Midwives’ Approach to Genetic Diseases and Genetic Counseling in Denizli, Turkey

The purpose of this study was to evaluate Denizli midwives’ self-reported knowledge of genetic diseases and genetic counseling. Data was collected on forms that obtained information about midwives approaches to basic genetics, genetic disorders, and genetic counseling (response rate = 70.1%). The highest response rate of midwives describing themselves as “knowledgeable” about basic genetic information was for mitosis and meiosis with 4.8%, about genetic disorders was for phenylketonuria with 61.1%, and about genetic counseling was for recommending ultrasonography during pregnancy with 98.1%. The source for basic genetics information for 56.4% of participants was in their school level classes. None of the midwives felt that they had sufficient knowledge about genetic counseling or screening and 76.4% would like to attend an educational course. Even though the midwives have recognized their knowledge deficit they occasionally give genetic counseling. As a result of this study a genetics course is planned for midwives so they can actively participate in the prevention and early diagnosis of genetic diseases.     

Preventive intervention strategies with hard-to-reach mothers: A collaboration between midwives and psychotherapists

Maternal refusal of psychiatric services can pose a problem for both the family and mental health practitioners. With a sample of mothers who had refused psychiatric services in the past, the present study examined the effectiveness of initiating and maintaining mental health services when midwives acted as mediators. After the midwives had developed a relationship with the mothers, suggestions for mental health services were made again. For part of the sample, therapists accompanied the midwife on a home visit and scheduled subsequent therapy sessions in the home. For the remaining subjects, referrals were made to the local community mental health center. Results indicated substantially greater success in both the initiation and maintenance of therapy when midwives acted as mediators and therapy continued in the home.     

论医学模式转变对助产土在产程守护中角色转变的影响

伴随着医学模式的转变,助产士在产程守护中的角色由单一守护者的角色向全面、多重角色转变,助产士的工作内容与职责也相应发生变化。现代医学模式下助产士的角色转变对医疗效果有良好的改进,体现了“以人为本”的医疗文化理念,同时也对助产士的要求更为全面。     

Midwives on the Margins: Stigma Management among Out-of-Hospital Midwives

Out-of-hospital midwives’ occupational practices can be interpreted as “dirty work” because of their responsibility to touch women’s genitals and the perceived danger of providing healthcare separate from a hospital. Thus, midwives experience prejudice in their interactions with healthcare providers and the public alike. Using 30 interviews with out-of-hospital midwives, this research explores sources and forms of prejudice and techniques with which participants managed their stigmatized professional identity. Specifically, midwives used strategies of information control, including controlling disclosure and controlling interactions. While previous research documents such techniques, I add theoretical complexity by expanding our knowledge on concealable stigmatized identities.     

Measuring social influence of a senior midwife on decision‐making in maternity care: an experimental study

The document Changing Childbirth produced by the Department of Health (1993) requests provision of more choice, continuity and control for women during pregnancy and childbirth. In this context this study considers whether midwives'decisions are influenced by a senior midwife. A simple, valid and reliable scale—the Social Influence Scale for Midwifery (SIS‐M)—was devised to measure and score midwives' private anonymous responses to 10 clinical decisions. The SIS‐M was initially administered as a self‐completed postal survey by 209 midwives. Following a 9‐month time gap, a stratified sample of 60 (20 E, F, G grade midwives) were invited for interview in which a senior midwife attempted to influence SIS‐M responses in a conformist direction. Overall, a 3 × 2 (E, F, G grade midwives x private and interview SIS‐M scores) analysis of variance (ANOVA) revealed midwives were significantly more conformist when influenced by a senior midwife, in comparison to private anonymous responses. No significant interaction between groups was found. These findings indicate that there is influence of a senior midwife on clinical decisions that should be woman‐centred, according to Changing Childbirth (1993). The implication is that this influence may remove choice from women. Copyright © 2005 John Wiley & Sons, Ltd.     

