"Doing" is never enough, if "being" is neglected: exploring midwives' perspectives on the influence of an emotional intelligence education programme: a qualitative study. [Article]

The role of the midwife is emotionally demanding, with many midwives experiencing high levels of stress and burnout, and a great number considering leaving the profession. This has serious implications for the delivery of high-quality, safe maternity care. One of the major factors leading to job dissatisfaction is the conflict between midwives' aspiration of truly 'being' with the woman and the institutional expectations of the role, which focuses on the 'doing' aspects of the job. 'Being' present to a woman's psychological needs, whilst meeting the institutional demands, requires high levels of emotional intelligence (EI) in the midwife. Therefore, enhancing midwives' EI could be beneficial. An EI programme was made available to midwives with the intention to promote their emotional intelligence and enable them to utilise relaxation techniques for those in their care. The aim of this study was to explore midwives' perspectives on the influence of the EI education programme on their emotional wellbeing and experiences of practice. The study took a descriptive qualitative approach. Thirteen midwives participated in focus group interviews. The data were analysed using thematic analysis. The overarching theme of 'The Ripple Effect' included three themes of 'Me and my relationships', 'A different approach to practice', and 'Confidence and empowerment'. The programme was seen to create a positive ripple effect, influencing midwives personally, their approach to practice, and feelings of confidence in their role. Attendance at an EI education programme equipped the midwives in this study with stress management skills which enhanced their emotional wellbeing and experiences of practice

"Doing" is never enough, if "being" is neglected: exploring midwives' experiences of an emotional intelligence (EI) programme: a qualitative study. [Presentation]

The role of the midwife is emotionally demanding, with many midwives experiencing high levels of stress and burnout, and a great number considering leaving the profession. This has serious implications for the delivery of high-quality, safe maternity care. One of the major factors leading to job dissatisfaction is the conflict between midwives' aspiration of truly 'being' with the woman and the institutional expectations of the role, which focuses on the 'doing' aspects of the job. 'Being' present to a woman's psychological needs, whilst meeting the institutional demands, requires high levels of emotional intelligence (EI) in the midwife. Therefore, enhancing midwives' EI could be beneficial. An EI programme was made available to midwives with the intention to promote their emotional intelligence and enable them to utilise relaxation techniques for those in their care. The aim of this study was to explore midwives' perspectives on the influence of the EI education programme on their emotional wellbeing and experiences of practice. The study took a descriptive qualitative approach. Thirteen midwives participated in focus group interviews. The data were analysed using thematic analysis. The overarching theme of 'The Ripple Effect' included three themes of 'Me and my relationships', 'A different approach to practice', and 'Confidence and empowerment'. The programme was seen to create a positive ripple effect, influencing midwives personally, their approach to practice, and feelings of confidence in their role. Attendance at an EI education programme equipped the midwives in this study with stress management skills which enhanced their emotional wellbeing and experiences of practice

Exploring midwives' experiences of an emotional intelligence programme (EIP): a qualitative study.

This poster summarises the results of a study that sought to evaluate an emotional intelligence programme for midwives. This programme aimed to address reported challenges experienced by midwives in terms of a discrepancy between wanting to be emotionally and psychologically supportive of their patients, and task-focused institutional expectations for how the midwife should be spending their time

"Doing" is never enough if "being" is neglected: the influence of an emotional intelligence programme (EIP) on midwives' emotional wellbeing and experiences of practice: a pilot survey study.

This brief report summarises the methodology, findings and conclusion of a study that aimed to evaluate the impact of an emotional intelligence training programme for midwives. The programme aimed to address known issues with high stress and burnout in the midwifery profession

Expectant parents’ perspectives on the influence of a single antenatal relaxation class: a qualitative study.

Aim: This study explores the perspectives of expectant parents on the influence of a single antenatal class incorporating education on childbirth physiology and relaxation techniques. Method: The data for this qualitative descriptive study were collected via in-depth interviews with six women and three birth partners. Findings: An enhanced understanding of childbirth physiology formed a ‘different way of thinking’ about childbirth, ‘inspired and motivated’ the exertion of the learnt relaxation techniques which led to a ‘deep sense of calmness’ associated with increased confidence and reduced fear. However, reaching such sense of calmness during childbirth required a ‘space for relaxation’ which was influenced by birth attendants. An overarching theme of ‘a positive outlook’ towards childbirth was identified. Conclusion: Including education on childbirth physiology and a range of relaxation techniques may reduce fear, empower prospective parents and positively influence their experiences of pregnancy and childbirth

The influence of a single antenatal relaxation class (ARC) on perinatal psychological wellbeing and childbirth experience: an observational study.

