to gain insight into the experiences of women, partners and midwives who participated in the Complementary Therapies for Labour and Birth Study, an evidence based complementary medicine (CM) ...antenatal education course.
qualitative in-depth interviews and a focus group as part of the Complementary Therapies for Labour and Birth Study.
thirteen low risk primiparous women and seven partners who had participated in the study group of a randomised controlled trial of the complementary therapies for labour and birth study, and 12 midwives caring for these women. The trial was conducted at two public hospitals, and through the Western Sydney University in Sydney, Australia.
the Complementary Therapies for Labour and Birth (CTLB) protocol, based on the She Births® course and the Acupressure for labour and birth protocol, incorporated six evidence-based complementary medicine (CM) techniques; acupressure, relaxation, visualisation, breathing, massage, yoga techniques and incorporated facilitated partner support. Randomisation to the trial occurred at 24–36 weeks’ gestation, and participants attended a two-day antenatal education programme, plus standard care, or standard care alone.
the overarching theme identified in the qualitative data was making sense of labour and birth. Women used information about normal birth physiology from the course to make sense of labour, and to utilise the CM techniques to support normal birth and reduce interventions in labour. Women's, partners’ and midwives’ experience of the course and its use during birth gave rise to supporting themes such as: working for normal; having a toolkit; and finding what works.
the Complementary Therapies for Labour and Birth Study provided women and their partners with knowledge to understand the physiology of normal labour and birth and enabled them to use evidence-based CM tools to support birth and reduce interventions.
the Complementary Therapies for Labour and Birth Study introduces concepts of what constitutes normal birth and provides skills to support women, partners and midwives. It appears to be an effective form of antenatal education that supports normal birth, and maternity services need to consider how they can reform current antenatal education in line with this evidence.
•Complementary therapies antenatal education course supports normal labour and birth.•Overarching explanatory theme for study was Making sense of labour and birth.•Women and midwives showed increased confidence in working for normal birth.•Women and partners found they had a toolkit of CM techniques to manage normal birth.•Couples and midwives were able to draw from CM techniques that worked on the day.
In environmental impact assessment, qualitative methods are used because they are versatile and easy to apply. This methodology is based on the evaluation of the strength of the impact by grading a ...series of qualitative attributes that can be manipulated by the evaluator. The results thus obtained are not objective, and all too often impacts are eliminated that should be mitigated with corrective measures. However, qualitative methodology can be improved if the calculation of Impact Importance is based on the characteristics of environmental factors and project activities instead on indicators assessed by evaluators. In this sense, this paper proposes the inclusion of the vulnerability of environmental factors and the potential environmental impact of project activities. For this purpose, the study described in this paper defined Total Impact Importance and specified a quantification procedure. The results obtained in the case study of oil drilling in Colombia reflect greater objectivity in the evaluation of impacts as well as a positive correlation between impact values, the environmental characteristics at and near the project location, and the technical characteristics of project activities.
•Concept of vulnerability has been used to calculate the importance impact assessment.•This paper defined Total Impact Importance and specified a quantification procedure.•The method includes the characteristics of environmental and project activities.•The application has shown greater objectivity in the evaluation of impacts.•Better correlation between impact values, environment and the project has been shown.
Accessible summary
Evidence shows immigrant and refugee women experience difficulties in accessing care and treatment for postpartum depression.
Thirty in‐depth interviews were carried out to obtain ...information about the immigrant and refugee women's postpartum depression experiences.
Main purpose was to explore how broader background factors influence the ways in which these women seek help to manage postpartum depression.
Results show immigrant and refugee women experience many complex gender‐related problems. Poverty, immigration status, discrimination, and poor spousal relationships and support can all directly affect a woman's access to healthcare services. Emotional and economic dependence may leave women vulnerable in protecting themselves against postpartum depression.
Additional research is needed to further our understanding about immigrant and refugee women's postpartum health, their social support needs, the barriers they experience and their treatment preferences.
