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Women's Needs (women + need)
Selected AbstractsWomen's perceptions and experiences of a traumatic birth: a meta-ethnographyJOURNAL OF ADVANCED NURSING, Issue 10 2010Rakime Elmir elmir r., schmied v., wilkes l. & jackson d. (2010) Women's perceptions and experiences of a traumatic birth: a meta-ethnography. Journal of Advanced Nursing,66(10), 2142,2153. Abstract Aim., This study presents the findings a meta-ethnographic study reporting women's perceptions and experiences of traumatic birth. Background., Childbirth is viewed by many as a life transition that can bring a sense of accomplishment. However, for some women, birth is experienced as a traumatic event with a minority experiencing post-traumatic stress. A traumatic birth experience can have a significant impact on the physical and emotional well-being of a woman, her infant and family. Data source., The CINAHL, MEDLINE, Scopus and PubMed databases were searched for the period January 1994 to October 2009 using the keywords birth trauma, traumatic birth, qualitative research, birth narrative and birth stories. Review methods., A meta-ethnographic approach was used. Quality appraisal was carried out. An index paper served as a guide in identifying particular findings and comparing them with other findings. This ,reciprocal translation' process started with a search for common themes, phrases and metaphors. Results., Ten qualitative studies were included in the final sample. Six major themes were identified: ,feeling invisible and out of control', ,to be treated humanely', ,feeling trapped: the reoccurring nightmare of my childbirth experience', ,a rollercoaster of emotions', ,disrupted relationships' and ,strength of purpose: a way to succeed as a mother'. Conclusions., It is evident that a small percentage of women experience a traumatic birth. Although some women who experience a traumatic birth do not necessarily have physical or psychological adverse outcomes, others identify a significant personal impact. Healthcare professionals must recognize women's need to be involved in decision-making and to be fully informed about all aspects of their labour and birth to increase their sense of control. [source] Determinants of Early Medical Management of Nausea and Vomiting of PregnancyBIRTH, Issue 1 2009Anaïs Lacasse BSc ABSTRACT: Background: Early medical management of nausea and vomiting during pregnancy is desirable but less than optimal. The aims of this study were to describe the management of nausea and vomiting during the first prenatal visit and to identify the determinants of 1) addressing the subject of nausea and vomiting during pregnancy with the health practitioner and 2) receiving an antiemetic prescription.Methods: A prospective study was conducted of 283 women who reported nausea and vomiting during the first trimester of pregnancy. Women were eligible if they were at least 18 years of age and , 16 weeks' gestation at the time of their first prenatal visit. Participants completed a questionnaire to determine their maternal characteristics, the presence of nausea and vomiting during pregnancy, and its management.Results: Of the 283 study participants, 79 percent reported that the condition was addressed during their first prenatal visit, 52 percent reported being asked about the intensity and severity of their symptoms, and 22 percent reported being questioned about the extent to which it disrupted their daily tasks. Health practitioners prescribed an antiemetic for 27 percent of women and recommended a nonpharmacological method for 14 percent. Multivariate models showed that the severity of the nausea and vomiting, previous use of an antiemetic, and smoking before pregnancy were significantly associated with an increased likelihood of addressing the subject of nausea and vomiting during pregnancy. Variables associated with an increased likelihood of women receiving an antiemetic prescription included nausea and vomiting severity, excessive salivation, previous antiemetic use, and work status.Conclusions: Health practitioners can improve their management of nausea and vomiting during pregnancy based on the available guidelines for treatment and they should address important factors such as symptom severity and work status at the first prenatal visit to assess women's need for antiemetic treatment. (BIRTH 36:1 March 2009) [source] UNDER THE BARRED UMBRELLA: IS THERE ROOM FOR A WOMEN-CENTERED SELF-INJURY POLICY IN CANADIAN CORRECTIONS?CRIMINOLOGY AND PUBLIC POLICY, Issue 1 2006JENNIFER M. KILTY Research Summary: This article examines a chain of policy directives concerning self-injury inside federal correctional facilities in Canada. Specific attention is paid to the impact of these policies on federally sentenced women. I argue that the Correctional Service of Canada's focus on risk assessment fails to address the needs of the women they confine. Instead, women's needs are reconceptualized as institutional risk factors. Policy Implications: Women who self-injure are still routinely disciplined for their behaviour in Federal Canadian prisons through admittance to administrative segregation. This policy challenges two sections of the Charter of Rights and Freedoms (s. 7 and s. 15) and must be changed. In this article, I will recommend a new women-centered approach to replace current practice. [source] Are patient assistance programmes able to meet the needs of New York City women with breast cancer?EUROPEAN JOURNAL OF CANCER CARE, Issue 1 2009Women's perspectives Women with breast cancer report needs that may interfere with their ability to obtain necessary treatments. High-quality community-based patient assistance programmes exist; however, their ability to identify and meet women's needs is unknown. We surveyed women with breast cancer attending such programmes to assess programmes' ability to identify and meet their needs. We surveyed 117 (42% minority) women utilizing nine programmes in the New York City area about expectations, needs and experiences. Ninety-two (89%) women wanted information, 102 (95%) psychosocial support and 15 (20%) practical assistance. Seventy-three per cent had all or most of their needs identified, and 74% had all or most of their needs met. Seventy per cent stated programmes met needs they were not previously aware they had. Needs identified and met were lower among minority women (57% vs. 84%; P = 0.003), those with lower income (46% vs. 79%; P = 0.02) and those in poor physical health (56% vs. 78%; P = 0.04), independent