Perceptions of Registered Nurses/Midwives and Obstetricians on Having Males as Expectant Fathers Present in the Delivery Room at Public Hospitals in Trinidad and Tobago: Implications for Women and Their Partners

This study explored the perspectives of obstetricians and registered nurses/midwives on the presence of expectant fathers in the delivery room with a view to understanding the implications for the mother as well as the expectant father. A qualitative research design using a phenomenological approach to understand the nuances and challenges that affect the perceptions and attitudes of obstetricians and registered nurses/midwives on the research issue. Five focus group discussions and five key informant interviews were the data collection strategies. Data were coded openly then combined to form themes which were utilized as the framework for data analysis. Three major themes emerged in the findings which included potential benefits to the mother, potential benefits to the father and potential benefits to the relationship. Generally, obstetricians and registered nurses/midwives held positive views about their presence in the delivery suite. This was related to the perceived positive impact that he could have on the woman during the inter-natal and post-natal periods as well as the quality of the relationship. By extension, their presence could have positive long term benefits on the quality of the relationship. The presence of expectant fathers in the delivery room could have a positive impact on the delivery experience for mothers, fathers and the long term relationship. The findings could provide a framework for other studies including a prospective study on the long term implications for the presence of expectant fathers in the delivery room.     

AN ANALYSIS OF THE PROCEDURAL COMPONENTS OF SUPPORTED EMPLOYMENT PROGRAMS ASSOCIATED WITH EMPLOYMENT OUTCOMES

This study examined the relation between the procedural components of supported employment programs and employment outcomes for 120 individuals with disabilities. These individuals were involved in supported employment programs established through the Utah Supported Employment Project. The results suggest that successful implementation of supported employment services led to ongoing employment of study participants in community work sites, increased wages, and ongoing opportunities for workers to interact with nondisabled peers. In addition, several procedural components were found to be strongly associated with successful employment outcomes for workers. Results of the study are discussed in terms of the training needs of supported employment program staff and future research for the dissemination of a cohesive technology of supported employment.     

Intent and Choice Regarding Maternal Employment Following Childbirth

This study examined the impact of personal values, perceived spouse preference, and family income on maternal employment intent and maternal employment following childbirth. This study followed a sample of 70 expectant working mothers from the last trimester of pregnancy to 6 months following childbirth. Traditional gender role values and perceived spouse preference influenced maternal employment intent measured prior to childbirth. Maternal employment intent and marital partner's income influenced maternal employment 6 months after childbirth. The results of this study provided support for Brown's (1996) value-based theory of career choice. Results also suggested that some women who preferred to be withdrawn from the labor force had to work to provide greater family income.     

Does the form of employment make a difference?—Commitment of traditional, temporary, and self-employed workers

Increasing change in the labor market has produced new forms of employment. A growing number of people have temporary jobs or are self-employed freelancers. The aim of our study is to address these changes by introducing commitment to the form of employment as a new focus in commitment. In addition, we compare organizational commitment under conditions of these forms of employment to traditional form of employment. The study is based on several samples representing conventional and new forms of employment (overall N = 494). The results indicate that commitment to the form of employment explains variance of organizational outcomes over and above organizational commitment. Generally, commitment to the form of employment reflects an important attitude to the work situation besides commitment to the organization or occupation. The results are discussed in the light of labor market trends.     

THE EFFECTS OF CONSUMER CHARACTERISTICS AND TYPE OF EMPLOYMENT MODEL ON INDIVIDUAL OUTCOMES IN SUPPORTED EMPLOYMENT

Although recent federal legislation has led to a proliferation of supported employment programs throughout the country, little information is available that documents the success of these programs. In the present study, we examined the effect of different consumer characteristics and alternative supported employment service delivery models on key employment outcomes including hourly wage, hours worked per week, increase in earnings after supported employment participation, and level of integration on the job. The employment outcomes of a sample of 1,550 individuals receiving supported employment services through 96 local programs in eight states were analyzed to determine the effects of the key independent variables of primary disability and type of employment model. Results indicate that all groups of individuals, regardless of their primary disability, benefited significantly from supported employment participation. Further, data indicate that the individual placement model generated employment outcomes superior to those resulting from group employment options, particularly work crews. Implications of the results for future program development activities are discussed.     

