The Maternity Care Needs of Refugee and Asylum Seeking Women in Ireland

2003 ◽  
Vol 73 (1) ◽  
pp. 39-53 ◽  
Author(s):  
Patricia Kennedy ◽  
Jo Murphy-Lawless
Keyword(s):  
Maternity Care ◽  
Asylum Seekers ◽  
Original Research ◽  
Care Needs ◽  
Complex Needs ◽  
Feminist Literature ◽  
Refugee Women ◽  
Maternity Hospitals ◽  
Research Findings ◽  
Major Increase

This article presents some of the findings from the original research carried out with asylum seeking and refugee women in Ireland who were pregnant or who had recently given birth. The explosion in numbers in Ireland from 1998 onwards has been such that this group now comprises more than one in five of every birth in the country's three major maternity hospitals, all based in Dublin. The article explores the background reasons for the major increase in recent years of this group of women. It discusses the difficult circumstances encountered by women who must engage with a system of maternity care unused to such complex needs, amidst a general policy climate of uncertainty and even hostility towards asylum seekers. The research findings contribute to the feminist literature on maternity and challenge us to examine the way in which globalization is impacting on women as mothers and the need for challenging Western states anew on the development of a more coherent model of maternity care in response to the needs of such women.

scholarly journals What makes palliative care needs “complex”? A multisite sequential explanatory mixed methods study of patients referred for specialist palliative care

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Anne M. Finucane ◽  
Connie Swenson ◽  
John I. MacArtney ◽  
Rachel Perry ◽  
Hazel Lamberton ◽  
...  
Keyword(s):  
Palliative Care ◽  
Focus Groups ◽  
Healthcare Professionals ◽  
Psychological Needs ◽  
Care Providers ◽  
Specialist Palliative Care ◽  
Care Needs ◽  
Complex Needs ◽  
Sequential Explanatory ◽  
Palliative Care Needs

Abstract Background Specialist palliative care (SPC) providers tend to use the term ‘complex’ to refer to the needs of patients who require SPC. However, little is known about complex needs on first referral to a SPC service. We examined which needs are present and sought the perspectives of healthcare professionals on the complexity of need on referral to a hospice service. Methods Multi-site sequential explanatory mixed method study consisting of a case-note review and focus groups with healthcare professionals in four UK hospices. Results Documentation relating to 239 new patient referrals to hospice was reviewed; and focus groups involving 22 healthcare professionals conducted. Most patients had two or more needs documented on referral (96%); and needs were recorded across two or more domains for 62%. Physical needs were recorded for 91% of patients; psychological needs were recorded for 59%. Spiritual needs were rarely documented. Referral forms were considered limited for capturing complex needs. Referrals were perceived to be influenced by the experience and confidence of the referrer and the local resource available to meet palliative care needs directly. Conclusions Complexity was hard to detail or to objectively define on referral documentation alone. It appeared to be a term used to describe patients whom primary or secondary care providers felt needed SPC knowledge or support to meet their needs. Hospices need to provide greater clarity regarding who should be referred, when and for what purpose. Education and training in palliative care for primary care nurses and doctors and hospital clinicians could reduce the need for referral and help ensure that hospices are available to those most in need of SPC input.

scholarly journals Maternity Care Preferences for Future Pregnancies Among United States Childbearers: The Impacts of COVID-19

2021 ◽  
Vol 6 ◽  
Author(s):  
Theresa E. Gildner ◽  
Zaneta M. Thayer
Keyword(s):  
United States ◽  
Maternity Care ◽  
Community Care ◽  
Insurance Coverage ◽  
The United States ◽  
Care Needs ◽  
Perceived Safety ◽  
Predominately White ◽  
Centered Care ◽  
Future Care

The COVID-19 pandemic has impacted maternity care decisions, including plans to change providers or delivery location due to pandemic-related restrictions and fears. A relatively unexplored question, however, is how the pandemic may shape future maternity care preferences post-pandemic. Here, we use data collected from an online convenience survey of 980 women living in the United States to evaluate how and why the pandemic has affected women’s future care preferences. We hypothesize that while the majority of women will express a continued interest in hospital birth and OB/GYN care due to perceived safety of medicalized birth, a subset of women will express a new interest in out-of-hospital or “community” care in future pregnancies. However, factors such as local provider and facility availability, insurance coverage, and out-of-pocket cost could limit access to such future preferred care options. Among our predominately white, educated, and high-income sample, a total of 58 participants (5.9% of the sample) reported a novel preference for community care during future pregnancies. While the pandemic prompted the exploration of non-hospital options, the reasons women preferred community care were mostly consistent with factors described in pre-pandemic studies, (e.g. a preference for a natural birth model and a desire for more person-centered care). However, a relatively high percentage (34.5%) of participants with novel preference for community care indicated that they expected limitations in their ability to access these services. These findings highlight how the pandemic has potentially influenced maternity care preferences, with implications for how providers and policy makers should anticipate and respond to future care needs.

