The quality of childbirth care in China: women’s voices: a qualitative study

BACKGROUND: In the context of improved utilisation of health care and outcomes, rapid socio-economic development and health system reform in China, it is timely to consider the quality of services. Data on quality of maternal health care as experienced by women is limited. This study explores women's expectations and experiences of the quality of childbirth care in rural China. METHODS: Thirty five semi-structured interviews and five focus group discussions were conducted with 69 women who had delivered in the past 12 months in hospitals in a rural County in Anhui Province. Data were transcribed, translated and analysed using the framework approach. RESULTS: Hospital delivery was preferred because it was considered safe. Home delivery was uncommon and unsupported by the health system. Expectations such as having skilled providers and privacy during childbirth were met. However, most women reported lack of cleanliness, companionship during labour, pain relief, and opportunity to participate in decision making as poor aspects of care. Absence of pain relief is one reason why women may opt for a caesarean section. CONCLUSIONS: These findings illustrate that to improve quality of care it is crucial to build accountability and communication between providers, women and their families. Ensuring women's participation in decision making needs to be addressed

self-efficacy and parental attachment

Objective: to examine the effects of antenatal education on fear of childbirth, maternal self-efficacy, and maternal and paternal attachment.Design: quasi-experimental study, comparing an antenatal education group and a control group.Participants: 63 pregnant women and their husbands.Measurements: demographic data forms, the Wijma Delivery Expectancy/Experience Questionnaire, the Childbirth Self-Efficacy Inventory, the Maternal Attachment Inventory and the Postnatal Paternal-Infant Attachment Questionnaire were used for data collection.Findings: antenatal education was found to reduce the fear of childbirth and to increase childbirth related maternal self-efficacy. However, antenatal education was found to have no effect on parental attachment.Key conclusions: it is recommended that widespread antenatal education programmes should be provided in developing countries, and the content of the education programme about parental attachment should be increased. Implications for practice: this study found that antenatal education has no influence on maternal and paternal attachment. As such, there is a need to increase the content of the education programme about parental attachment. (C) 2015 Elsevier Ltd. All rights reserved

Turkey

Clinical education has a vital role in nursing curriculum. Clinical education environment can be enhanced by feedbacks provided by students. The purpose of this research was to search factors that affect the clinical learning environment. A qualitative approach was used. 36 nursing students were recruited from school of nursing in Turkey. It was found that students are negatively affected by communication errors and feedbacks given in the presence of patients by instructors. The constant presence of instructors may be the source of stress for some students. Besides peer support and favourable communication with peers have a positive impact on student learning. Communication with hospital staff and instructors are important. The study revealed that student learning is affected by the level of confidence and support displayed by patients. In order to ensure the most favourable learning environment for students, it is essential that cooperation should be increased between school staff and clinical staff, instructor skills should be developed, and students should be supported in the clinical environment. (C) 2015 Elsevier Ltd. All rights reserved

500 Cities Project : local data for better health, 2016 : Pharr, TX

The 500 Cities Project \u2013 Better Health Through Local Data \u2013 is a collaboration between the Robert Wood Johnson Foundation, the CDC Foundation, and the Centers for Disease Control and Prevention (CDC). The purpose of the project is to provide high quality small area estimates for behavioral risk factors that influence health status; for health outcomes; and the use of clinical preventive services. These estimates can be used to identify emerging health problems and to inform development and implementation of effective, targeted public health prevention activities.The CDC Behavioral Risk Factor Surveillance System 2015, 2016 data. The Census Bureau 2010 census population data, American Community Survey 2011-2015 and 2012-2016 estimates. Esri ArcGIS Online basemaps.TX_Pharr_MB_2016-P.pdf201

Living and Coping With Cancer Experiences of Cancer Blog Users in Turkey

The purpose of this study is to describe the experiences of cancer blog users and their coping with difficulties. This qualitative study reviewed posts sent to a cancer blog. A content analysis was employed. The study findings were grouped into 2 major themes: challenges experienced and coping

Nursing as career choice: perceptions of Turkish nursing students

Students' perceptions of nursing influence their choice of nursing as a career and whether they remain in the profession. The aim of this study was to explore the perceptions of entry-level male and female nursing students and the reasons for choosing nursing as a career. A qualitative approach was used by focus group interviews with 31 nursing students, and socio-demographic data were collected by questionnaire. Thematic content analysis was used to analyse the data, and findings were grouped into categories and themes. The first category was choosing', which included the themes of desire to help', satisfactory income, and guaranteed employment', influence of family and friends' and being in a health-related profession'. The second category was others' reactions, which included the single theme response'. The third category was the image of nursing' which included the themes of job description' and gender'. The study concluded that although a growing amount of male students are enrolling in nursing programs, stereotypical ideas persist, and nursing is considered a female-dominated profession. There is further need to track student experiences during or after clinical practice and explore whether students' perceptions change over time

Turkish women's perceptions of antenatal education

Background

Students' Locus of Control and Problem-Solving Skills

Purpose The purpose of this study is to compare the locus of control and problem-solving skills of nursing students studying with the problem-based learning method with those of nursing students studying with the traditional method. Methods This is a descriptive and comparative study. For data collection, the Problem-Solving Skills Inventory and the Locus of Control Scale were used. The study sample included 680 nursing students. Conclusions It was determined that the problem-based learning method was more effective in the development of problem-solving skills and internal locus of control than was the traditional method. Amac Bu calmann amac probleme dayal orenme modeliyle ve geleneksel yontemle eitim goren hemirelik orencilerinde problem cozme becerileri ve kontrol odann karlatrlmasdr. Yontem Aratrma tanmlayc ve karlatrmaldr. Veri toplamada Problem Cozme Becerileri Envanteri ve Kontrol Oda olcei kullanlmtr. Aratrmann orneklemini 680 hemirelik orencisi oluturmutur. Sonuc Probleme dayal orenme modelinin geleneksel modele gore problem cozme becerilerini ve ic kontrol odan gelitirilmesi yonunden daha etkili olduu belirlenmitir

Assessment of Survivor Concerns Scale

Objectives: This study aims to test the validity and reliability of the Assessment of Survivor Concerns Scale (ASC) adapted to Turkish.Methods: This research is a methodological study of 200 people. Data were collected from November to December 2018, through a social media account of a cancer-oriented association and those who had been diagnosed and treated for cancer for at least a year, at least primary school graduates and individuals over the age of 18 years. For validity analysis, language equivalence, scope validity, exploratory and confirmatory factor analysis were used. For reliability, internal consistency, item-area and test-retest were used. Data were analyzed with SPSS V22.0 and LISREL 8.8 programs.Results: According to the exploratory factor analysis; the factor loads of the scale items and the total variance explained were sufficient, according to the confirmatory factor analysis the fit indexes were found to be at a desired level. For the reliability analysis; Cronbach's alpha internal consistency coefficient was highly reliable, each item represented the scale, according to item total score correlations each item was strongly or very strongly related to the scale and four weeks later the re-test given to the 50 survivors was found to be highly reliable.Conclusion: The Assessment of Survivor Concerns Scale has been determined to be a suitable and valid-reliable measurement tool for use in Turkish society.C1 [Sercekus, Pinar; Vardar, Okan] Pamukkale Univ, Fac Hlth Sci, Dept Nursing Obstet & Gynecol Nursing, Denizli, Turkey.[Baskale, Hatice] Pamukkale Univ, Fac Hlth Sci, Dept Nursing Child Hlth & Dis Nursing, Denizli, Turkey