Teses / dissertações: "Childbirth at home – Japan"

1

Lin, Wennifer. "Birth art and the art of birthing creation and procreation on the 'Äina of Tütü Pele /". Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1675789081&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

2

Arcia, Adriana. "Predictors of Nulliparas' Childbirth Preferences". Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/671.

Texto completo da fonte

Resumo:

The aims of this study were to describe the childbirth preferences of nulliparous women in early pregnancy and to develop a model of the predictors of those preferences. Participants were recruited with Facebook advertisements and data were collected from 344 women via online survey. Predictors were measured using the Utah Test for the Childbearing Year. Predictors of childbirth preferences (type of birth care provider, birth setting, mode of delivery, and use/avoidance of pain medication) were tested using structural equation modeling. Conventional content analysis was employed to analyze women’s reasons for selecting the type of provider and setting they expected for their delivery. Although the majority of respondents preferred physicians and hospital birth, the proportions of women who preferred midwifery care and planned home birth were higher than currently access those types of care in the U.S. More respondents preferred to use pain medication than to avoid it. Over 95% of respondents preferred vaginal delivery. Women who had an internal locus of control and perceived their childbearing role to be one of active participation were more likely than women who saw their role as a passive one to prefer midwifery care, home birth, vaginal delivery, and to avoid pain medication. Women who saw the provider’s role as dominant to their own were more likely to prefer physicians and hospital birth than those who viewed the provider’s role as a collaborative one. The more fearful/painful women expected birth to be, the more likely they were to prefer cesarean delivery.

Estilos ABNT, Harvard, Vancouver, APA, etc.

3

Ogawa, Keiko. "Workload of Home Health Care Nurses in Japan". Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1207180785.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

4

St, Clair Laura Ann. "Why Take the Risk?: Women's Interpretive Repertoires for Choosing Home Birth". The University of Montana, 2008. http://etd.lib.umt.edu/theses/available/etd-05112008-130518/.

Texto completo da fonte

Resumo:

The purpose of this project was to use a social constructivist approach to understand the perception of risk by mothers making the choice to give birth at home in Missoula, Montana. Social constructivism assumes that knowledge about risk is filtered through social and cultural frameworks of understanding (Lupton and Tulloch 2002, 321). The information gained from participants in this study was interpreted as a representation of the individuals culture, including their beliefs, values and upbringing, as well as the influences of the individuals social network which can include family members, spouses, friends, and community members. Various phenomena, elements or constructs in society are viewed as realities by social groups whether they exist as reality or not. Social constructs in the United States create a reality around the normalcy of hospital birth and tend to paint a picture of home birth mothers as risk takers (Craven 2005) (Davis-Floyd 1992). However, in developing this study, I predicted that home birth mothers would construct a different type of reality around risk in order to explain their decision to have a home birth. By examining the interpretive repertoires of home birth mothers in Missoula, Montana, one can begin to understand how women interpret their individual risk concerning birth and respond according to their determined level of vulnerability. First, the mothers confronted the dominant social norm that home birth is risky. In response to accusations of making a risky decision, these home birth mothers responded by emphasizing the risks that they see in hospital birth. For home birth mothers, the importance of having minimal medical interventions during the birth of their baby outweighed other potential risks associated with homebirth identified by medical authorities or published studies. Furthermore, many of the women in this study emphasized feeling very positively about their home birth experiences and felt that going through with this decision helped them gain feelings of confidence and empowerment.

Estilos ABNT, Harvard, Vancouver, APA, etc.

5

Nieset, Martha C. "Factors Associated with Health Care Access for Ohio Mothers who Chose Home Birth". The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1386067802.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

6

Marineau, Michelle. "Exploring the Lived Experience of Individuals With Acute Infections Transitioning in the Home With Support by an Advanced Practice Nurse Using Telehealth". Diss., University of Hawaii at Manoa, 2005. http://hdl.handle.net/10125/22060.

Texto completo da fonte

Resumo:

The use oftelehealth in individual's homes is increasing in the United States in an effort to cut cost by limiting admissions to hospitals and/or reduce length of stay. This increase has not been driven by conclusive research findings in support of this technology; furthermore, the majority of research conducted has been in the area of chronic disease management. It is important to expand the knowledge base related to transitioning from an acute illness in the home with telehealth from the individual's perspective. Due to the lack of empirical data available, phenomenology was used to explore the individual's perceptions in the use of this new health care delivery model. In exploring this new phenomenon, eidetic phenomenology was used to capture the essential structure of the lived experience as told by individuals who had been enrolled in a pilot quantitative telehealth study over the past two years. The purpose of this study was to describe the "lived experience" of individuals with acute infections transitioning in the home with support by an advance practice nurse (APN) using telehealth in an effort to avoid a hospitalization or to promote an earlier discharge. Purposeful sampling was used to enroll the sample often participants. Major findings of this study consisted of three Theme Categories: Initial Response, Engaging in Care, and Experiencing the Downside. The essential structure as it relates to the health/illness transition that occurs when an individual with an acute infection is discharged from the hospital to the home supported by telehealth technology revealed an overall positive experience from the ten participants. There was one negative experience in a participant who had two separate telehealth enrollments. This knowledge adds valuable information to future health care providers from the individual's perspective as it relates to understanding the transitional process that occurs with an acute illness from the hospital to the home with support by an APN using telehealth.

