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.

Healthcare-associated infections (HAI) in maternity hospitals of Russian Federation (the state of the problem at the beginning of the XXI century)

2021 ◽  
Vol 76 (2) ◽  
pp. 133-141
Author(s):  
Tatiana V. Priputnevich ◽  
Lyudmila A. Lyubasovskaya ◽  
Marina P. Shuvalova ◽  
Elena N. Baibarina ◽  
Gennady T. Sukhikh
Keyword(s):  
Russian Federation ◽  
Maternity Care ◽  
Molecular Genetic ◽  
Genetic Diagnostics ◽  
Healthcare Associated Infections ◽  
Organizational Models ◽  
National Medical ◽  
Maternity Hospitals ◽  
Molecular Genetic Diagnostics ◽  
Healthcare Associated

Over the past decade, the healthcare system of the Russian Federation has undergone progressive changes in the system of maternity care, which relate to the development of infrastructure and the introduction of new organizational models. In particular, a three-level system of providing medical care to mothers and children has been created, including a network of perinatal centers for patients at high perinatal and obstetric risk. Field events of specialists of National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation to the medical organizations of maternity care in various regions of Russia revealed hot spots that require primary attention: acute shortage of staff for the implementation of diagnostic and therapeutic measures at the modern methodological level, as well as for ensuring epidemiological safety in the medical organizations (medical microbiologists (bacteriologists), clinical pharmacologists and epidemiologists); the lack of registration of healthcare-associated infections, which is associated with the prevailing in the country mainly punitive methods of combating hospital infections. In modern conditions of nursing preterm babies, newborns with various severe somatic and surgical pathologies, it is necessary to know the real indicators of morbidity in order to reasonably and promptly carry out therapeutic and preventive measures; the need to organize modern microbiological laboratories in the perinatal centers with the availability of fast methods (proteomic and molecular-genetic) diagnostics, allowing for microbiological monitoring in specialized departments of newborns and promptly respond to the changes in the epidemiological situation in the hospital, to prevent the development of clinically pronounced cases of healthcare-associated infections.

Making Evidence Available for Hospital-Based Midwives: A Systematic Examination of the Content and Methodological Quality of Three Protocols Used in Maternity Hospitals in the Netherlands

2014 ◽  
Vol 4 (4) ◽  
pp. 208-218 ◽  
Author(s):  
Doug J. Cronie ◽  
Marlies Rijnders ◽  
Raymond de Vries ◽  
Simone Buitendijk
Keyword(s):  
The Netherlands ◽  
Maternity Care ◽  
Methodological Quality ◽  
Interprofessional Collaboration ◽  
Evidence Based ◽  
Maternity Hospitals ◽  
Fetal Surveillance ◽  
Implementation And Dissemination ◽  
Agree Framework

BACKGROUND: In recent years, the Dutch have begun to question the safety and efficacy of their maternity care system. Particular concerns have been raised about the quality of care in hospital settings. One way to address concerns regarding quality and efficacy of care is by the introduction and use of evidence-based protocols for practice. The primary aims of this study are to (a) describe the availability and diffusion of protocols in Dutch maternity hospitals, (b) systematically assess the methodological quality of these protocols, and (c) consider the content of the protocols in relation to the best evidence for practice.METHODS: A mailed and Internet questionnaire to all hospitals with maternity facilities in the Netherlands inquiring about the availability, content, and methodological quality of protocols for three situations: hypertensive conditions of pregnancy, fetal surveillance, and postpartum hemorrhage. All protocols were systematically assessed twice. We first assessed the methodological quality of the protocol using the Appraisal of Guidelines Research and Evaluation (AGREE) framework, and we then evaluated protocol content using a framework we developed for this purpose. Protocols were scored using a Likert-type scale.RESULTS: There were 53% (N = 48) of all maternity hospitals in the Netherlands that responded. The methodological quality of protocols we evaluated was poor. Using the AGREE framework, 70% of fetal surveillance protocols could not be recommended. Only 1 protocol from 1 hospital scored strongly recommend. Confusion regarding the definition of a protocol and what it should contain were common problems. There was a general paucity of evidence in the protocols assessed.DISCUSSION: Protocols may not be widely available in Dutch maternity hospitals. Where they are available, the quality is poor. There is no national strategy for coordination, implementation, and dissemination of evidence-based protocols. Because centralization, uniformity, and interprofessional collaboration are known to improve adherence, it would be prudent for maternity care professions to develop and disseminate protocols based on best evidence.

scholarly journals Processo de enfermagem: acolhimento com classificação de risco a gestante

