BackgroundTo describe the maternity care experiences of Aboriginal and/or Torres Strait Islander women in Queensland, Australia and to identify areas for policy and practice improvements.MethodsA culturally-tailored survey requesting both quantitative and qualitative information was completed by respondents either independently (online or in hard copy) or with the assistance of a trained peer-interviewer. Data were analysed using descriptive statistics and thematic analysis.Eligible women were over 16 years of age, identified as Aboriginal and/or Torres Strait Islander, resided in Queensland, and had a live, singleton birth between the first of July 2011 and the first of July 2012.Results187 women of 207 respondents were included in analyses. Women reported high rates of stressful life events in pregnancy, low levels of choice in place of birth and model of care and limited options to carry out cultural practices. High levels of confidence in parenting were also reported. Women were less likely to report being treated with kindness, understanding and respect by maternity care staff than women answering a similar mainstream survey.ConclusionsAboriginal and Torres Strait Islander women have additional needs to mainstream Australian women. This study identified a number of recommendations to improve services including the need to enhance the cultural competence of maternity services; increase access to continuity of midwifery care models, facilitate more choices in care, work with the strengths of Aboriginal and Torres Strait Islander women, families and communities, and engage women in the design and delivery of care.
book, Academic Library Centrality. This paper reports the results of interviews conducted in 2004 with the presidents and provosts of six universities and compares them with Grimes' findings. The analysis shows that major changes have occurred in the attitudes of university leaders toward their libraries during the last decade. These new findings provide direction for library leaders as they seek out new models of library service and reshape old models to fit the current environment of American higher education. The findings also point to the emergence of new competencies, skills, and knowledge as essential components of the job of the library director. The results of this study call into question the applicability of the centrality concept to libraries in universities and indicate the need for research that offers a relevant model for use in those settings.
Objective
To assess knowledge, attitudes, and perceived barriers (KAP) regarding e‐cigarette use counselling among adolescent healthcare clinical staff in an urban system, and to compare results between providers and rooming staff.
Methods
Primary care clinical staff (n = 169) completed an anonymous survey. Descriptive statistics and Chi‐square tests were used to summarize data and compare KAP between medical providers and rooming staff.
Results
Staff wanted to learn more about e‐cigarettes (87.6%). The most common knowledge deficits were how to use the 5As + 5Rs model for tobacco cessation counselling (66.7%) and the chemical content of e‐liquids (55.4%), with no differences across groups. Overall, 58% of providers expressed confidence in their ability to talk with adolescent patients about e‐cigarette use. The most common barriers to counselling were low knowledge about e‐cigarettes (74.0%) and how to refer adolescent patients for cessation support (43.8%).
Conclusions
Provider and rooming staff expressed similar educational needs surrounding e‐cigarettes, counselling, and treatment for adolescent patients. Clinical staff expressed confidence in their ability to affect change. There were no differences in the identified knowledge gaps or barriers to care between rooming staff and providers, suggesting that the same educational format can be used to target both groups.
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