Estilos ABNT, Harvard, Vancouver, APA, etc.

7

Kelson, Lynette. "An exploration of the reasons why 10 women from central Victoria chose to birth at home". Thesis, University of Ballarat, 2004. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/40029.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

8

Cameron, Catherine (Catherine Clare). "Including fathers in childbirth : a grounded theory inquiry of the midwife's perspective". Thesis, Department of Family and Community Nursing, 2003. http://hdl.handle.net/2123/6431.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

9

Cheyney, Melissa. "In transition : a biocultural analysis of homebirth midwifery in the United States /". view abstract or download file of text, 2005. http://wwwlib.umi.com/cr/uoregon/fullcit?p3181092.

Texto completo da fonte

Resumo:

Thesis (Ph. D.)--University of Oregon, 2005.
Typescript. Includes vita and abstract. Includes bibliographical references (leaves 339-377). Also available for download via the World Wide Web; free to University of Oregon users.

Estilos ABNT, Harvard, Vancouver, APA, etc.

10

Madi, Banyana Cecilia. "Women's decision-making and factors affecting their choice of place of delivery : systematic review and qualitative study". Thesis, University of Surrey, 2001. http://epubs.surrey.ac.uk/856/.

Texto completo da fonte

Resumo:

The aim of the thesis is to explore pregnant women's decision-making and major influences on their preferences for a place of delivery. The study was prompted by the UK government's policy of a woman centred maternity service (Department of Health 1993b), and the observation that studies had concentrated on professionals' rather than women's views about the place of delivery. Two factors were considered to have potential influence in decision making, one being the individual woman's risk perception related to the process of childbirth, and the other, knowledge about available options for place of birth. First, a systematic review was conducted, looking at available studies on women's views about the place of delivery. Only 9 studies were found, suggesting a need for more studies. Secondly, a primary study was conducted using in-depth interviews with 20 women planning a hospital birth, and 13 planning a home birth to explore factors that led to their respective choices. Results from the primary study indicate that women were not offered information about the availability of home birth. Consequently, 90% of those planning a hospital birth did not give thought to where they were going to have their babies, but assumed they were going to go to hospital. On the other hand, those planning a home birth found information privately and discussed the options with their husbands before making a decision. Additionally, results exposed differences in perception of safety concerning childbirth for subsequent deliveries according to planned place of delivery. Control of the birth process and environment was also found to be important for women planning a home birth. Risk perception and information about available options were found to influence decision-making about the place of birth, thus supporting the hypotheses of the thesis.

Estilos ABNT, Harvard, Vancouver, APA, etc.

11

Facius, Michael [Verfasser]. "China übersetzen : Globalisierung und chinesisches Wissen in Japan im 19. Jahrhundert / Michael Facius". Frankfurt am Main : Campus Verlag, 2017. http://www.campus.de/home/.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

12

Knaudt, Till [Verfasser]. "Von Revolution zu Befreiung : Studentenbewegung, Antiimperialismus und Terrorismus in Japan (1968-1975) / Till Knaudt". Frankfurt am Main : Campus Verlag, 2016. http://www.campus.de/home/.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

13

Orton, Sophie. "Smoking in the home after childbirth : prevalence, determinants and the relationship to smoking in pregnancy". Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/31223/.

Texto completo da fonte

Resumo:

Childhood secondhand smoke (SHS) exposure causes substantial ill health and mortality, and poses a significant economic and social burden. This thesis aimed to explore the prevalence and determinants of smoking in the home after childbirth, and to understand the experience and attitudes of mothers who stop smoking during pregnancy but relapse soon after delivery. In study one, the factors associated with child SHS exposure in the home were systematically reviewed. Parental smoking, low socioeconomic status and being less educated were all frequently and consistently independently associated with children’s SHS exposure in the home. Children whose parents held more negative attitudes towards SHS were less likely to be exposed. In study two, cohort data were analysed to estimate maternal self-reported prevalence of SHS exposure among young infants (≤3 months) of women who smoked just before or during pregnancy, and identify its associated factors. In 471 households, the prevalence of smoking in the home was 16.3% (95% CI 13.2-19.8%), and after multiple imputation controlling for non-response 18.2% (95% CI 14.0-22.5%). Mothers’ smoking ≥11 cigarettes per day were 8.2 times (95% CI 3.4-19.6) more likely to report smoking in the home. Significant associations were also observed for younger age, being of non-White ethnicity, increased deprivation and less negative attitudes towards SHS. In study three, semi-structured interviews with women who quit smoking during pregnancy, but relapsed ≤3 months postpartum were conducted. Central to mothers’ accounts of their smoking behaviours during pregnancy and postpartum was their desire to be a ‘responsible mother’. Mothers described using strategies to protect their infant from SHS exposure, and held strong negative attitudes towards other smoking parents. After relapsing, mothers repositioned themselves as ‘social/occasional’ smokers rather than ‘regular’ smokers. Taken together, these findings can be used to inform the development of future, targeted interventions to prevent or reduce infant and child SHS exposure.