Examining the link between adult attachment style,employment and academic achievement in first semester higher education

Although previous research indicates that both employment and adult attachment style have an influence on academic achievement, the interaction of these two factors has not been clarified. The purpose of this study was to investigate the moderating effect of adult attachment style on the relationship between employment status and first semester academic achievement in higher education. A sample of 378 freshman college students answered a series of questionnaires (Academic Amotivation Inventory, the Relationship Questionnaire and demographic), and their high school averages and first semester academic results were obtained from the Registrar’s office. The Analysis of covariance showed that employment status (having employment vs. no employment) and adult attachment style of students (secure vs. dismissing) strongly interacted in predicting academic achievement (first semester average adjusted for high school average, perceived financial burden, and amotivation). More specifically, the first semester averages of secure students with or without employment, and that of dismissing students without employment was indistinguishable. However, dismissing students with employment had significantly lower first semester averages than the secure students. This study showed that dismissing students entering postsecondary education who also have employment are at greater risk of academic difficulties than students with a secure attachment style.     

Transitioning between temporary and permanent employment: A two‐wave study on the entrapment,the stepping stone and the selection hypothesis

The present two‐wave study investigates how transitioning between temporary and permanent employment relates to a number of psychological consequences; namely, work engagement, affective organizational commitment, life satisfaction, and turnover intention. We hypothesize that temporary employment associates with unfavourable outcomes when it is a trap (entrapment hypothesis), while no such unfavourable outcomes are expected for those who transition to permanent employment (stepping stone hypothesis). Furthermore, we investigate the assumption that transitioning from permanent to temporary employment relates to unfavourable outcomes. Finally, we investigate dynamics related to selection into temporary or permanent employment. Hypotheses are tested on a sample of 1,475 workers. The results show that continuous temporary employment does not relate to unfavourable outcomes over time, while gaining permanent employment associates with increased work engagement. Also, permanent workers who transition to temporary employment are more engaged and committed after transitioning. No evidence for possible selection mechanisms is found.     

Treating survivors of war trauma and torture.

Psychologists are in a unique position to assist individuals and groups in the world who have survived torture and war trauma. Symptoms of posttraumatic stress disorder and other psychological diagnoses can be treated effectively by mental health professionals and trained lay counselors in the smallest of communities in the world. This article proposes a model for the treatment of survivors of torture and war trauma. This model has been designed to be useful to mental health professionals and to lay individuals in communities who constitute the front line in treatment: health providers, midwives, ministers, and teachers. The model is presented through examples of its use in the training of mental health counselors in the United States and in the training of promotores (health promoters) and comodrones (midwives) in Guatemala.     

Black and white college women's maternal employment outcome expectations and their desired timing of maternal employment

In an attempt to better understand college women's maternal employment plans, this study compared the ability of different types of maternal employment outcome expectations to predict college women's desired timing of their maternal employment. A mailed questionnaire examined Black (n= 113) and White (n= 189) college women's maternal employment timing preference and their perceptions of the likelihood of 30 possible outcomes of maternal employment. Regressions showed that White women's expectations about the benefits for themselves and the costs for their children predicted their desired maternal employment timing. No variables predicted the timing preference of Black women. Additionally, the Black compared to White respondents expected maternal employment would bring fewer personal costs and more benefits for their children and they desired employment earlier in their child's life. Discussion focuses on Black and White women's conceptions of the integration of the employment and domestic roles.     

