Greek mothers' perceptions of their cooperation with the obstetrician and the midwife in the delivery room

Α Ι Μ : The objective of this study was to access the perceptions of mothers of newborns regarding their cooperationwith the midwife and the obstetrician in the delivery room.M A T E R I A L - M E T H O D : The sample consisted of 607 mothers living in Northern Greece. The KuopioInstrument for Mothers (KIM) was used for the data collection.R E S U L T S : All the participants gave birth in a hospital; 403 (66.4%) had vaginal delivery, while 204 (33.6%)gave birth by caesarean section. Women with a vaginal delivery had a better cooperation with the midwife and theobstetrician, in comparison to women who gave birth via caesarean section. The participant mothers had a morepositive experience from their cooperation with the obstetrician than with the midwife.C O N C L U S I O N S : The mothers’ preference for obstetrician’s care than for midwife’s care is probably due tothe commercialisation of gynaecology/obstetrics in Greece, the dramatic increase in the number of obstetriciansover the past decade, and the fact that deliveries carried out solely by midwives have almost disappeared in thecountry. Health policy makers should reinforce the current provision of maternity services and support midwivesto take a more central role during pregnancy, labour, and the postnatal period

Identification of nursing assessment models/tools validated in clinical practice for use with diverse ethno-cultural groups: an integrative review of the literature

<p>Abstract</p> <p>Background</p> <p>High income nations are currently exhibiting increasing ethno-cultural diversity which may present challenges for nursing practice. We performed an integrative review of literature published in North America and Europe between 1990 and 2007, to map the state of knowledge and to identify nursing assessment tools/models which are have an associated research or empirical perspective in relation to ethno-cultural dimensions of nursing care.</p> <p>Methods</p> <p>Data was retrieved from a wide variety of sources, including key electronic bibliographic databases covering research in biomedical fields, nursing and allied health, and culture, e.g. CINAHL, MEDline, PUBmed, Cochrane library, PsycINFO, Web of Science, and HAPI. We used the Critical Appraisal Skills Programme tools for quality assessment. We applied Torraco's definition and method of an integrative review that aims to create new knowledge and perspectives on a given phenomena. To add methodological rigor with respect to the search strategy and other key review components we also used the principles established by the Centre for Reviews and Dissemination.</p> <p>Results</p> <p>Thirteen thousand and thirteen articles were retrieved, from which 53 full papers were assessed for inclusion. Eight papers met the inclusion criteria, describing research on a total of eight ethno-cultural assessment tools/models. The tools/models are described and synthesized.</p> <p>Conclusions</p> <p>While many ethno-cultural assessment tools exist to guide nursing practice, few are informed by research perspectives. An increased focus on the efficiency and effectiveness of health services, patient safety, and risk management, means that provision of culturally responsive and competent health services will inevitably become paramount.</p