时期的历史教育

辛亥革命准备时期,资产阶级革命派的宣传活动家以及一大批富有爱国心的知识分子,为教育民众、唤起民众、发动民众,挽救民族危亡,纷纷运用史学这一有力武器,以革命“排满”、反帝爱国为宗旨,以大量的历史事实为例证,大力宣传民族革命主张,大力宣传反帝爱国思想。这种对国民广泛进行的历史教育,为开启民智、鼓舞民气,促进民主革命思潮的广泛传播,为中华民族的觉醒发挥了重要作用。     

再议“革命军起、革命党消”

文章在订正相关史实 ,厘清原初意义的基础上 ,试图着重说明“革命军起、革命党消”这一口号之所以在辛亥民初产生重大影响 ,与当时普遍流行的“革命党非政党”的观念及民初政党政治的实践有紧密关联 ,而这一口号的长期为人诟病 ,则与孙中山重组、改组国民党时对辛亥革命的总结及后人有关民国初年政党政治的整体记忆有关