scholarly journals Invisible Lives: Gender, Dispossession, and Precarity amongst Syrian Refugee Women in the Middle East

Refuge ◽  
2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Nergis Canefe
Keyword(s):  
Asylum Seekers ◽  
Work Experiences ◽  
Life Chances ◽  
Refugee Women ◽  
Syrian Refugee ◽  
Illegal Migrants ◽  
Forced Labour ◽  
Gender Based ◽  
And Gender ◽  
Immigration Management

This article attends to the connections between neo-liberal and neo-developmentalist labour regimes, asylum and immigration management, and the exploitation of undocumented, refugee, and migrant women, based on the experiences of Syrian refugee women in Turkey. The concept of precarity is explored as a selectively applied strategy by states to people who lack “status” or who are unable to benefit from “membership rights.” Forced migrants, illegal migrants, and asylum seekers are directly implicated in highly precarious work experiences at the bottom end of labour markets across the Global South, becoming trapped in forced labour and human trafficking arrangements. The article establishes a link between extreme forms of migrant labour exploitation in precarious life worlds and gender-based profiling of life chances.

scholarly journals Students as Researchers, Collaborators, & End-users: Informing Campus Design

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Amy M. Huber ◽  
Lisa K. Waxman ◽  
Stephanie Clemons
Keyword(s):  
Research Methods ◽  
Interior Design ◽  
Design Problem ◽  
Original Research ◽  
Design Problems ◽  
Campus Design ◽  
Job Opportunities ◽  
Apply Research ◽  
Research Findings ◽  
Integration Strategies

Students in undergraduate design programs often lack opportunity to conduct original research and apply their findings to project solutions. Consequently, they struggle with identifying and framing a design problem, understanding the importance of research-based design, and how to appropriately apply research findings to the needs and desires of project stakeholders. In interior design, this unawareness can lead to design solutions that appeal to the eye, but lack defensible rationale and often do not solve the design problem, or meet user needs. Exposure to research methods and collaborations with practitioners may change how students approach design problems by fostering an empathetic understanding of the human experience.This design case describes a project design at two universities where 72 sophomore and junior students collaborated with furniture manufacturer Herman Miller, Inc. to generate original research before applying their findings to the redesign of informal learning spaces in their campus libraries. Constructivist Learning and Backward Instructional Design, guided the design of the project. The result of this engagement, exposed students to research methods and research integration strategies, who outwardly demonstrated more confidence in making decisions during the design process. While the long-term implications from this type of engagement are not yet evident, encouraging students to ground their design ideas on evidence they have gathered, and their analysis of it, may not only shape their future decision making, but potentially lead to more appropriate client solutions and provide students with coveted job opportunities in positions where evidence-based design is highly valued.

Emotional styles in Russian maternity hospitals: juggling between khamstvo and smiling

2021 ◽  
Author(s):  
Anna Temkina ◽  
Daria Litvina ◽  
Anastasia Novkunskaya
Keyword(s):  
Maternity Care ◽  
Professional Standards ◽  
State Control ◽  
Hybrid Form ◽  
Maternity Hospitals ◽  
Service Oriented ◽  
Consumer Demands ◽  
Emotional Style ◽  
Institutional Challenges

This article explores emotional styles of Russian maternity hospitals and their recent changes. We focus on two emotional practices that characterise different emotional styles: the Soviet-associated emotional practice of khamstvo (rudeness) and the post-Soviet neoliberal practice of smiling. Emotional styles in healthcare in Russia have been transformed under childbearing women’s consumer demands and new professional standards. However, maternity care in Russia has not been changed entirely into a neoliberal capitalist one. It is ruled by both bureaucratic paternalist (including direct state control) and consumerist logics simultaneously. The hybridisation of these logics has led to numerous problems in the coordination of institutional inconsistencies, which in turn cause emotional dissatisfaction of healthcare recipients. Doctors and midwives are expected to cope with these interactional and institutional challenges and consequences. They juggle emotional practices that refer to repertoires of different emotional styles, performing one or another according to their reading of the situation and type of patient (‘extra demanding and aggressive’, ‘miserable’, ‘ignorant and noncompliant’, ‘service-oriented’). We argue that the shift from one emotional style to another is nonlinear and leads to the appearance of a hybrid form that makes both emotional practices of khamstvo and smiling coexist in maternity care.