2016 ◽  
pp. 11
Author(s):  
Bruna Mazon e Souza ◽  
Ivanilde Marques da Silva Rocha ◽  
Anderson Luiz da Silva Lima
Keyword(s):  
Literature Review ◽  
Pregnant Women ◽  
Maternity Care ◽  
Risk Classification ◽  
Nursing Process ◽  
Patient Risk ◽  
Risk Rating ◽  
Maternity Hospitals ◽  
Las Mujeres

O Acolhimento com Classificação de Risco (ACCR) é um marcador que permite avaliar o risco do paciente e atender os casos urgentes com prioridade. O objetivo deste estudo foi descrever importância da participação da enfermagem no processo de acolhimento com classificação de risco para gestantes. Trata-se de uma revisão da literatura, utilizando as bases de dados LILACS e SCIELO, foram utilizadas publicações entre 2009 e 2016. O ACCR é um excelente recurso que deve ser utilizado em todas as maternidades, pois permite melhorar o fluxo de atendimento, a superlotação, qualificar e elevar o nível de assistência a gestante. Percebeu-se que a inserção da enfermagem nesse processo gerou diversos benefícios para a maternidade, para os profissionais e para as gestantes. Conclui-se a importância da participação da enfermagem no processo de ACCR para gestantes é algo fundamental por gerar benefícios, qualificar, dignificar e humanizar o atendimento a gestante.Descritores: Acolhimento, Classificação de Risco, Gestante. Nursing process: reception with classification of risk pregnant Abstract: The Reception with Risk Rating (ACCR) is a marker that allows assessment of patient risk and meet the urgent cases with priority. The aim of this study was to describe the importance of nursing participation in the host process with risk classification for pregnant women. This is a literature review, using the LILACS and SciELO databases, publications were used between 2009 and 2016. The ACCR is a great resource that should be used in all maternity hospitals, it allows improving the flow of care, overcrowding, qualify and raise the level of the maternity care. It was felt that the inclusion of nursing in this process generated many benefits for maternity, for professionals and for pregnant women. It follows the importance of nursing participation in ACCR process for pregnant women is fundamental for generating benefits, qualify, dignifying and humanizing the care of pregnant women.Descriptors: Home, Risk Rating, Pregnant. Proceso de enfermería: recepción con clasificación de riesgo embarazada Resumen: La recepción de Calificación de Riesgo (ACCR) es un marcador que permite la evaluación de riesgo del paciente y conoce a los casos urgentes con prioridad. El objetivo de este estudio fue describir la importancia de la participación de la enfermería en el proceso de acogida con clasificación de riesgo para las mujeres embarazadas. Se trata de una revisión de la literatura, utilizando la base de datos LILACS y SciELO, se utilizaron las publicaciones entre 2009 y 2016. El ACCR es un gran recurso que se debe utilizar en todos los hospitales de maternidad, que permite mejorar el flujo de la atención, hacinamiento, calificar y elevar el nivel de la atención de maternidad. Se consideró que la inclusión de la enfermería en este proceso genera muchos beneficios para la maternidad, para los profesionales y para las mujeres embarazadas. De ello se desprende la importancia de la participación de la enfermería en el proceso de ACCR para las mujeres embarazadas es fundamental para la generación de beneficios, calificar, dignificar y humanizar el cuidado de las mujeres embarazadas.Descriptores: Inicio, Calificación de Riesgo, Embarazada.

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 Processo de enfermagem: acolhimento com classificação de risco a gestante

2016 ◽  
Vol 6 (16) ◽  
pp. 11
Author(s):  
Bruna Mazon e Souza ◽  
Ivanilde Marques da Silva Rocha ◽  
Anderson Luiz da Silva Lima
Keyword(s):  
Literature Review ◽  
Pregnant Women ◽  
Maternity Care ◽  
Risk Classification ◽  
Nursing Process ◽  
Patient Risk ◽  
Risk Rating ◽  
Maternity Hospitals ◽  
Las Mujeres

