scholarly journals ASK a Midwife: A Qualitative Study Protocol

2021 ◽  
Vol 20 ◽  
pp. 160940692110483
Author(s):  
Nancy I. Stone ◽  
Gill Thomson ◽  
Dorothea Tegethoff

Midwife-led institutions, also called free-standing birth centres, offer birth assistance to women at low risk for complications. Free-standing birth centres, because they are the institutions that provide low intervention birth assistance, also present the possibility to conduct research on the skills and knowledge that are necessary to provide safe care for women who are at low risk for complications desiring an out-of-hospital birth. The aim of this study is to reveal the skills and knowledge necessary to provide care at low intervention births in free-standing birth centres in Germany for midwives post-certification. The theoretical and methodological standpoint of this study is hermeneutic phenomenology. In-depth qualitative methods will be used that are particularly sensitive to the research participants and their social context and allow for complexity, detail and context. The research sites are free-standing birth centres in Germany. Three strands of data will be collected. Each birth centre has its own quality management handbook. From this handbook, the chapter concerning the induction of new midwives will be analysed. Small focus groups will be held in ten birth centres throughout Germany; and data will be collected from 10 to 20 midwives during their induction period at the birth centre. The data collection methods will be open-ended interviews, data capture, journaling and non-participant observation with the new midwives. In-depth data analysis will reveal midwives’ experiences of skill acquisition in free-standing birth centres. The findings will be used to produce key recommendations for training midwives to work in birth centres.

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016960 ◽  
Author(s):  
Marit Hitzert ◽  
Marieke, MAA Hermus ◽  
Inge, IC Boesveld ◽  
Arie Franx ◽  
Karin, KM van der Pal-de Bruin ◽  
...  

ObjectivesTo estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres.DesignEconomic evaluation based on a prospective cohort study.Setting21 Dutch birth centres, 46 hospital locations where midwife-led birth was possible and 110 midwifery practices where home birth was possible.Participants3455 low-risk women under the care of a community midwife at the start of labour in the Netherlands within the study period 1 July 2013 to 31 December 2013.Main outcome measuresCosts and health outcomes of birth for different planned places of birth. Healthcare costs were measured from start of labour until 7 days after birth. The health outcomes were assessed by the Optimality Index-NL2015 (OI) and a composite adverse outcomes score.ResultsThe total adjusted mean costs for births planned in a birth centre, in a hospital and at home under the care of a community midwife were €3327, €3330 and €2998, respectively. There was no difference between the score on the OI for women who planned to give birth in a birth centre and that of women who planned to give birth in a hospital. Women who planned to give birth at home had better outcomes on the OI (higher score on the OI).ConclusionsWe found no differences in costs and health outcomes for low-risk women under the care of a community midwife with a planned birth in a birth centre and in a hospital. For nulliparous and multiparous low-risk women, planned birth at home was the most cost-effective option compared with planned birth in a birth centre.


2019 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Rini Fitria

The title of this research is Multicultural Communication in Maintaining Diversity among People of Diversity in Bengkulu Tengah Regency. The Research Team is: Rini Fitria, Japarudin and Nur Ibrahim. Research problem formulation of how multicultural communication in maintaining harmony between religious communities in Bengkulu Tengah regency. The purpose of this study is exploratory research, answering the formulation of the problem and providing solutions to understanding multicultural communication in maintaining harmony between religious communities in Sunda Kelapa and Abu Sakim villages, Pondok Kelapa subdistrict, Pondok Kelapa district, Bengkulu Tengah district. To examine these problems in depth and thoroughly, researchers used a qualitative approach with a descriptive type. Data collection methods used were participant observation, in-depth interviews and documentation studies. Analysis of the data used is triangulation. The results of the study are 1) Multicultural communication in Sunda Kelapa and Abu Sakim villages in the Cultural and Religious Studies is used effectively by the community. 2) The multicultural communication process in Sunda Kelapa and Abu Sakim villages uses a process of thoughtful sensation, perception, thinking and motivation so that harmony can be maintained well. 3) Multicultural communication in maintaining harmony between religious communities in the villages of Sunda Kelapa and Abu Sakim emphasizes religious tolerance in the form of mutual respect, respect, care, consensus and help.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Bocci ◽  
N Nante ◽  
M Napolitani ◽  
I Scinicariello ◽  
L Kundisova ◽  
...  

Abstract Background A caesarean section (CS) is a life-saving procedure, reducing perinatal mortality and morbidity, over last decades CS rates are increasing. In 2015 the Robson classification (RC) was introduced by WHO as a global standard for assessing, monitoring and comparing CS rates within healthcare facilities and between them. The aim of this cross-sectional study was to identify the most numerous groups according to RC. Methods All women, who delivered by CS from January 2015 to June 2017 in two hospitals in the province of Siena (Italy): I level Birth Centre of Grosseto (GR) and II level Birth Centre of Siena (SI) were included. Age, type of hospital and group based on RC were extracted from Medical Register. The RC divides women into 10 groups based on 5 basic obstetric characteristics (parity, number of foetuses, previous CS, onset of labour, gestational age, foetus presentation). The percentages of the group’s contribution to the overall CS rate were calculated and confronted for two birth centres. All analysis was performed with Stata. Results A total of 2115 women was analysed, 50.5% from SI. Average age was 34.3±5.7; significantly higher for SI (34.7±5.6vs33.9±5.8). Most contributing groups were group V: multiparous, singleton, cephalic, term, with previous CS (24.2%), group II: nulliparous, singleton, cephalic, term, induced labour or CS (24%), group I: nulliparous, singleton, cephalic, term, spontaneous labour (11.45%), group VIII: multiple pregnancy (10.7%) and group X: singleton, cephalic, pre-term (10.4%). Differences for type of birth centre were observed for groups I, II, V and VIII: I and VIII were more numerous in SI, II and V in GR (chi2; p < 0.05). Conclusions The most numerous groups were I, II e V, concordant with literature. Reduction of CS rates in group V could be obtained through lowering of primary CS rates and by promotion of Vaginal Birth After CS. Healthcare professionals could help to reduce labour-related anxiety and elective CS rates. Key messages The most contributing groups to overall caesarean section rates were groups I, II e V, as reported in literature. Reduction of CS rates could be obtained through lowering rates of primary CS, but also by promotion of Vaginal Birth After CS.