The number of migrants arriving in Canada from non‐European countries has grown significantly over the past three decades. How best to assist these escalating numbers of immigrant and refugee women to adapt to their new environment and to cope with postpartum depression (PPD) is a pressing issue for healthcare providers. Evidence has shown that immigrant and refugee women experience difficulties in accessing care and treatment for PPD. This qualitative study was conducted with 30 immigrant and refugee women using in‐depth interviews to obtain information about the women's PPD experiences. The primary aim was to explore how cultural, social, political, historical and economic factors intersect with race, gender and class to influence the ways in which immigrant and refugee women seek help to manage PPD. Results reveal that immigrant and refugee women experience many complex gender‐related challenges and facilitators in seeking equitable help for PPD treatment and prevention. We will demonstrate that (a) structural barriers and gender roles hinder women's ability to access necessary mental healthcare services and (b) insecure immigration status coupled with emotional and economic dependence may leave women vulnerable and disadvantaged in protecting themselves against PPD.
This study seeks to know the conceptions that the students of the second cycle of Obligatory Secondary Education (ESO) maintain about LGTBI identities and corporalities. Thus, we have used a ...qualitative methodology. As a data collection technique, we implemented 20 semi-structured interviews with 69 3rd and 4th ESO students from two Secondary Education Schools during the 2014/15 academic year. The analysis of the data has been carried out through coding process. The results show that the exclusionary behaviors (heterocentrism, ciscentrism and binarism of sex) and discriminatory behaviors (homophobia, transphobia and interphobia) are very present in the students. On the contrary, the egalitarian and respectful concepts emerged were scarce. We conclude that students, despite being in the final stage of their obligatory schooling stage, maintain values and attitudes far from the equality of rights and opportunities of non-heterosexual, trans and intersex people. This makes visible the need to work against them through a democratic, critical and inclusive education.
En este trabajo nos proponemos conocer las concepciones que mantiene el alumnado de segundo ciclo de Educación Secundaria Obligatoria (ESO) sobre las identidades y corporalidades LGTBI. Para ello, hemos empleado una metodología de corte cualitativo. Como técnica de recogida de datos hemos realizado 20 entrevistas semiestructuradas en profundidad con 69 alumnos y alumnas de 3º y 4º de ESO de dos Institutos de Educación Secundaria durante el curso académico 2014/15. El análisis de los datos se ha llevado a cabo a través de la técnica de codificación. Los resultados muestran que las conductas excluyentes (heterocentrismo, ciscentrismo y binarismo de sexo) y discriminatorias (homofobia, transfobia e interfobia) se encuentran muy presentes en el alumnado. Por el contrario, las concepciones igualitarias y de respeto emergidas resultaron escasas. Concluimos que el estudiantado, pese a encontrarse en el tramo final de su etapa de escolarización obligatoria, mantiene valores y actitudes alejados de la igualdad de derechos y oportunidades de las personas no-heterosexuales, trans e intersexuales, visibilizándose la necesidad de trabajar contra estos a través de una educación de carácter democrática, crítica e inclusiva.
The purpose of this article is to gain an increased understanding of the role of child welfare in relation to the child-trafficking population. Fifteen service providers, from multidisciplinary ...backgrounds, working in the community with victims of child trafficking were interviewed through individual, semi-structured interviews. Exploratory in nature, this study employed a phenomenological methodology. The coding and analysis of data was conducted through Atlas.ti. The findings in this study suggest that there are barriers between service providers and the child welfare system that are experienced in a lack of identification of victims and in the areas of collaboration and funding of services. Recommendations for practice, policy, and research include transparency, education between system and community, shared input in case decision making, and future exploration of the experiences of caseworkers.
The biographical-narrative interview has been touted as a conduit for 'giving voice' to disempowered groups and individuals. On account of this strength, a biographical-narrative approach was chosen ...for an investigation into the cultural identity constructions of intercountry adoptees in Australia. However, while yielding rich and detailed accounts of participants' lives, the method also facilitated the telling of 'unexpected stories' that did not conform to the researcher's expectations. This paper reports on these unanticipated findings and the methodological insights they prompted. In light of these insights, the paper argues that doing justice to participants' voices involves three imperatives: an explicit recognition of the multi-voiced and co-constructed nature of academic storytelling; sustained reflexivity during the analysis and writing of participant narratives; and the pursuance of 'socially just' acts of representation. From this perspective, the aim of biographical-narrative research should not be to 'give voice', but instead to produce deeper, more complex accounts of phenomena that change for the better those who tell, hear, and interpret biographical narratives.
