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Providing accessible healthcare for Autistic Women
No full textNarratives by autistic women regard their maternity care experiences with feelings such as being isolated, neglected, stigmatised, and judged. They feel hospital environments overload their senses which causes barriers to accessing maternity care. I have spent some time researching and creating a series of support plans to invite conversations between autistic women and maternity staff to create accessible, meaningful healthcare encounters. The aim of this article is to provide some ideas for care adjustments so that future narratives overflow with positive encounters
Hunter territoriality creates refuges for threatened primates
Get PDFUnsustainable hunting threatens biodiversity in the tropics through the removal of key seeddispersing frugivorous primates. Traditionally, hunting in the Amazon Basin was managed
through hunter territoriality, with the threat of social sanctions for overexploitation. We examined hunter territoriality and differential prey selection as alternative hypotheses to centralplace foraging. Territoriality occurred beyond common hunting grounds, which were on major
rivers and immediately surrounding the community. Hunters displayed selectivity in prey
choice, with 50% of hunters not hunting primates. The combination of hunter territoriality
and differential prey selection means that over 22% of the hunted area of the Sucusari river
basin could be considered primate refuge. Of the remaining hunted area, 16% was hunted relatively little by primate hunters. We suggest that the combination of territoriality and selection
against primates creates refuges, mitigating the effects of sustained hunting pressure and
contributing to the conservation of these species
Understanding the self‑identification of Autism in Adults: a scoping review
Get PDFAdults are increasingly self-identifying as autistic, and reporting problems being referred for an autism diagnostic assessment. This scoping review aims to ascertain: (1) what research has been conducted on the self-identification process of autism in adults, who do and do not have a formal diagnosis of autism, and (2) which aspects of the self-identification process could be used to improve the referral and the diagnostic process of an adult autism assessment. The main themes identified were: the diagnostic process from a client´s perspective; the process of self-identifying as autistic from a lifespan perspective; an autistic identity; sexual identity and experiences, and the perception of autism as a difference or a disability. These themes could positively enhance the referral and diagnostic process
Review of Yve-Alain Bois, An Oblique Autobiography
No full textThis article reviews the French art historian Yve-Alain Bois' new collection of essays, An Oblique Autobiography. Part of the value of tuts essays derives from the indication that practice and theory generate conditions for each other. Exceptional attentiveness and a willingness to discover one’s experience through the labour of writing typifies Bois’ strongest output
The importance of communication and involvement in decision-making - findings from a study in Ireland exploring birth satisfaction using the Birth Satisfaction Scale-Revised (BSS-R)
Get PDFIntroduction:
Evaluation in healthcare services has become a priority, globally1. The Government of Ireland has highlighted the importance of stakeholder engagement to identify the needs of women in the design and delivery of high-quality health services, driven by necessity rather than financial ability2. The Birth Satisfaction Scale-Revised (BSS-R), an internationally validated tool, and recommended for measuring childbirth satisfaction by the International Consortium for Health Outcomes Measurement (ICHOM)3; however, it has yet to be considered in the Irish context. The aim of the study was to explore birth satisfaction with a sample of new mothers in Ireland.
Methods:
A mixed-methods study was conducted including a survey that involved collection of data from the BSS-R 10-item questionnaire from 307 mothers over an 8-week period in 2019, in one urban maternity hospital in Ireland. Quantitative and qualitative data were collected. Qualitative data from the free-text comments of the survey questions were analyzed using content analysis.
Results:
Overall, women reported positive relationships with their care providers and were satisfied with the communication and support they received, as well as high levels of control and choice. Postnatal care, however, was highlighted as being less satisfactory with staffing levels described as inadequate.
Conclusions:
Understanding women’s birth experiences and what is important to them could facilitate midwives and other health professionals to improve the quality of their care and develop guidelines and policies that focus on women and their families’ needs. The vast majority of women rated their birthing experience as extremely positive. The main elements of care that contributed to a positive birthing experience for women were quality relationships with clinicians, choice and control, and emotional safety
Redefining safety: a narrative review of literature on the underground and open or ‘Dutch’ models of refuge
No full textThis article synthesises literature on the evolution of domestic abuse (DA) refuges, with particular attention to the development of two models: the conventional or ‘underground’ refuge (UR) and the open or ‘Dutch’ refuge. The article will detail what the available evidence says about the benefits and drawbacks of these models and explore their implications for the DA sector in England, with reference to
extending women’s space for action and meeting the needs of underserved victim - survivors.
The article argues that multiple models of provision are needed to meet the intersecting, complex and at times competing needs of different victim-survivors, and that available evidence provides preliminary support for the viability of the open model as part of a wider suite of responses to DA. Further research is needed to extend the evidence base on the open model, and to develop a whole system
approach which can meet the needs of a wider range of victim-survivors
Embedding knowledge & promoting meaningful change: evaluating the H.O.P.E 2022-3 Cross-Cultural Training webinars
No full textThis briefing summarises findings from the 2022-3 cross-cultural training (CCT) webinar series coordinated by H.O.P.E Training & Consultancy, building on the robust foundations established during the initial evaluation (Adisa et al, 2022
How to facilitate critical action learning
Get PDFCritical Action Learning (CAL) is a well-established approach to action learning. However, it has not necessarily been clear to action learning practitioners what makes CAL ‘critical’ and what are the implications in practice. In CAL, the facilitator has a key role in helping the set to engage with underlying emotions and power relations that are inevitably embedded in learning sets, and that both promote and prevent learning. The paper explains the main ideas of critical action learning, why facilitation is important, and how to facilitate CAL. Examples are provided from the authors’ practice and eight key components are presented as a guide to facilitating CAL. The aim of the paper is to improve the action learning community’s knowledge of how to facilitate critical action learning and when it is appropriate to utilize this approach