Estilos ABNT, Harvard, Vancouver, APA, etc.

14

Field, Judith. "Exploring decision making to create an active offer of planned home birth". Thesis, Bangor University, 2018. https://research.bangor.ac.uk/portal/en/theses/exploring-decision-making-to-create-an-active-offer-of-planned-home-birth(72efa41b-b582-4f08-8b49-42ff5c37a3b9).html.

Texto completo da fonte

Resumo:

Background: Historically, the focus of the UK and international research exploring planned home birth decision making has been largely focused on understanding the experiences of women who decide to birth at home. As a result of high-profile research that suggests that non-OU birth locations are safe for low risk women, there has been a recent shift in focus resulting in research studies that aim to increase the rates of planned home birth, or more often the rates of all non-obstetric unit birth within the UK. However, despite this increased level of attention, the rate of home birth remains stubbornly low. Whilst there is some research to indicate why this might be the case, research that sheds a new light on the issue, and that develops an evidence base for new interventions is required. This thesis illuminates the factors that need to be considered in order to increase women’s abilities to make an informed decision about planned birth. Methodology: A pragmatic approach, using mixed methods, was used to explore the current way that we offer planned home birth to maternity service users, and to ultimately make suggestions about how this could be improved. The following studies have been undertaken: Study 1: Initial exploratory study: The case notes of one hundred and sixty nine women, from one health board and who had planned to birth at home, were audited. Non-participant observation of birth planning meetings at thirty-six weeks gestation were undertaken with seven community midwife and low-risk women dyads. These were followed by individual semi-structured interviews with the participants. Study 2: Scoping review: Qualitative and quantitative research, and non-research based literature, were analysed to produce a qualitative review of planned home birth decision making. Study 3: Active offer of planned home birth concept analysis The findings of the initial exploratory study and the scoping review, in addition to active offer literature that is predominantly applied to support the provision of services within minority official languages, were used to create an active offer of planned home birth. Study 4: Workshop study testing the findings of the concept analysis Narrative based exercises were used to explore the concept analysis findings with twenty previous service users who had birthed at home, nine previous service users who had chosen an institutional birth, and fourteen community midwives. Findings: Women will either take a ‘passive’ or ‘active’ approach to the offer of planned home birth, with a passive approach likely where no motivation for an active approach has been provided. Where a woman takes a passive approach, her ability to make an informed decision about planned home birth will depend on an active offer being made by her midwife. This will be most effective when it is supported by a midwife’s employing organisation. The findings of this thesis suggest that a two stage active offer of planned home birth (AOPHB) process, consisting of ‘Creating the conditions’ and ‘Positive reinforcement’ stages, can be used to underpin the offer of planned home birth. Discussion: There has previously been minimal understanding of how to facilitate the home birth decision making process, and a passive offer is routinely provided to women in the UK. The proposed two-stage AOPHB process provides a structured way for midwives to underpin their offer to women, in order that an increased percentage of women are able to make an informed decision about home birth and/or decide to birth at home. Where midwives apply the AOPHB, women who may take a passive approach could be ‘activated’ to engage in home birth decision making. A pilot intervention has been drafted to implement the AOPHB within clinical practice. The intervention provides support for the implementation of the two-stage AOPHB process through the use of individual components focused on midwives and their employing organisation; student midwives; and women, and their significant others. Implications: This thesis has contributed to the developing knowledge base about planned home birth decision making. The application of active offer theory to the offer of planned home birth has been undertaken for the first time, and this has generated a new and useful perspective on this area of midwifery practice. The resultant two-stage AOPHB process has the potential for developing midwifery practice in terms of supporting midwives to understand and facilitate women’s decision making around home birth, providing a flexible tool that can be used in clinical practice. This is the first approach that has been developed with the aim of increasing the ability of women to make an informed decision about whether they wish to birth at home. Additionally, the pilot AOPHB intervention has implications around the understanding of how employing organisations can best support midwives in this aspect of their role, and developing how student midwives are educated about offering home birth to women.

Estilos ABNT, Harvard, Vancouver, APA, etc.

15

Dawson-Black, Patricia A. (Patricia Ann). "Childbirth and Locus of Control: The Role of Perceived Control in the Choice and Utilization of Birthing Alternatives". Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc331471/.

Texto completo da fonte

Resumo:

The purpose of this study was to determine whether the wives' perceptions of personal control over the process of childbirth were related to couples' choices and utilization of three birthing alternatives (home birth, unmedicated hospital birth, and medicated hospital birth). The wives' perceived control over the childbirth process was expected to vary inversely with the level of medical intervention in the birthing alternative chosen. The home birth mothers were expected to perceive themselves as having more control over childbirth than were the unmedicated hospital group mothers, and the unmedicated hospital group mothers more than the medicated hospital group mothers. The husbands' perception of their wives' perceived control in childbirth and their participation was also measured.

Estilos ABNT, Harvard, Vancouver, APA, etc.