2020 ◽  
Vol 30 (5) ◽  
pp. 1283
Author(s):  
Made Dewi Gita Puspita Lestari ◽  
I Gusti Ngurah Agung Suaryana

The research aims to examine the effect of exchange rates on stock returns through profitability. The study was conducted on mining companies listed on the Stock Exchange which numbered 49 companies. Samples were determined by a purposive sampling method totaling 7 companies that were studied for 3 years of observation using quarterly reports, so there are 84 observation datas. Data collection methods and data analysis techniques used are non-participant observation methods and path analysis. The results showed that the exchange rate had a significant negative effect on stock returns and profitability. Profitability has a significant positive effect on stock returns, and exchange rates have indirect influence on stock returns through profitability. Keywords: Stock Returns; Exchange Rates; Profitability.


2014 ◽  
Vol 24 (7-8) ◽  
pp. 1144-1146
Author(s):  
Flora MB Silva ◽  
Sonia MJV Oliveira ◽  
Ruth H Osava ◽  
Fernando Auil ◽  
Debra Bick ◽  
...  

2008 ◽  
Vol 22 (2) ◽  
pp. 184-204 ◽  
Author(s):  
Brad Hill ◽  
B. Christine Green

Modified children’s sport programs are intended to increase opportunities for participation, skill acquisition, satisfaction, and enjoyment. Unfortunately, teams in modified programs sometimes consist of more players than can participate at any one time. Barker and Gump’s (1964) manning theory is used to analyze the effects of a modified children’s soccer program that excludes children from game participation by relegating them to the role of substitutes. Participant observation and interviews with coaches, parents, and players were conducted over 2 seasons. Findings are consistent with propositions from manning theory. Children’s teams provide a better social climate, more skill development, and greater enjoyment and satisfaction when teams are not allocated substitutes. These advantages are not reduced, and are sometimes elevated, when teams must sometimes play short handed. Administrative concerns about the potential risks of fielding teams without substitutes are found to be unwarranted, and the presence of substitutes restricts opportunities for youth-sport organizations to attract and retain members. These findings suggest a framework for the design and maintenance of modified children’s sport.


2021 ◽  
Vol 6 (1) ◽  
pp. 1-10
Author(s):  
Resti Yulia ◽  
Dadan Suryana ◽  
Safrizal Safrizal

This study aims to describe the motives for tantrum behavior in child X in Jorong X, Solok Regency. This study uses a qualitative case study model. The case study model was chosen because this study focused on individual cases, namely the case of tantrum children. The location of this research was conducted in Jorong X in Solok Regency. The research informants were selected by purposive sampling technique with the consideration that the subject was chosen according to the research objectives. Based on this technique, five informants were obtained. The data collection procedure was carried out in three ways, namely open interviews, non-participant observation, and documentation. The data obtained from the collection techniques were analyzed by referring to the Miles and Huberman model which consists of four steps, namely data collection, coding, and sorting of data which are summarized in data reduction, data display, and concluding. Furthermore, guaranteeing the validity of the research data was carried out by using the triangulation technique, namely by combining three data collection methods. The results showed that tantrum behavior characterized by self-harm is a way for child X to make his wishes come true. The emergence of this behavior is supported by the response of parents who are more directing to a permissive pattern to always grant children's requests.


Prologia ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 324
Author(s):  
Shani Indira Natio ◽  
Sinta Paramita

Reputation is an important factor in maintaining a company's success. Having a good reputation means that the company will get many benefits, one of them is consuments loyalty. The existence of Public Relations is the spearhead to maintain the reputation, image, and public trust that will have a positive effect on the company's sustainability. The purpose of this research is to know the efforts of DX Entertainment Public Relations in Maintaining JKT48 Reputation. The theory used in this research is communication theory, public relations, and reputation. The research method uses qualitative with case studies. Data collection methods are obtained through interviews, participant observation , library research, and online data search. Research results show that DX Entertainment applied nine reputation management and public relations have significant influence on JKT48's reputation.Reputasi merupakan faktor penting dalam mempertahankan kelangsungan hidup suatu perusahaan. Memiliki reputasi yang baik akan mendapatkan lebih banyak keuntungan salah satunya loyalitas konsumen. Adanya Public Relations menjadi ujung tombak untuk menjaga reputasi, image, dan kepercayaan publik yang akan memberikan efek positif bagi kelanjutan perusahaan. Tujuan penelitian ini adalah mengetahui upaya Public Relations DX Entertainment Dalam Mempertahankan Reputasi Grup Musik JKT48.Teori yang digunakan dalam penelitian ini adalah teori komunikasi, public relations dan reputasi.Metode penelitian menggunakan kualitatif dengan studi kasus.Metode pengumpulan data didapatkan melalui hasil wawancara, observasi partisipan, studi pustaka, dan penelusuran data online.Hasil penelitian menunjukan bahwa DX Entertainment mengangkat sembilan manajemen reputasi dan public relations memiliki pengaruh yang signifikan terhadap reputasi JKT48.


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