MOTHER, CHILD, AND FAMILY FACTORS RELATED TO EMPLOYMENT OF SINGLE MOTHERS WITH LBW PRESCHOOLERS

The purpose of this study was to identify maternal, child, and family factors related to the employment status and employment history of single mothers of low-birth-weight (LBW) and full-term preschoolers. A sample of 121 female-headed, single-parent families with 3-, 4-, and 5-year-old LBW and full-term children was recruited through admission records to three Level III neonatal intensive care units (NICUs) and birth records of two normal newborn nurseries. Results show that the birth of an LBW infant was not related to employment status, number of hours employed per week, or employment history for single mothers. Employed mothers had significantly more education and more positive attitudes toward employment. Controlling for other factors, never being married, and having more children, more federal income, and less positive employment attitudes were predictive of nonemployment. Both employed and nonemployed women expressed preference for employment.     

知识密集型组织的雇佣关系民主治理和员工创造力研究

本文探讨了雇佣关系民主治理对员工创造力影响的中介机制和边界条件,并利用跨层次的调查数据进行实证研究。研究结果发现:(1)雇佣关系民主治理显著正向影响员工创造力;(2)内在动机在雇佣关系民主治理与员工创造力间起部分中介作用;(3)组织知识密集度对雇佣关系民主治理与员工内在动机的正向关系间有着显著强化作用;(4)雇佣关系民主治理和组织知识密集度的交互作用通过内在动机的中介作用,进而影响员工创造力。     

An Examination of the Variables Related to Minority Youth Employment

This study involves an examination of the postprogram experiences of youth in the National Urban League Youth Career Development Project. It seeks to identify those factors responsible for helping some participants secure and maintain employment. Likewise, it attempts to determine impediments for participants who either never found employment or found employment but were unable to retain their jobs.     

CORRELATES OF COUNSELING EFFECTIVENESS IN EMPLOYMENT INTERVIEWERS

The purpose of this study was to identify correlates of effective counseling behavior in employment interviewers as measured by the Kelz Counselor Performance Rating Scale. Four demographic variables were studied: age, length of employment as an employment interviewer for a state employment agency, sex, and level of education. Seventeen employment interviewers employed by the Pennsylvania Bureau of Employment Security served as subjects. Significant negative correlations were found between effective counseling behavior as measured by the Kelz Scale and both age and length of employment as an interviewer for a state agency. No relationship was found between the criterion variable and the sex or level of education of the interviewers. Some possible implications of these findings are discussed and tentative hypotheses presented.     

Employment and Family as Determinants of Anticipated Life Satisfaction: Contrasting Young Adults’ and Elderly People’s Viewpoints

The objective of the present study was to examine the relationship between life satisfaction, personal employment, spouse employment, and family responsibilities as perceived by lay people and, in particular, to study the extent to which the additive threshold model evidenced by Macri and Mullet (2002) in a Greek sample of respondents can be generalized to other samples. One hundred young French adults and 100 elderly French people were presented with several vignettes depicting family conditions in terms of the three variables. Their task was to rate each vignette in terms of anticipated life satisfaction. The rule, which best accounted for anticipated satisfaction with life judgments was the hypothesized additive threshold rule. It may be expressed as anticipated satisfaction = proximity to optimal personal employment level + proximity to spouse optimal employment level + proximity to optimal family size, as long as acceptable personal and spouse employment levels are considered. This rule was common to young and elderly participants and largely independent of educational level.     

Consumer Perspectives of Participation in Vocational Programs by Individuals With Serious Mental Illness: Two Phenomenological Studies

Engagement in worker roles presents significant challenges for individuals with serious mental illnesses. Evolution of vocational rehabilitation programs has yielded evidence-based support for supported employment models. This research presents a phenomenological study of consumer viewpoints concerning participation in earlier vocational rehabilitation programs, followed by a study of supported employment participation perspectives. Initial study themes of Chaos: Living with Disruptions, Mixed Blessings: Vocational Rehabilitation Program, Feelings of Discrepancy, and Searching for Order were reinforced by follow-up study themes of Positive Feelings of Worker Satisfaction and Managing Self/Illness. Consumers identified success in employment outcomes, if able to balance illness and work demands.