16

Fujita, Kenji. "The development of quality indicators for home pharmaceutical care in Japan". Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/22994.

Texto completo da fonte

Resumo:

Taking into account the challenges posed by an ageing society, Japan, one of the most rapidly ageing countries in the world, has recently seen a shift in focus of its health delivery system for the elderly from hospital care to home healthcare. In Japan, home pharmaceutical care (HPC) is provided to home-bound elderly who have difficulties in accessing a community pharmacy, for regular medicine supplies and medication management. Although the number of HPC services provided has increased, little is known about the quality of care provided. Quality indicators (QIs) are a recognised mechanism for evaluating the quality of health services, if they have been robustly developed and their measurement properties scientifically tested. The overall aim of the research described in this thesis was to develop a set of QIs for HPC in Japan and assess their measurement properties. A 4-step QI development procedure was applied. First, the results of a qualitative study regarding what constitutes ‘quality’ in HPC revealed that multiple stages of the home care pathway should be covered in order to comprehensively evaluate the quality of HPC. Second, in line with the determined scope, 52 QIs were developed based on the following three sources; 1) national guidelines, 2) existing QIs, and 3) healthcare professionals’ experiences and opinions. Third, appropriateness of the preliminary set of 52 QIs was assessed using the RAND/UCLA appropriateness method. Of these, 45 QIs were judged as ‘appropriate’ by the expert panel. Fourth, a 6-month observational study followed by semi-structured interviews were carried out to evaluate measurement properties of each QI (feasibility, applicability, improvement potential, discriminatory capacity, sensitivity to change, acceptability and implementation issues). As a result, 9 QIs met all measurement properties. A set of QIs for HPC was rigorously developed and tested. This QI set may be useful in evaluating the quality of HPC services in Japan.

Estilos ABNT, Harvard, Vancouver, APA, etc.

17

Boardley, Graeme N. "Early discharge planning : Primiparous women's perceptions of their readiness for going home". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1998. https://ro.ecu.edu.au/theses/1003.

Texto completo da fonte

Resumo:

Early discharge for women after childbirth was introduced in Australia approximately ten years ago. Early discharge involves going home from hospital within three days of giving birth. Since its introduction, early discharge has been the subject of much debate. Previous research has argued the cost effectiveness and safety of early discharge, but little has been done to examine this phenomenon from the human aspect. An exploratory study of first time mothers, in an early discharge programme was undertaken to address how these women felt in relation to their readiness for going home. A purposive sample of twenty Caucasian, English speaking women were interviewed in their homes, three weeks after the birth of their baby. Data from personal interviews, telephone follow-up interviews and the researchers observational field notes were analysed using content analysis. Significant statements were extracted from data transcriptions and were clustered into appropriate themes and sub-themes. Validity and reliability was confirmed during data analysis. The study findings revealed that the 20 participants felt ready to go home from hospital on or before day three. Four key themes emerged from the data: Getting Information and Help for Going Home; Getting Information and Help after Going Home; Caring for Baby; and Own Environment. The conceptual framework developed from the current literature on early discharge was modified to incorporate the themes drawn from the data. More exploratory-descriptive research on early discharge needs to be undertaken to examine the perceptions of other groups within the community. The experiences of non-English speaking women, single mothers, and adolescents in early discharge programmes need to be explored.

Estilos ABNT, Harvard, Vancouver, APA, etc.

18

Witt, Celeste Elain. "Reclaiming A Sacred Domain: An Ethnographic Study of Mormon Women Overcoming the Media-Supported Message of Acceptable Birth Practice Through Giving Birth at Home". BYU ScholarsArchive, 2000. https://scholarsarchive.byu.edu/etd/5223.

Texto completo da fonte

Resumo:

This study ethnographically explores the experiences of 30 American Mormon women who chose to give birth at home, a practice which differs from the culturally expected birth practice supported by most media birth scenes. The dominant birth practice among American Mormon women aligns with the biomedical birth system nearly universally practiced in the United States. Recent research indicates that the biomedical model is supported by most media portrayals of birth (Elson 1997b). Mormon women who had given birth at home with a midwife were located and invited to participate. A semi-structured interview guide was used to frame the research process. Verbatim transcriptions of the interviews provided the raw data for coding and analysis.

Estilos ABNT, Harvard, Vancouver, APA, etc.

19

Ball, Colleen. "Homebirth in WA: Why women make this choice". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2014. https://ro.ecu.edu.au/theses/1277.

