1,721,010 research outputs found

    A reproductive rights framework supporting law reform on termination of pregnancy in the Northern Territory of Australia

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    This article describes the reproductive rights framework underpinning the campaign to reform the law on termination of pregnancy in the period 2013 to 2017 in the Northern Territory of Australia. We begin by outlining the pre-reformed legislation governing abortion in the NT. We then evaluate the reformed 2017 law using the typology established by Cook and Ngwena,[1] namely: (1) whether the law provides evidence-based access to health care; (2) whether it provides transparent access to health care; and (3) whether it provides fair access to health care. We finish by remarking on the continuing problems with the legislation and conclude that only complete decriminalisation will fulfil Australia’s commitments under the Convention on the Elimination of All Forms of Discrimination Against Women (‘CEDAW’) and other human rights instruments

    Factor analysis to validate a survey evaluating cultural competence in maternity care for Indigenous women

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    Objective: This research set out to develop and validate a tool to assess the self-reported progress of Australian publicly funded maternity services towards the goal of culturally competent maternity care for Indigenous women. The tool aimed to measure the degree to which these services had incorporated actions towards achieving 14 identified characteristics into the current fabric of their organisation. Design: An online exploratory survey was distributed to consenting respondents nationally. Setting: Public maternity services in each State and Territory of Australia. Subjects: The survey was distributed to 149 public maternity organisations, with 85 organisational consents and 44 respondents completing the survey. Main outcome measure: Construct validity of a survey designed to describe progress in working towards organisational cultural competence in maternity services was assessed by principal factor analysis and varimax with Kaiser rotation. Results: The results support the two subscales identified as appropriate groups of questions to address 1) assessment of cultural competence and 2) assessment of the survey. Reliability was assessed by Cronbach’s reliability and results established evidence of a reliable survey. Conclusion: The results of this study show that the survey assessing and identifying organisational cultural competence in public maternity care for Indigenous women demonstrated acceptable reliability and validity for a newly developed instrument. Responses to the survey provided participants of this study with a baseline for assessing further progress. Upon further testing and refinement, the survey can provide a validated tool to guide both national and local activity to improve the maternity experiences of Indigenous women

    International midwifery focus on Bali, Indonesia

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    A recent innovative project between Charles Darwin University (CDU) and Polytechnik and Kardini University, Denpasar has enhanced collaboration and collegiality between both academics and midwifery students in both countries. International collaborations have been duly noted by universities as a way of connecting both staff and students from different backgrounds (Spencer-Oatey, 2012)

    Editorial : the role of editors and reviewers

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    The roles of editor and reviewer for Women and Birth are both interesting and rewarding, but very different. This editorial will provide information about the specific aspects of these roles which are vital to the quality of the journal. Editors are appointed to the journal for a two-year term, while reviewers remain with the journal for as long as is mutually beneficial. We currently have one Editor In-Chief, one Deputy Editor and 18 Associate Editors

    Nursing assessment : reproductive system

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    The reproductive system of both males and females consists of primary (or essential) organs and secondary (or accessory) organs. The primary reproductive organs are referred to as gonads . The female gonads are the ovaries; the male gonads are the testes. The main responsibility of the gonads is secretion of hormones and production of gametes (ova and sperm). Secondary (or accessory) organs are responsible for (1) transporting and nourishing the ova and sperm, and (2) preserving and protecting the fertilised eggs. Secondary (accessory) organs are discussed in the male and female reproductive portions of this chapter

    The Exploring Student Midwives' Experiences (ESME) project – NSW

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    The Exploring Student Midwives' Experiences project (ESME) is a body of work to help progress improving the experiences of student midwives. This work was commissioned by the Nursing and Midwifery Office, NSW Health and is a joint initiative with University of the West of Scotland, School of Nursing and Midwifery, Centre for Nursing and Midwifery Research, Nepean Hospital, Western Sydney University and three other local health districts including South Eastern Sydney (St George Hospital), Western Sydney (Blacktown Hospital) and Hunter New England Health (John Hunter). The research used an appreciative inquiry approach that enabled the research team to discover what matters and works well at present in the student midwife experience from the perspective of student midwives and midwives and to use this knowledge to create enhanced experiences in the future

    National Stocktake of Organisational Cultural Competence in Public Maternity Care for Aboriginal and Torres Strait Islander Women 2016-2017

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    This report was commissioned by the Australian Health Ministers Advisory Council (AHMAC) to provide a National Stocktake of the progress that public (government) maternity services have made towards improving the experiences of Aboriginal and Torres Strait Islander women when accessing antenatal, birthing and postnatal care. The project was undertaken by the Northern Territory Department of Health Office of the Chief Nursing and Midwifery Officer. The National Stocktake was underpinned by three key aims. The first aim was to assess the degree to which 14 previously identified characteristics of effective culturally competent care (Kruske, 2012) have been incorporated into the fabric of maternity services nationally. The second aim was to raise health service organisational awareness of how to work towards creating a culturally safe environment for Aboriginal and Torres Strait Islander women. The third aim was to validate a tool for the cyclic assessment of progress as a driver for implementing positive change. This executive summary provides an overview of the outcomes in respect to each of these aims

    Barriers and facilitators for women academics seeking promotion : perspectives from the inside

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    In this paper, we discuss findings from a research project in which barriers to and facilitators for promotion with women academics were explored. Four focus groups of women academics at an Australian university were held. Data including responses to semi-structured questions were analysed and interpreted using coding and thematic analysis. We found that multiple barriers and facilitators still exist in the university sector for women applying for promotion, covering structural, organisational, and individual levels. The barriers for promotion included workloads and huge expectations, the multi-pronged promotion process, competition, not being valued, juggling family life and not wanting to risk happiness. Facilitators for promotion included mentoring and collaborative nurturing, giving back to others including the university and flexibility

    Nursing management : female reproductive problems

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    Infertility is the inability to conceive after at least 1 year of regular unprotected intercourse.1 During their reproductive years, approximately 1 in 6 couples in Australia and New Zealand take longer than 1 year to achieve a planned pregnancy. Assessment and therapy measures can be invasive, expensive, lengthy and emotionally stressful, so it is important that investigations and treatment only occur after a thorough history and assessment

    Midwives knowledge and education/training in complementary and alternative medicine (CAM) : a national survey

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    Despite the proliferation of research exploring complementary and alternative medicine (CAM) use in maternity care and midwifery practice, there is a gap on midwives’ level of CAM knowledge and education/training. This national survey investigated Australian midwives’ knowledge and education/training in CAM. A total of 571 midwives completed the survey (16%). Over half (54.3%) had some level of CAM education/ training (self-learning to diploma) and with multiple CAM modalities. The top four modalities that midwives had received education/training were acupressure (66.5%), aromatherapy (60.3%), massage (45.5%), and reflexology (37.7%). There was a significant correlation between midwives attending a CAM workshop with competency-assessment (p < 0.000) and confidence to discuss CAM options with pregnant women compared with participants who have not. There are no other health-related therapies used by women consumers with such frequency where clinicians are not expected to have baseline knowledge and understanding. Midwifery education programs need to include evidence-based information on CAM modalities
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