Coping With the Unexpected in Childbirth: A Thematic Analysis

2021 ◽  
Vol 30 (3) ◽  
pp. 159-167
Author(s):  
Katherine Hinic
Keyword(s):  
Thematic Analysis ◽  
Maternity Care ◽  
Perinatal Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Original Research ◽  
Experience Of Care ◽  
Birth Satisfaction ◽  
Centered Care ◽  
Birth Processes

This article reports original research that describes new mothers' experiences of birth and maternity care. Qualitative data were collected through a survey on birth satisfaction, which included space for women to provide comments about their birth and experience of care. Thirty-nine women provided comments that were analyzed using the thematic analysis method. Two themes emerged from the women's experiences: “Unexpected birth processes: expectations and reality” and “Coping with birth: the role of health-care staff.” Participants described unexpected birthing processes, their experiences of care, and maternity care staff's contributions to coping with birth. Implications for practice for childbirth professionals include promotion of physiologic birth, respectful person-centered care during all phases of perinatal care, and the value of childbirth preparation.

scholarly journals Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017

2018 ◽  
Vol 36 (06) ◽  
pp. 315-322 ◽  
Author(s):  
Jodie Katon ◽  
Laurie Zephyrin ◽  
Anne Meoli ◽  
Avanthi Hulugalle ◽  
Jeane Bosch ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Maternity Care ◽  
Contraceptive Use ◽  
Women Veterans ◽  
High Risk Population ◽  
Original Research ◽  
Sexually Transmitted ◽  
History Of ◽  
Adverse Pregnancy ◽  
The Life Course

AbstractThe literature on the reproductive health and healthcare of women Veterans has increased dramatically, though there are important gaps. This article aims to synthesize recent literature on reproductive health and healthcare of women Veterans. We updated a literature search to identify manuscripts published between 2008 and July 1, 2017. We excluded studies that were not original research, only included active-duty women, or had few women Veterans in their sample. Manuscripts were reviewed using a standardized abstraction form. We identified 52 manuscripts. Nearly half (48%) of the new manuscripts addressed contraception and preconception care (n = 15) or pregnancy (n = 10). The pregnancy and family planning literature showed that (1) contraceptive use and unintended pregnancy among women Veterans using VA healthcare is similar to that of the general population; (2) demand for VA maternity care is increasing; and (3) women Veterans using VA maternity care are a high-risk population for adverse pregnancy outcomes. A recurrent finding across topics was that history of lifetime sexual assault and mental health conditions were highly prevalent among women Veterans and associated with a wide variety of adverse reproductive health outcomes across the life course. The literature on women Veterans' reproductive health is rapidly expanding, but remains largely observational. Knowledge gaps persist in the areas of sexually transmitted infections, infertility, and menopause.

How can experiments play a greater role in public policy? Twelve proposals from an economic model of scaling

2020 ◽  
Vol 5 (1) ◽  
pp. 2-49 ◽  
Author(s):  
OMAR AL-UBAYDLI ◽  
MIN SOK LEE ◽  
JOHN A. LIST ◽  
CLAIRE L. MACKEVICIUS ◽  
DANA SUSKIND
Keyword(s):  
Public Policy ◽  
Experimental Method ◽  
Economic Model ◽  
Large Scale ◽  
Experimental Approach ◽  
Scale Up ◽  
Original Research ◽  
Economic Framework ◽  
Scientific Experiments ◽  
Research Findings

AbstractPolicymakers are increasingly turning to insights gained from the experimental method as a means to inform large-scale public policies. Critics view this increased usage as premature, pointing to the fact that many experimentally tested programs fail to deliver their promise at scale. Under this view, the experimental approach drives too much public policy. Yet, if policymakers could be more confident that the original research findings would be delivered at scale, even the staunchest critics would carve out a larger role for experiments to inform policy. Leveraging the economic framework of Al-Ubaydli et al. (2019), we put forward 12 simple proposals, spanning researchers, policymakers, funders and stakeholders, which together tackle the most vexing scalability threats. The framework highlights that only after we deepen our understanding of the scale-up problem will we be on solid ground to argue that scientific experiments should hold a more prominent place in the policymaker's quiver.

scholarly journals Sex and relationships education for LGBT+ young people: Lessons from UK youth work

Sexualities ◽  
2020 ◽  
Vol 23 (7) ◽  
pp. 1155-1178 ◽  
Author(s):  
Eleanor Formby ◽  
Catherine Donovan
Keyword(s):  
Young People ◽  
Intimate Relationships ◽  
Third Sector ◽  
Original Research ◽  
Youth Work ◽  
Health Issues ◽  
North East ◽  
The North ◽  
School Based ◽  
Research Findings

Lesbian, gay, bisexual and trans (LGBT) inclusive sex and relationships education (SRE) is of growing interest. However, there is a lack of clarity about what LGBT inclusive SRE should/does look like in practice. This article addresses that uncertainty by examining original research findings on innovative youth work based SRE provided within an arts-based project run by a third sector organisation in the North East of England. The research is set within the context of three broad rationales for LGBT inclusive SRE: to support the mental health of LGBT+ young people; to tackle sexual health issues, and to address concerns about sexual encounters and intimate relationships. The article sets out research findings within four main themes concerning: young people’s experiences of formal SRE; young people’s attempts to acquire SRE informally; young people’s experiences of youth work based SRE; practitioners’ experiences of delivering youth work based SRE. It then draws on this data to make the case for dedicated youth work for LGBT+ young people, outlining its potential alongside school-based SRE.

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