Texto completo da fonte

Resumo:

Background: Homebirths in Western Australia (WA) account for approximately 0.8% of all births. Two consecutive reports from the Perinatal and Infant Mortality Monitoring Committee found increased rates of perinatal mortality in homebirths and recommended a prospective cohort study to assess mortality and morbidity outcomes for women with planned home births in WA. The Homebirth in WA Study, of which this thesis is a component, has been funded by a directed research grant. Aim: The aim of this study was to explore the specific reasons why women in WA choose homebirth. Research on homebirths is focused on perinatal outcomes and comparisons of satisfaction between hospital and homebirth. Based on these comparisons, assumptions are made as to why women choose to have a homebirth or make this choice. There is a paucity of research directly addressing the reasons why women make this choice. Methods: This is a quantitative prospective observational study. Pregnant women planning a homebirth in WA were invited to participate in the study. Women recruited into this study (n=135) were asked about their obstetric history and associated satisfaction with their previous birth experience, and were asked to select from any of 27 options as being their reasons for choosing homebirth, with the option to provide additional reasons of their own. They were also asked to select the three most important reasons. Women were asked to rank their perception of how important it is for them to have a homebirth, their perception of the safety, their level of confidence and the support they have received from their spouse and family and friends for their choice. The women were also invited to share further comments. Results: The majority of women (n=107) received care from the Community Midwifery Program and the remainder (n=28) from privately practicing Midwives. In this study 50 women were nulliparous and 85 multiparous. Women who previously had a homebirth reported a higher level of satisfaction (4.7/5) for the birth experience, compared to women who had hospital births (2.3/5). Avoiding unnecessary intervention was the dominan reason for choosing home birth in 95.5% of participants, regardless of parity, education or previous birth experience; this was followed by the comfort and familiarity of the home (93%) and the freedom to make their own choices (86%). Avoiding unnecessary intervention ranked the highest of the 3 most important reasons. Women reported a high level of support for their choice from their spouse (4.65/5) and substantially less from family and friends (3.68/5). They ranked the safety of homebirth highly and had a high level of confidence. The women who elected to share further comments referred most frequently (28%) to GP’s and obstetricians not presenting homebirth as an option, and also made frequent reference to their negative attitude in relation to the women’s choice. Women also commented on the negative attitudes encountered from family and friends, and additional references reflected their attitudes regarding intervention. Conclusion: Women choosing homebirth in WA do so to avoid unnecessary intervention and have the freedom to make their own choices in the surrounds of the home. They receive limited support for their choice from GP’s and obstetricians as well as friends and relatives. This study underscores the reaction of some women to the current rates of obstetric intervention.

Estilos ABNT, Harvard, Vancouver, APA, etc.

20

Kawahata, Yumi. "Analysis of emergent literacy and home literacy strategies of international preschoolers in Japan". Thesis, Boston University, 2002. https://hdl.handle.net/2144/33490.

Texto completo da fonte

Resumo:

Thesis (Ed.D.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
The purpose of the present study is to investigate the relationship between parent-child interaction during shared book reading and emergent reading behaviors of 4 and 5 year old bilingual children at an international preschool in Japan. More specifically, this study examines: 1) Parental beliefs held about education and literacy learning. 2) The parental structuring of time, material, and experiences in the child's home environment. 3) Emergent reading behaviors of bilingual children during storybook reading. 4) The different types of support parents provide for their children during reading that contribute to the level of reading achievement attained by preschoolers. Qualitative case study methods were used to investigate common features of the parent-child interaction during the storybook reading and the literacy environments the child experiences. The data analysis revealed the following: The Japanese mothers in the current study supported the principle of direct teaching of literacy skills and did not support the interdependency of reading and writing even though they are highly-educated and from middle and upper class families. The mediating styles and strategies they employed during the storybook reading are reflective of their beliefs. The findings reveal that the method of literacy learning is valued differently by sociocultural context, where diverse contexts adhere different values to the educational process, its immediate and long-range goals, and the kind of adults a community hopes these children will become. The results of this study indicated that storybook reading could be fostered through a most routine of family activities. Parental involvement relates the text and its background knowledge to a child's personal experience of the world since reading skills, here, are developed in the course of the reading itself, assistance from the mother by means of 'scaffolding' and through connecting the story's elements to a child's own life events. The bilingual preschoolers also developed emergent literacy strategies as a result of being immersed in a print-rich environment where they can interact with print in meaningful and purposeful ways. The results may offer suggestions for presenting a developmentally and culturally appropriate literacy-learning environment for preschoolers who are learning English outside of English-speaking countries.
2031-01-01

Estilos ABNT, Harvard, Vancouver, APA, etc.

21

Morison, Susanjane. "A phenomenological study of the homebirth experience : The couples perspective". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/943.

Texto completo da fonte

Resumo:

The purpose of this qualitative study was to describe the experience of parents who have had a homebirth in the past two years in Perth. Studies conducted to date have predominantly used quantitative research methods, investigating the safety of homebirth and comparing home to hospital birth without exploring a couples experiences. A phenomenological approach was used as it seeks to understand human experience in context. The research design consisted of a field study, in which ten parent couples were interviewed and three homebirth videos observed. Data analysis was conducted according to the procedure outlined by Colaizzi (cited in Knaack, 1984, p. 110) which is to describe, interpret and extrapolate common themes and meanings. Of the ten couples interviewed four couples spoke of their first child's homebirth and the remaining six couples had three or four children who had been born at home. Research participants were attended to during their homebirth by one of five registered midwives. The essence of these parents' experiences of homebirth was gained through identifying significant statements from transcripts and field notes then clustering these into themes. The four essential themes were Constructing the Environment, Assuming Control, Birthing, and Resolving Expectations. The research findings provide health professionals and consumers with an insight into homebirth which challenges them to alter their practices and assumptions regarding this birth environment.