O Acolhimento com Classificação de Risco (ACCR) é um marcador que permite avaliar o risco do paciente e atender os casos urgentes com prioridade. O objetivo deste estudo foi descrever importância da participação da enfermagem no processo de acolhimento com classificação de risco para gestantes. Trata-se de uma revisão da literatura, utilizando as bases de dados LILACS e SCIELO, foram utilizadas publicações entre 2009 e 2016. O ACCR é um excelente recurso que deve ser utilizado em todas as maternidades, pois permite melhorar o fluxo de atendimento, a superlotação, qualificar e elevar o nível de assistência a gestante. Percebeu-se que a inserção da enfermagem nesse processo gerou diversos benefícios para a maternidade, para os profissionais e para as gestantes. Conclui-se a importância da participação da enfermagem no processo de ACCR para gestantes é algo fundamental por gerar benefícios, qualificar, dignificar e humanizar o atendimento a gestante.Descritores: Acolhimento, Classificação de Risco, Gestante. Nursing process: reception with classification of risk pregnant Abstract: The Reception with Risk Rating (ACCR) is a marker that allows assessment of patient risk and meet the urgent cases with priority. The aim of this study was to describe the importance of nursing participation in the host process with risk classification for pregnant women. This is a literature review, using the LILACS and SciELO databases, publications were used between 2009 and 2016. The ACCR is a great resource that should be used in all maternity hospitals, it allows improving the flow of care, overcrowding, qualify and raise the level of the maternity care. It was felt that the inclusion of nursing in this process generated many benefits for maternity, for professionals and for pregnant women. It follows the importance of nursing participation in ACCR process for pregnant women is fundamental for generating benefits, qualify, dignifying and humanizing the care of pregnant women.Descriptors: Home, Risk Rating, Pregnant. Proceso de enfermería: recepción con clasificación de riesgo embarazada Resumen: La recepción de Calificación de Riesgo (ACCR) es un marcador que permite la evaluación de riesgo del paciente y conoce a los casos urgentes con prioridad. El objetivo de este estudio fue describir la importancia de la participación de la enfermería en el proceso de acogida con clasificación de riesgo para las mujeres embarazadas. Se trata de una revisión de la literatura, utilizando la base de datos LILACS y SciELO, se utilizaron las publicaciones entre 2009 y 2016. El ACCR es un gran recurso que se debe utilizar en todos los hospitales de maternidad, que permite mejorar el flujo de la atención, hacinamiento, calificar y elevar el nivel de la atención de maternidad. Se consideró que la inclusión de la enfermería en este proceso genera muchos beneficios para la maternidad, para los profesionales y para las mujeres embarazadas. De ello se desprende la importancia de la participación de la enfermería en el proceso de ACCR para las mujeres embarazadas es fundamental para la generación de beneficios, calificar, dignificar y humanizar el cuidado de las mujeres embarazadas.Descriptores: Inicio, Calificación de Riesgo, Embarazada.

The Advance of the Party: Transformation or Takeover of Urban Grassroots Society?

2013 ◽  
Vol 213 ◽  
pp. 1-18 ◽  
Author(s):  
Patricia M. Thornton
Keyword(s):  
Civil Society ◽  
State Control ◽  
Hybrid Form ◽  
Party Building ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Previous Decade ◽  
National Model ◽  
Party Transformation ◽  
The Impact

AbstractWhile existing scholarship focuses attention on the impact of state control and repression on Chinese civil society, the increasingly independent role of the Communist Party has been largely overlooked. This article reviews the Party's drive to “comprehensively cover” grassroots society over the previous decade against the theoretical debate unfolding among Chinese scholars and Party theoreticians regarding the Party's role with respect to civil society. Focusing on greater Shanghai, frequently cited as a national model of Party-building, I describe the Party's advance and the emergence of Party-organized non-governmental organizations (PONGOs), a new hybrid form of social organization sponsored and supported by local Party committees. I argue that these developments invite a reconsideration of our understandings of the ongoing “associational revolution” and of the Party's relationship to China's flourishing “third realm.”

scholarly journals “Soldiers of the System”: Maternity Care in Russia Between Bureaucratic Instructions and the Epidemiological Risks of COVID-19

2021 ◽  
Vol 6 ◽  
Author(s):  
Anna Ozhiganova
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Maternity Care ◽  
Maternal Care ◽  
Preventive Measures ◽  
Severe Infection ◽  
Control Measures ◽  
Infection Control Measures ◽  
Maternity Hospitals ◽  
Different Types

Preventive measures taken by the Russian maternity care system in response to the COVID-19 pandemic are very tough. Supporting persons (doulas and partners) are being completely excluded from the maternity hospitals. Pregnant women and newborns are distributed in different types of hospitals according to their epidemiological status (confirmed, suspected, contact, or “clear”). Severe infection control measures are introduced for women with confirmed or suspected COVID-19: separation from newborns and weeks of hospital quarantine. How do obstetricians and other perinatal specialists perceive these measures? What strategies do they choose and what new practices are being created? The study is based on interviews conducted between March and August 2020 with obstetricians-gynecologists, midwives, perinatal psychologistsdoulas, and women who gave birth during the pandemic and is focused on their subjective interpretations of COVID-related changes in maternal care. My data indicate that this pandemic with its high risks and uncertainties reveals multiple ethical and organizational conflicts among bureaucratic, managerial and professional logics in Russian health care in which mistrust has played an important role.

Professional Standards in Russia for the Practice of Audiology

2006 ◽  
Vol 33 (Fall) ◽  
pp. 172-181
Author(s):  
Natalia Bezriadina ◽  
Tena L. McNamara ◽  
Susan G. Prendergast
Keyword(s):  
Professional Standards
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