This article studies the perceptions that Chilean children and adolescents hold about the personal and distinctive qualities of their relationships in both the school and neighborhood contexts ...associated with the experience of well-being using a qualitative methodological framework. It takes as its foundation the relevance of studying well-being from an ecological perspective to help identify and differentiate the processes and dynamics that take place in the multiple contexts of daily life and delves into their effects on the well-being experience of children and adolescents. A sample of 21 children and adolescents between the ages of 10 and 15 was used to obtain the data through semi-structured interviews and then analyzed by thematic, which identified five categories associated with the relationships the participants have at schools and in the neighborhoods that affect their well-being. The categories are organized according to their characteristics and properties along a continuum between well-being and dissatisfaction. One conclusion is that feeling a sense of belonging, closeness, support and safety both among peers and with adults in the school and neighborhood contexts is pertinent to the well-being of the children and adolescents. Another key finding is the importance of motivating and entertaining teaching–learning relationships in school settings, as well as feeling pleased and satisfied with the physical and material conditions of their neighborhoods and schools.
Achieving HIV prevention goals will require successful engagement in each stage of the HIV continuum. The present study sought to understand the ways in which socio-structural factors influence HIV ...care engagement among people living with HIV (PLH) within the context of the ongoing COVID-19 pandemic. Twenty-five PLH were recruited from January to October 2021. Semi-structured interviews discussed various socio-contextual factors that influenced engagement in HIV-related care as a result of the pandemic. A thematic content analysis reported semantic level themes describing factors influencing HIV care following an integrated inductive-deductive approach. Qualitative analysis revealed three themes that either supported or hindered engagement in care within the context of the COVID-19 pandemic: (1) social determinants of health, (2) social support, and (3) modes of healthcare delivery. The results underscore the need to assess sociostructural factors of health as means to promote successful engagement in the HIV care continuum and shed new insights to guide future practice in the era of COVID-19.
Although faculty design Master of Science in Nursing courses to help students acquire knowledge in practice, evidence gaps exist in the literature. The purpose of this study was to describe problems ...identified by practicing graduate nursing students, match them with themes from the National Institute of Nursing Research, determine if sufficient published literature exists to guide research-based interventions, and identify gaps.
Using the National Institute's research themes as the framework, 215 de-identified student papers were selected using two courses—a research methods/biostatistics and an ethics course. The Krippendorff method was used to identify practice-based problems and research-based interventions with gaps in the literature.
Students identified pain, sleep difficulties, delirium, falls, hospital-acquired infections, noise, hypothermia, and stress as priority practice-based problems.
A lack of clear or administratively enforced clinical guidelines or educational strategies was identified as an area with information gaps in the literature.
•Carefully designed MSN assignments can create a bridge between academic and professional nurses who practice.•MSN students identified pain, inadequate sleep, delirium, falls, hospital-acquired infections, noise, and stress as priority practice-based problems.•A lack of clear clinical guidelines or of universally accepted administrative enforcement of guidelines in these areas is evident and was identified as a gap in the literature.
This article analyzes the challenges faced by the inhabitants of the island of Rapa Nui in connection with climate change-related environmental and socio-economic problems, and the survival of the ...islanders’ cultural identity and their very sustainability. A qualitative research methodology was adopted, using observation and in-depth interviews within a life course approach. An innovative and creative methodology was employed, cross-referencing and comparing data from 2011 and 2020. This methodology has led to the further strengthening of a new concept in sociology and the social sciences in general: profiguration (intergenerational and interdependent socialization). Based on the results of this study, some analytically robust descriptions were made of the socio-cultural and environmental situation in Rapa Nui, and of an increasingly sustainable social development model. It is a model of social development that is on the way to being sustainable, intercultural, intergenerational, and promoted by the community.
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