Estilos ABNT, Harvard, Vancouver, APA, etc.

22

Clarke, Heather F. "An ethnographic study of childbearing practices among a Coast Salish band of Indians in British Columbia /". Thesis, Connect to this title online; UW restricted, 1985. http://hdl.handle.net/1773/7300.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

23

Nozawa, Shuntaro. "Modernity at home : the body, taste and middle-class lives in Japan, 1890-1939". Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/10179/.

Texto completo da fonte

Resumo:

This study explores the subtle relationship between middle-class lives and domestic architecture in modern Japan. I revisit the fifty-year period, 1890-1939, when Japan saw the rise of mass production and mass media, focusing on changing attitudes towards the body, space and family relations from a social-anthropological viewpoint. My particular interest is the duality of taste. There was the public taste being widely circulated and objectified as a prevailing floor arrangement of a house, whilst ordinary people personalised it through economic practices and appropriated the interiors based on their own tastes. This study revolves around the shaping of the dual meanings of the term shumi. From the late 1900s onward, an active involvement in shumi (recreations) was increasingly recognised as a vehicle which enabled people to internalise a good shumi (taste) in the private sphere. This conceptualisation stood on an adherence to Romanticism and new awareness of personal expressions including clothing and furnishing as mirrors of individuality. In other words, the Japanese were motived to become ‘individuals’ through the refinement of shumi in both taste and recreation. A growing number of the middle classes were keen to consume recreational activities, and their constructed subjectivity began to play a key role in ‘leisurising’ domestic spaces to achieve the Romanticised ideal of ‘home’ in an era of capitalism. This study examines the advice manuals, women’s press, publicity of private homebuilders and old questionnaires surveying uses of rooms of middle-class dwellings, to demonstrate the homogeneity as well as multiplicity in terms of how domestic and ‘leisurised’ spaces were perceived. I believe that the coexistence of various perspectives towards the built forms echoed differences in needs, preferences and tastes and was the quality discerned as modernity.

Estilos ABNT, Harvard, Vancouver, APA, etc.

24

Smith, Derek Richard. "Dermatological and musculoskeletal disorders of nursing home workers in Australia, Japan, South Korea and Taiwan". University of Southern Queensland, Faculty of Sciences, 2003. http://eprints.usq.edu.au/archive/00001510/.

Texto completo da fonte

Resumo:

Although skin disease and musculoskeletal disorders are believed to be common among nursing home workers, to date there have been no coordinated international studies of these occupational issues. Therefore, it was considered appropriate to conduct one of the first cross-cultural investigations of occupational dermatology and ergonomic complaints among nursing home workers in Australia, Japan, South Korea and Taiwan using a standardised methodology. This thesis documents a 4-year investigation of skin disease and musculoskeletal disorders conducted among 465 nursing home staff in Australia, Japan, South Korea and Taiwan. Skin diseases were diagnosed by specialist physicians during medical examinations, while information on musculoskeletal disorders was collected by means of a self-reported questionnaire. There were major differences in both the location and type of skin disease between the 4 groups. Overall, the Australian group suffered a generally higher prevalence of skin disease than in the other three countries investigated, most likely due to their significantly higher rate of sun-induced skin damage. The high prevalence of cutaneous fungal disease seen within the Taiwanese subjects most probably arose from the comparatively higher temperature and relative humidity of Taiwan. Other potentially important skin disease risk factors included previous skin disease and a history of allergy, both of which are consistent with current knowledge. Although musculoskeletal disorders were found to be most prevalent among the Japanese nursing home staff at almost all body sites, the reasons for this are not clear. It may have related to a generally higher musculoskeletal rate, or a higher degree of self-reporting on their questionnaires. Individual MSD risk factors included moving patients, washing patients, working as an assistant nurse and daily alcohol consumption. Interestingly, MSD was found to be a co-factor for current skin disease. Overall, this study indicated that certain occupational health issues consistently affect nursing home staff in the 4 countries, but the prevalence and rank order varies from nation to nation. It was also shown that nursing home work incurs a reasonable degree of risk and that skin disease and musculoskeletal disorders are important occupational issues within these facilities.

Estilos ABNT, Harvard, Vancouver, APA, etc.

25

Dorn, Elizabeth A. ""For God, home, and country": The Woman's Christian Temperance Union and reform efforts in Meiji Japan". Thesis, University of Hawaii at Manoa, 2003. http://hdl.handle.net/10125/3053.