of the type of need. High-quality community-based patient assistance programmes effectively identify and meet the needs of women with breast cancer but traditionally at-risk women appear less likely to have needs identified and met. Programmes should enhance the systemization and sensitivity of needs assessments to improve women's experience with cancer. [source] Experiences of seeking help from health professionals in a sample of women who experienced domestic violenceHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2003Loraine Bacchus BSc MA PhD Abstract The present paper describes a qualitative study of women who suffered domestic violence. The aim was to explore their experiences of seeking help from health professionals and assess their psychological health. Purposive sampling was used to select a subsample from a larger sample of women who were screened for domestic violence as part of a study undertaken at Guy's and St Thomas' Hospitals in London, UK. In-depth, semi-structured interviews were conducted with the subsample of women during the postpartum period (up to 14 months). Interviews were conducted in women's homes and general practitioners' (GPs) surgeries. The sample consisted of 10 women who had experienced domestic violence in the past 12 months (including the current pregnancy), and six women who had experienced domestic violence in the past 12 months but not the current pregnancy. The main outcome measures included: women's experiences of seeking help from health professionals; and assessment for postnatal depression, post-traumatic stress disorder (PTSD) and psychological distress. Women scored highly on measures of postnatal depression and PTSD. With regard to seeking help, there was a tendency for women to regard GPs, and accident and emergency staff as less helpful compared with health visitors in responding to domestic violence. Lack of privacy, continuity of care and time constraints were dominant themes which emerged from women's contacts with health professionals. Very few women voluntarily disclosed domestic violence to a health professional and even fewer were asked directly about domestic violence by one. It is important for health professionals to enquire about domestic violence in a sensitive manner and provide a response that takes into accounts the complexity of women's needs. Domestic violence training is necessary to equip health professionals with the knowledge and skills they need to respond to domestic violence more effectively. [source] Gender relations and grass-roots urban movementsINTERNATIONAL SOCIAL SCIENCE JOURNAL, Issue 177 2003François Hainard This article, based on the work of a network of seven teams from countries of the South and countries in transition, presents research findings on the themes of the environment, cities, and social relationships between men and women. The research is predicated on the view that a crosswise look at these three topics brings a useful new perspective to bear on each of these issues as such. It starts from the twofold observation that women and men are not involved in the same way in the urban environment, and that innovative approaches often emanate from women's movements concerned to change the environmental situation in cities as well as women's place and role in the decision-making process. However, research on urban issues, apart from recent research on employment and the labour market, has turned a blind eye to distinctions between men's and women's needs. The urban environment and gender relations bring into play several variables: the environment, the urban dimension, and gender. While the intermeshing of these approaches undoubtedly constitutes a large part of the originality of the work, it does not make the task any the less complex, for its impact is evident neither in methodological nor in conceptual terms. The personal motivation necessarily built into any research-action presupposes that the analysis is founded on specific experiences and not upon strictly theoretical principles, though the need for conceptual concordance between the different research teams should not be overlooked. We shall here focus on the governance of which women may be the agents or actors in cities, a focus that brings into play the different approaches to empowerment and gender relations in the context of social change, the analysis of grass-roots organisations and of men's and women's identities and roles, and the changing balance of power between men and women, whether in the domestic or the public arena. [source] Feminist Representation(s) of Women Living on Welfare: The Case of Workfare and the Erosion of Volunteer Time*CANADIAN REVIEW OF SOCIOLOGY/REVUE CANADIENNE DE SOCIOLOGIE, Issue 3 2004JACINTHE MICHAUDArticle first published online: 14 JUL 200 Cet article veut en premier démontrer comment l'interprétation féministe des besoins des femmes dans le contexte du travail obligatoire repose sur plusieurs interrelations au sein des groupes communautaires, puis que ces interrelations surviennent dans le contexte d'une politique publique qui a pour effet de transformer le travail volontaire et le temps volontaire à l'intérieur du secteur communautaire en exigeant que les femmes qui vivent de l'aide sociale transforment ce travail en travail obligatoire et en demandant que les groupes communautaires acceptent des placements de travail obligatoire, ce qui a pour effet de remplacer les travailleuses volontaires et de changer le sens donnéà leur travail lui-même. L'article se termine sur une discussion à propos du statut intermédiaire des groupes de femmes et sur l'évolution de la représentation des besoins particuliers des femmes dans la sphère publique/politique. This article intends to show, first, how feminist interpretations of women's needs in the context of workfare are formed through social interactions within community groups. Second, we demonstrate that these interactions are happening within a context of a public policy that is reshaping volunteer work and volunteer time within the community sector by requiring that women living on welfare transform their volunteer work into compulsory work and by asking community groups to accept workfare placements, which result in the displacement of volunteer workers and transform the meaning of volunteer work itself. The article ends with a discussion on the intermediary status of women's groups, as well as the evolution of women's needs representation within the public/political sphere. 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