Maintainance of patients' dignity during hospitalization : comparison of staff-patient observations and patient feedback through interviews
- Authors: Henderson, Amanda , Van Eps, Mary Ann , Pearson, Kate , James, Catherine , Henderson, Peter , Osborne, Yvonne
- Date: 2009
- Type: Text , Journal article
- Relation: International Journal of Nursing Practice Vol. 15, no. 4 (2009), p. 227-230
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- Description: Patients' rights such as the need for dignity and respect are essential in the provision of quality care. This exploratory clinical study explored patient dignity within the acute hospital environment through observation of staff-patient interactions and interviews with patients. Dignity can be influenced through two major mediums-maintenance of the physical environment and the communication style of the nurse. The findings identified deviations to ideal practice in the maintenance of the physical environment and communication styles of the nursing staff. Maintenance of dignity and privacy were not identified by patients during the interviews as being under threat despite deviations to ideal practice being observed. Patients possibly accept that 'ideal practice' is not always provided to them because nurses are 'busy', or other factors take precedence in this environment. It is possible that a prevailing culture influences patients' perceptions of whether dignity is maintained.
Achieving cultural safety in Australian Indigenous maternity care
- Authors: Fenton, Catherine , Jones, Linda
- Date: 2015
- Type: Text , Journal article
- Relation: International Journal of Health Sciences (IJHS) Vol. 3, no. 1 (2015), p. 23-38
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- Description: Background: Indigenous populations suffer poorer maternal and infant health across the Australian nation, also affecting populations of SE Australia. Representing less than 2 % of the population in southern Victoria, Indigenous mothers and babies demonstrate disproportionately high healthcare problems, compared with mainstream communities. These worse outcomes provide evidence that midwives and health systems who care for Indigenous mothers and babies are failing them. Aim: The project sought to examine what practices healthcare workers in a maternity service employ to support Indigenous women though maternity care. The aim was to examine where barriers and complexities challenge their practice. Revealing the successful and positive strategies used will be pertinent to how current maternity care provision, can facilitate greater access and quality within services. Method: an ethnographic form of qualitative enquiry was employed to gather data form 9 participants. Findings: This study reinforced the importance of culture, respect, and therapeutic relations for productive communication strategies in an Indigenous maternity service. Conclusion: Improvements in Indigenous maternal healthcare may be found in approaches which utilise cultural safety and support health carer’s working within organisations to address cultural needs of every client.
Holder error bounds and holder calmness with applications to convex semi-infinite optimization
- Authors: Kruger, Alexander , Lopez, Marco , Yang, Xiaoqi , Zhu, Jiangxing
- Date: 2019
- Type: Text , Journal article
- Relation: Set-Valued and Variational Analysis Vol. 27, no. 4 (Dec 2019), p. 995-1023
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- Description: Using techniques of variational analysis, necessary and sufficient subdifferential conditions for Holder error bounds are investigated and some new estimates for the corresponding modulus are obtained. As an application, we consider the setting of convex semi-infinite optimization and give a characterization of the Holder calmness of the argmin mapping in terms of the level set mapping (with respect to the objective function) and a special supremum function. We also estimate the Holder calmness modulus of the argmin mapping in the framework of linear programming.
“I would have stayed home if I could manage it alone”: a case study of Ethiopian mother abandoned by care providers during facility-based childbirth
- Authors: Adinew, Yohannes , Kelly, Janet , Marshall, Amy , Hall, Helen
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of Women's Health Vol. 13, no. (2021), p. 501-507
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- Description: Background: Every woman is entitled to respectful care during pregnancy and childbirth as a basic human right. However, not all women are being treated equally well. Case Presentation: This case study highlights some of the common disrespectful practices that women face. This is a testimony of a 28-year-old mother of two, narrated in her own words. The data were collected during an in-depth interview in November 2019. The interview was conducted in her house and her name has been changed to protect her identity. The interview was audio-taped using a digital voice recorder, later transcribed, and translated verbatim from the local language – Amharic, to English. Conclusion: This woman’s story highlights the unfortunate reality for some women. Five themes emerged from her narrative: denial of care: the provider left her unattended at a critical moment and denied her the care that she came for; non-consented care: she did not consent to the episiotomy; non-dignified care: she was carried by her arms and legs to the delivery couch, and left naked and bleeding on the couch after birth; taking a sick baby home without medical assistance: she was forced to leave the hospital even though her child had breathing difficulties and was not able to suck or breastfeed; and loss of trust in care providers: for her second birth this woman went to a facility where a relative works, as she no longer trusted these providers. © 2021 Mehretie Adinew et al.