This presentation discusses the results of a study to review the outcomes of an antenatal relaxation class. The study aimed to examine the influence of this class on perinatal psychological wellbeing and childbirth. The study used an observational approach, with a sample of 91 childbearing women and three sets of online surveys

A different way of being.

This presentation gives an overview of the findings from the author's PhD project, which aimed to explore the impact of an antenatal relaxation class on maternal psychological wellbeing and childbirth

A different way of being: the influence of a single antenatal relaxation class (ARC) on maternal psychological wellbeing and childbirth experiences: an exploratory sequential mix-method study.

This poster describes a study that aimed to evaluate the impact of an antenatal relaxation class on the psychology and wellbeing of pregnant women during childbirth

Single Cell RNA Sequencing Identifies HSPG2 and APLNR as Markers of Endothelial Cell Injury in Systemic Sclerosis Skin

Objective: The mechanisms that lead to endothelial cell (EC) injury and propagate the vasculopathy in Systemic Sclerosis (SSc) are not well understood. Using single cell RNA sequencing (scRNA-seq), our goal was to identify EC markers and signature pathways associated with vascular injury in SSc skin.Methods: We implemented single cell sorting and subsequent RNA sequencing of cells isolated from SSc and healthy control skin. We used t-distributed stochastic neighbor embedding (t-SNE) to identify the various cell types. We performed pathway analysis using Gene Set Enrichment Analysis (GSEA) and Ingenuity Pathway Analysis (IPA). Finally, we independently verified distinct markers using immunohistochemistry on skin biopsies and qPCR in primary ECs from SSc and healthy skin.Results: By combining the t-SNE analysis with the expression of known EC markers, we positively identified ECs among the sorted cells. Subsequently, we examined the differential expression profile between the ECs from healthy and SSc skin. Using GSEA and IPA analysis, we demonstrated that the SSc endothelial cell expression profile is enriched in processes associated with extracellular matrix generation, negative regulation of angiogenesis and epithelial-to-mesenchymal transition. Two of the top differentially expressed genes, HSPG2 and APLNR, were independently verified using immunohistochemistry staining and real-time qPCR analysis.Conclusion: ScRNA-seq, differential gene expression and pathway analysis revealed that ECs from SSc patients show a discrete pattern of gene expression associated with vascular injury and activation, extracellular matrix generation and negative regulation of angiogenesis. HSPG2 and APLNR were identified as two of the top markers of EC injury in SSc

Antigen-driven T cell-macrophage interactions mediate the interface between innate and adaptive immunity in histidyl-tRNA synthetase-induced myositis

IntroductionPrevious work in humans has demonstrated that both innate and adaptive immune signaling pathways contribute to the pathogenesis of idiopathic inflammatory myopathy (IIM), a systemic autoimmune disease targeting muscle as well as extra-muscular organs. To better define interactive signaling networks in IIM, we characterized the cellular phenotype and transcriptomic profiles of muscle-infiltrating cells in our established murine model of histidyl-tRNA synthetase (HRS)-induced myositis.MethodsMyositis was induced in wild type (WT) and various congenic/mutant strains of C57BL/6 mice through intramuscular immunization with recombinant HRS. Histopathological, immunohistochemical, flow cytometric, and transcriptomic assessments were used to characterize the functional relationship between muscle-infiltrating cell populations in these strains lacking different components of innate and/or adaptive immune signaling.ResultsRAG1 KO mice developed markedly reduced muscle inflammation relative to WT mice, demonstrating a key requirement for T cells in driving HRS-induced myositis. While the reduction of mononuclear cell infiltrates in CD4-Cre.MyD88fl/fl conditional knockout mice and OT-II TCR transgenic mice highlighted roles for both innate and TCR-mediated/adaptive immune signaling in T cells, diminished inflammation in Lyz2-Cre.MyD88fl/fl conditional knockout mice underscored the importance of macrophage/myeloid cell populations in supporting T cell infiltration. Single cell RNA sequencing-based clustering of muscle-infiltrating subpopulations and associated pathway analyses showed that perturbations of T cell signaling/function alter the distribution and phenotype of macrophages, fibroblasts, and other non-lymphoid cell populations contributing to HRS-induced myositis.DiscussionOverall, HRS-induced myositis reflects the complex interplay between multiple cell types that collectively drive a TH1-predominant, pro-inflammatory tissue phenotype requiring antigen-mediated activation of both MyD88- and TCR-dependent T cell signaling pathways