1,721,056 research outputs found
The influence of self in women's decision-making about birthplace : an interpretive phenomenological study
Full text linkIn the United Kingdom current maternity policy advocates the importance of flexible individualised services that fit with the needs of women. Choice of services for women as consumers is paramount in a system that aims to promote safe, high quality care. As women make choices, they navigate a complex journey; learning from women’s experiences is fundamental to understanding this journey and influencing future policy and practice. Literature on what influences decision-making demonstrates a paucity of information and a limitation of women’s voices. Following an Interpretive Phenomenological approach grounded in a feminist perspective to promote women’s voices, a group of 25 antenatal and postnatal women were asked about their experiences, perceptions and choices in the context of their maternity care. This study explored how they may be socially influenced and pressured to conform to authority in birthplace choices. It illuminates how emancipation and conformity are linked to consider whether emancipation reduces pressure to conform and what the implications of this might mean in a wider sociological context of birth experience.Based on Interpretative Phenomenological Analysis, a unique, seven stage iterative framework of analysis was developed. Self and aspects of self emerged as the most significant theme for decision-making existing within a frame of constant interplay of external influences such as environment, knowledge and professionals. As different pregnancy identities emerged, it was evident that this interplay has positive and negative effects as women experience decision-making.Conformity and emancipation are profoundly linked to decision-making; self is complex but critical to this process. For women to be self-determined and assured in their birthplace choices there is urgent need to reconsider interactions at every level. This approach must address the complexities of self so women and midwives remain equal partners. The implications of this reach beyond the discipline of maternity care
Spiritual Assessment in Childbirth
No full textThere is a growing realisation of the need to adopt a lifespan approach to understanding spirituality. This chapter will focus on spirituality within the context of childbirth and parenthood transition, looking at the current evidence and application within this important area of healthcare practice. It will explore firstly how mothers and families may experience the need for spiritual care and secondly the personal challenges faced by midwives in providing spiritual care and their need for support. The chapter will provide a rationale for how and why spiritual assessment is needed within midwifery practice and the events surrounding childbirth.</p
The influence of self in women's decision-making about birthplace : an interpretive phenomenological study
No full textIn the United Kingdom current maternity policy advocates the importance of flexible individualised services that fit with the needs of women. Choice of services for women as consumers is paramount in a system that aims to promote safe, high quality care. As women make choices, they navigate a complex journey; learning from women’s experiences is fundamental to understanding this journey and influencing future policy and practice. Literature on what influences decision-making demonstrates a paucity of information and a limitation of women’s voices. Following an Interpretive Phenomenological approach grounded in a feminist perspective to promote women’s voices, a group of 25 antenatal and postnatal women were asked about their experiences, perceptions and choices in the context of their maternity care. This study explored how they may be socially influenced and pressured to conform to authority in birthplace choices. It illuminates how emancipation and conformity are linked to consider whether emancipation reduces pressure to conform and what the implications of this might mean in a wider sociological context of birth experience.Based on Interpretative Phenomenological Analysis, a unique, seven stage iterative framework of analysis was developed. Self and aspects of self emerged as the most significant theme for decision-making existing within a frame of constant interplay of external influences such as environment, knowledge and professionals. As different pregnancy identities emerged, it was evident that this interplay has positive and negative effects as women experience decision-making.Conformity and emancipation are profoundly linked to decision-making; self is complex but critical to this process. For women to be self-determined and assured in their birthplace choices there is urgent need to reconsider interactions at every level. This approach must address the complexities of self so women and midwives remain equal partners. The implications of this reach beyond the discipline of maternity care
Validation of the Italian version of the spirituality and spiritual care rating scale (SSCRS‐ita)
No full textPurpose: To translate and validate the Italian version of the Spirituality and Spiritual Care Rating Scale (SSCRS-ita). Methods: A single-center cross-sectional study was performed from October 15 to November 15, 2019 in a public hospital in Milan, Italy. The scale was drafted using the back-translation method. Prior to administration, the Italian version of the scale was assessed for content validity and retest stability by calculating the content validity index. Internal consistency was investigated by calculating Cronbach's alpha coefficient, test-retest stability by Spearman's rho coefficient. Findings: A total n = 337 nurses participated in the survey by correctly completing the scale. The Kaiser–Meyer–Olkin test (0.81) and Bartlett's test of sphericity (p < 0.001) confirmed the adequacy of the sample to conduct exploratory factor analysis (EFA). The factorial model of EFA without rotation and then with nonorthogonal Promax rotation confirmed the presence of the four constructs identified by the original author. Conclusions: SSCRS-ita showed promising psychometric properties in terms of validity and reliability. The results of this study, together with the lack of in-depth studies in the Italian health and educational panorama, suggest the need to develop an educational pathway which, starting from the curricula of basic training and continuing with the updating of nursing staff, is dedicated to the detection of the spiritual needs of the patient. Implications for nursing practice: The SSCRS-ita is the first validated Italian tool concerning the consideration of the needs of spirituality and spiritual care in healthcare contexts; the possibility to use this tool is the first step towards a better integration of the mentioned dimensions of care in a nursing care qualitative perspective in Italy
Nutrition and Ageing
No full textThis chapter begins with defining malnutrition in older people and aims to recognise tools and resources to promote early identification and treatment of those at risk of malnutrition, to minimise the impact of malnutrition on health outcomes. The chapter will provide an outline of the key factors that contribute to malnutrition in older people, an overview of the current status of malnutrition in the UK, and an evidence-based practical approach to preventing and treating malnutrition in older people, including the promotion of eating well for ageing to prevent malnutrition and optimise nutritional status
Competence 1:Intrapersonal Spirituality and Its Impact on Person-Centred Spiritual Care
No full textIn this chapter, the impact of interpersonal spirituality on person-centred care is outlined, and what is meant by intrapersonal spirituality is clarified within the context holistic nursing and midwifery (N/M) care. The essence of intrapersonal spirituality in nursing and midwifery for N/M practice is worked out by the concepts of presence, attention, availability and vulnerability. The chapter gives you as a reader the opportunity to discover your personal and intrapersonal spirituality by use of the FICA self-assessment tool
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
The meaning of spirituality and spiritual care : an investigation of health care professionals', patients' and public's perceptions
No full textEThOS - Electronic Theses Online ServiceGBUnited Kingdo
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