Disrespect and abuse during facility‐based childbirth in central Ethiopia
- Authors: Adinew, Yohannes , Hall, Helen , Marshall, Amy , Kelly, Janet
- Date: 2021
- Type: Text , Journal article
- Relation: Global Health Action Vol. 14, no. 1 (2021), p.
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- Description: Background: Respectful maternity care is a fundamental human right, and an important component of quality maternity care. Objective: The aim of this study was to quantify the frequency and categories of D&A and identify factors associated with reporting D&A among women in north Showa zone of Ethiopia. Method: A cross-sectional study was conducted with 435 randomly selected women who had given birth at public health facility within the previous 12 months in North Showa zone of Ethiopia. A digital (tablet-based) structured and researcher administered tool was used for data collection. Frequencies of D&A items organised around the Bowser and Hill categories of D&A and presented in the White Ribbon Alliance’s Universal Rights of Childbearing Women Framework were calculated. Multivariable logistic regression was used to identify the association between experience of disrespect and abuse and interpersonal and structural factors at p-value <0.05 and odds ratio values with 95% confidence interval. Results: All participants reported at least one form of disrespect and abuse during childbirth. Types of disrespect and abuse experienced by participants were physical abuse 435 (100%), non-consented care 423 (97.2%), non-confidential care 288 (66.2%), abandonment/neglect (34.7%), non-dignified care 126 (29%), discriminatory care 99 (22.8%) and detention 24 (5.5%). Hospital birth [AOR: 3.04, 95% CI: 1.75, 5.27], rural residence [AOR: 1.44, 95% CI: 0.76, 2.71], monthly household income less than 1,644 Birr (USD 57) [AOR: 2.26, 95% CI: 1.20, 4.26], being attended by female providers [AOR: 1.74, 95% CI: 1.06, 2.86] and midwifery nurses [AOR: 2.23, 95% CI: 1.13, 4.39] showed positive association with experience of disrespect and abuse. Conclusion: Hospital birth showed consistent association with all forms of disrespect and abuse. Expanding the size and skill mix of professionals in the hospitals, sensitizing providers consequences of disrespect and abuse could promote dignified and respectful care. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
The Continuous Improvement Cultural Responsiveness Tools (CICRT) : creating more culturally responsive social workers
- Authors: Bennett, Bindi , Morse, Claire
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Social Work Vol. 76, no. 3 (2023), p. 315-329
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- Description: Social workers play a pivotal role in addressing equity and diversity within Australia using both culturally responsiveness skills and knowledge. This article describes a research project that resulted in the development of the Continuous Improvement Cultural Responsive Tools that can be used by social workers in their practice. This was a large project conducted over three years, which involved engagement and consultation with Aboriginal and Torres Strait Islander community social workers. The community engagement and consultation process included the provision of cultural governance and participation in interviews. The tools developed are linked to seven key domains (Ngurras) that aim to increase the skills, knowledge, and overall confidence of social work practitioners in their culturally responsive practice. This article discusses the tools that provide a clear structure to guide social workers' critical engagement in becoming more culturally responsive social workers and individuals when working with Aboriginal and Torres Strait Islander Peoples. IMPLICATIONS Social work practices need to address the social injustices faced by Aboriginal Peoples by becoming more culturall responsive. The tools were developed to support social workers in their practice to self-assess their transformation in becoming culturally responsive social workers. Continuous improvement in collaborative and culturally responsive social work will improve services for Aboriginal and Torres Strait Islander Peoples.