Ruffled Feathers: Shared narratives in the sage-grouse management conflict in Sublette County, Wyoming

The tense conflict over sage grouse management in the West, where livelihoods have been pitted against the possibility of an endangered species listing, has been ongoing for many years and has been described as being as tense as the spotted owl conflict in the Northwest in the 1990s. This research is designed to highlight the different frames or narratives within the sage grouse debate in Sublette County, Wyoming while exploring a resurging research methodology. Q methodology, a method intended to identify distinct viewpoints within a sample was employed to understand the different narratives among these conflict parties. The Q method suggested three distinct viewpoints or knowledge communities existed within the sample: ultra locals, classic biologists and harmonizers. Ultra locals largely consisted of ranchers (75%) and others dependent on the land for their livelihood and showed a strong preference for local county management that included local information. The narratives of the classic biologists, a group consisting solely of biologists working for agencies, consulting firms and conservation organizations, preferred that science and research point the way to a solution. Finally, agency biologists and energy industry employees made up the final group identified, the harmonizers. This group favored working with all stakeholders to work together to build a solution. A number of areas of agreement including the lack of support for an ESA listing, and disagreement such as the role of predators on sage grouse populations were highlighted. To move forward on the conflict, this research suggests that instead of pursuing issues that may only serve to increase the conflict, such as issues of predators or sources of knowledge, a path forward may be found in merging the livelihood interests of ranchers with the preservation interests of biologists. Results also show that the Q method was helpful in pinpointing distinct viewpoints on sage grouse management in Sublette County; however, without the use of an in-depth interview, the Q method results may have been difficult to clearly and meaningfully interpret

Development of the Migrant Friendly Maternity Care Questionnaire (MFMCQ) for migrants to Western societies: an international Delphi consensus process

Background Through the World Health Assembly Resolution, ‘Health of Migrants’, the international community has identified migrant health as a priority. Recommendations for general hospital care for international migrants in receiving-countries have been put forward by the Migrant Friendly Hospital Initiative; adaptations of these recommendations specific to maternity care have yet to be elucidated and validated. We aimed to develop a questionnaire measuring migrant-friendly maternity care (MFMC) which could be used in a range of maternity care settings and countries. Methods This study was conducted in four stages. First, questions related to migrant friendly maternity care were identified from existing questionnaires including the Migrant Friendliness Quality Questionnaire, developed in Europe to capture recommended general hospital care for migrants, and the Mothers In a New Country (MINC) Questionnaire, developed in Australia and revised for use in Canada to capture the maternity care experiences of migrant women, and combined to create an initial MFMC questionnaire. Second, a Delphi consensus process in three rounds with a panel of 89 experts in perinatal health and migration from 17 countries was undertaken to identify priority themes and questions as well as to clarify wording and format. Third, the draft questionnaire was translated from English to French and Spanish and back-translated and subsequently culturally validated (assessed for cultural appropriateness) by migrant women. Fourth, the questionnaire was piloted with migrant women who had recently given birth in Montreal, Canada. Results A 112-item questionnaire on maternity care from pregnancy, through labour and birth, to postpartum care, and including items on maternal socio-demographic, migration and obstetrical characteristics, and perceptions of care, has been created - the Migrant Friendly Maternity Care Questionnaire (MFMCQ) – in three languages (English, French and Spanish). It is completed in 45 minutes via interview administration several months post-birth. Conclusions A 4-stage process of questionnaire development with international experts in migrant reproductive health and research resulted in the MFMCQ, a questionnaire measuring key aspects of migrant-sensitive maternity care. The MFMCQ is available for further translation and use to examine and compare care and perceptions of care within and across countries, and by key socio-demographic, migration, and obstetrical characteristics of migrant women

Traumatic brain injury : integrated approaches to improve prevention, clinical care, and research

Rahul Raj on työryhmän InTBIR Participants Investigators jäsen.Peer reviewe