Dads doing diapers: Individual and relational outcomes associated with the division of childcare across the transition to parenthood.

This longitudinal study examined how relative contributions to the division of childcare are related to individual and relational outcomes across the first two years of the transition to parenthood. Data were collected from a large sample of first-time parents 6 weeks before the birth of their child and then at 6, 12, 18, and 24 months postpartum. The results revealed that certain individual differences—especially gender and attachment avoidance—shape individual reactions to childcare, above and beyond the proportion of childcare tasks that partners report completing. Women and less avoidantly attached new parents handle the introduction of childcare tasks better than most men, especially those who are more avoidantly attached. In addition, certain reactions to childcare, such as childcare self-efficacy and perceptions of work-family conflict, moderate the relation between childcare contributions and relationship satisfaction over the course of the transition. We also discuss the need for more research on men’s adjustment during this particularly stressful transition

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents

<p>Abstract</p> <p>Background</p> <p>Even though electronic prescribing systems are widely advocated as one of the most effective means of improving patient safety, they may also introduce new risks that are not immediately obvious. Through the study of specific incidents related to the processes involved in the administration of medication, we sought to find out if the prescribing system had unintended consequences in creating new errors. The focus of this study was a large acute hospital in the Midlands in the United Kingdom, which implemented a Prescribing, Information and Communication System (PICS).</p> <p>Methods</p> <p>This exploratory study was based on a survey of routinely collected medication incidents over five months. Data were independently reviewed by two of the investigators with a clinical pharmacology and nursing background respectively, and grouped into broad types: sociotechnical incidents (related to human interactions with the system) and non-sociotechnical incidents. Sociotechnical incidents were distinguished from the others because they occurred at the point where the system and the professional intersected and would not have occurred in the absence of the system. The day of the week and time of day that an incident occurred were tested using univariable and multivariable analyses. We acknowledge the limitations of conducting analyses of data extracted from incident reports as it is widely recognised that most medication errors are not reported and may contain inaccurate data. Interpretation of results must therefore be tentative.</p> <p>Results</p> <p>Out of a total of 485 incidents, a modest 15% (n = 73) were distinguished as sociotechnical issues and thus may be unique to hospitals that have such systems in place. These incidents were further analysed and subdivided into categories in order to identify aspects of the context which gave rise to adverse situations and possible risks to patient safety. The analysis of sociotechnical incidents by time of day and day of week indicated a trend for increased proportions of these types of incidents occurring on Sundays.</p> <p>Conclusion</p> <p>Introducing an electronic prescribing system has the potential to give rise to new types of risks to patient safety. Being aware of these types of errors is important to the clinical and technical implementers of such systems in order to, where possible, design out unintended problems, highlight training requirements, and revise clinical practice protocols.</p

Dads doing diapers: Individual and relational outcomes associated with the division of childcare across the transition to parenthood.

This longitudinal study examined how relative contributions to the division of childcare are related to individual and relational outcomes across the first two years of the transition to parenthood. Data were collected from a large sample of first-time parents 6 weeks before the birth of their child and then at 6, 12, 18, and 24 months postpartum. The results revealed that certain individual differences—especially gender and attachment avoidance—shape individual reactions to childcare, above and beyond the proportion of childcare tasks that partners report completing. Women and less avoidantly attached new parents handle the introduction of childcare tasks better than most men, especially those who are more avoidantly attached. In addition, certain reactions to childcare, such as childcare self-efficacy and perceptions of work-family conflict, moderate the relation between childcare contributions and relationship satisfaction over the course of the transition. We also discuss the need for more research on men’s adjustment during this particularly stressful transition

Growth Rates of Infants Randomized to Continuous Positive Airway Pressure or Intubation After Extremely Preterm Birth.

Objective To evaluate the effects of early treatment with continuous positive airway pressure (CPAP) on nutritional intake and in-hospital growth rates of extremely preterm (EPT) infants. Study design EPT infants (240/7-276/7 weeks of gestation) enrolled in the Surfactant Positive Airway Pressure and Pulse Oximetry Trial (SUPPORT) were included. EPT infants who died before 36 weeks of postmenstrual age (PMA) were excluded. The growth rates from birth to 36 weeks of PMA and follow-up outcomes at 18-22 months corrected age of EPT infants randomized at birth to either early CPAP (intervention group) or early intubation for surfactant administration (control group) were analyzed. Results Growth data were analyzed for 810 of 1316 infants enrolled in SUPPORT (414 in the intervention group, 396 in the control group). The median gestational age was 26 weeks, and the mean birth weight was 839 g. Baseline characteristics, total nutritional intake, and in-hospital comorbidities were not significantly different between the 2 groups. In a regression model, growth rates between birth and 36 weeks of PMA, as well as growth rates during multiple intervals from birth to day 7, days 7-14, days 14-21, days 21-28, day 28 to 32 weeks PMA, and 32-36 weeks PMA did not differ between treatment groups. Independent of treatment group, higher growth rates from day 21 to day 28 were associated with a lower risk of having a Bayley-III cognitive score Conclusions EPT infants randomized to early CPAP did not have higher in-hospital growth rates than infants randomized to early intubation