Texto completo da fonte

Resumo:

This dissertation focuses on the organizational development of the Woman's Christian Temperance Union (WCTU) in Meiji Japan and on the activities its middle-class members undertook to achieve moral and social reform. It argues that the women who joined the society felt a great sense of duty as Japanese to promote national progress and that they considered widespread acceptance of their reform agenda and the Christian faith essential to Japan's advancement. These mutually reinforcing motivations informed their activism and led them to assume a dynamic role in trying to define social problems and guide public and private behavior. In developing this argument, this dissertation reveals that the members of the WCTU did not compromise their beliefs and principles to accommodate the government's imperialistic ambitions and program to mold a loyal and patriotic citizenry. Instead, they attempted to harness the power of the state and the imperial institution to further their aims. This dissertation makes extensive use of WCTU publications and writings by members to support this argument. It first proceeds chronologically with a three-chapter history of the WCTU's establishment and growth during the Meiji period. Particular foci in this overview include the impact of World WCTU missionaries on the formation of an organizational structure, conflicts among Japanese women over the agenda to be pursued, and activities members undertook to expand the union and arouse interest in their reform principles. The remaining three chapters follow topical lines of analysis. Chapters four and five provide, respectively, detailed discussions of select components of the WCTU's anti-prostitution and temperance campaigns. Chapter six addresses the nature of members' reverence for the imperial institution and outreach during the Sino-Japanese and Russo-Japanese Wars. Blending description of specific activities with analysis, these chapters illustrate how intertwined members' patriotism and sense of national duty were with their religious and reform fervor.
Thesis (Ph. D.)--University of Hawaii at Manoa, 2003.
Mode of access: World Wide Web.
Includes bibliographical references (leaves 232-251).
Electronic reproduction.
Also available by subscription via World Wide Web
viii, 251 leaves, bound 29 cm

Estilos ABNT, Harvard, Vancouver, APA, etc.

26

Vedam, Saraswathi. "Moving from Interprofessional Disarticulation to Transformative Dialogue and Action: Examining a Transdisciplinary Process to Address Equitable Access to High Quality Maternity Care in North America". Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21692.

Texto completo da fonte

Resumo:

Maternity providers in North America are in conflict about birth place, debating issues related to safety, autonomy, and quality of care. Very little is known about how birth place interacts with experience and outcomes of maternity care, or about how to resolve these differences among provider disciplines within established health care systems. A multi-stakeholder group of leaders convened at a series of Home Birth Summits in the United States to delineate a Common Ground Agenda, including nine priority areas for action and research. The aim of this doctoral study was to examine how and why this transdisciplinary process generated new evidence and tools that can improve maternity services. Methods I synthesized the results of four original research studies using a range of methodologies as appropriate to the study topic. In the Canadian Birth Place Study, I examine mixed methods data on provider attitudes to place of birth. In the Changing Childbirth in British Colombia (BC) and Giving Voice to Mothers studies, psychometric analysis cross-sectional survey data led to development of four new person-centered measures of experience of maternity care. In the Access and Integration Maternity Care Mapping Study, a Delphi study created a scoring system (MISS) to assess midwifery integration. Correlation and regression analyses elicit linkages between integration and key maternal-newborn outcomes. Finally, I triangulated results of these studies within the Taming Wicked Problems Framework, to elicit an underlying and contributory factor for effective transdisciplinary action. Results Among maternity care providers (n=825), 84% of variance in attitudes to home birth was attributable to provider type alone. Women from diverse backgrounds (n=2051, 3586 pregnancies) reported reduced autonomy and respect when cared for by physicians and when 9 giving birth in institutional settings. Among women in the United States (US) (n=2700), disparities in experiences of care, including mistreatment, links to race, socioeconomic status, place of birth and type of provider. U.S. states with higher midwifery integration and greater access to home birth reported significantly fewer adverse maternal-newborn outcomes and significantly higher rates of physiologic birth. Discussion The participatory approach and synthesis of outcomes of these studies was essential to understand and address inequities in experience and access to quality maternity health services in the US. Person-centered care emerged as a hidden common value that informed a transdisciplinary research process, and community-responsive knowledge translation outputs. Conclusion Increasing knowledge among all types of providers about quality and safety of birth place, and person-centered care, could improve outcomes across birth settings. The Summit process of transdisciplinary engagement reduced interprofessional conflict and facilitated cocreation of evidence and tools that improve quality, safety, and accountability in North American maternity care.

Estilos ABNT, Harvard, Vancouver, APA, etc.

27

Major, Sabine. "Zur Geschichte der außerklinischen Geburtshilfe in der DDR". Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2003. http://dx.doi.org/10.18452/14842.

Texto completo da fonte

Resumo:

Zu Beginn des 20.Jahrhunderts fanden noch nahezu alle Geburten im privaten Hause statt. In der ersten Hälfte des Jahrhunderts begann der Übergang von der traditionellen Hausgeburtshilfe zur klinischen Geburtshilfe. Nach dem 2. Weltkrieg setzte sich diese Entwicklung fort und es vollzog sich in der DDR der vollständige Übergang zur klinischen Geburtshilfe. 1970 betrug der Anteil der Klinikentbindungen 99,1 %. Von staatlicher Seite wurde die Klinikentbindung eindeutig gefördert. Im "Gesetz über den Mutter- und Kinderschutz und die Rechte der Frau" (1950) wurde die Schaffung von Entbindungsbetten und der Ausbau der Schwangerenberatungsstellen, mit Registrierung aller schwangeren Frauen angeordnet. Die Beratungsstellen und die geburtshilflichen Kliniken bilden eine Einheit. Der Schwerpunkt der Hebammenausbildung wurde auf die Ausbildung zur Anstaltshebamme gelegt. Es wurden Niederlassungsbeschränkungen für Hebammen eingeführt, sodass es ab Ende der 60er Jahre praktisch keine selbständigen Hebammen mehr gab. Ein direktes Verbot der Hausgeburtshilfe in der DDR ist nicht nachzuweisen. In den 70er Jahren wurden neue Methoden (programmierte Geburt) und neue Technik (Kardiotokographie und Ultraschall) in den geburtshilflichen Abteilungen eingeführt. In den westeuropäischen Ländern, v. a. der Bundesrepublik kam es zu einer zunehmenden Kritik der Frauen an dieser Art der Geburtshilfe. Es wurde die "familienfreundliche Geburtshilfe" propagiert und die Hausgeburt wiederentdeckt. In der DDR blieben massive Forderungen nach familienfreundlicher Geburtshilfe aus. Ein Wiederaufleben der Hausgeburt war nicht zu verzeichnen. Andere soziale, gesellschaftliche und politische Gegebenheiten in der DDR als in der BRD könnten als Gründe vermutet werden.
At the beginning of the 20th century nearly all child births took place in private homes. In the first part of this century the transition from the traditional home deliveries to childbirth hospital began. This development continued after the second world war, and in the GDR there was a complete transition to childbirth taking place practically only in hospitals. In 1970 99,1% of all deliveries took place in the obstetrical department of a hospital. This Government policy was engendered in the law of 1950 "Gesetz über den Mutter- und Kinderschutz und die Rechte der Frau" (Law concerning the Rights of Women and Protection of Mothers and Children.). This law required the creation of obstetrical departments in hospitals and extension of information and antenatal care centres for pregnant women, with the aim of registering all pregnant women. The information and antenatal care centres and the obstetrical departments were to form a joint unit. The training of midwives assumed their working place to be the hospital. Midwives were no longer allowed to be self-employed, hence by the end of the sixties there no midwives practising privately, although there is no evidence of childbirth at home being forbidden. In the seventies new methods and technology: programmed births along with sonography and cardiotokography were introduced into antenatal care. In western European countries, notably The Federal Republic of Germany, women increasingly criticised these new methods as unnatural and as not family friendly. The demand for family friendly births arose, and with it for childbirth at home and domiciliary midwives. Childbirth at home had been rediscovered. In the GDR there was no increased demand for changes in antenatal or obstetrical care. A rediscovery of childbirth at home did not take place. A different social and political environment can be assumed as the reason for this.

Estilos ABNT, Harvard, Vancouver, APA, etc.

28

Duran, Rodriguez Jorge Luis. "Market prospects for wood products certified for forest management and/or legality in Japan". Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/616.

Texto completo da fonte

Resumo:

Japan is one of the world’s major importers of wood products. Most of the wood entering the country is destined to Japan’s house building industry. However, Japan has been an indifferent market regarding demand of wood products certified for sustainable forest management. Current pressures that may indicate a shift in market conditions include: the recent economic recovery, increasing Corporate Social Responsibility (CSR), and the new government’s public purchasing policies (PPP) titled Timber Procurement Policies. In order to assess the market prospect (in the next 5 years) for wood products certified as coming from sustainable and/or legal sources a study was completed focusing on Japanese home builders. Data was collected through a self administered mail survey of residential builders in Japan. Results show that there is a low level of understanding, as well as willingness to adopt, forest management certification among Japanese builders. Consequently, current market demand for certified products is low and builders expect little change in consumers’ demand for wood materials certified for sustainable management as well as those certified for legality in the next five years. Builders considered the most important potential drivers for increased demand for certified and/or legal wood products to be rigorously implemented public purchasing policies, followed by increasing final consumers’ demand and the growth in CSR. Builders also estimated that the positive impact of PPPs would be rather modest but widespread. Finally, builders indicated that PPPs would favour demand for certain product categories, such as: domestic wood, softwoods, wood from plantation and to a lesser degree wood from temperate forests.

Estilos ABNT, Harvard, Vancouver, APA, etc.

29

Svensson, Lembke Mattias. "Tokyo intergenerational day care center". Thesis, KTH, Arkitektur, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-122911.

Texto completo da fonte

Resumo:

Japan is facing a great demographic shift, where by 2050 more than 40% of it's inhabitants will be over the age of 65 years. The womens emencipation from the role of stay at home mothers has allowed them to have careers of their own, although a good thing it does not leave a lot of room for starting a family in Japan's hard working climate. This new cultural norm has collided with the the long tradition of family care and Japan is now facing a large cultural collision, where there is a great lack of working solutions for child and senior care. The project suggests a prototypical intergenerational day care center for elderly and children in Tokyos dense now-rise residential neighborhoods. This form of care started being built in America during the 90's and has prooven to provide some of the best care availible for elderly and children.
Japan möter i dagsläget ett stort demografiskt skifte, till år 2050 kommer mer än 40% av befolkningen att vara över 65 år gamla. Kvinnornas frigörelse från hemmet har tillåtit dem att påbörja egna arbetsliv och karriärer, vilket inte lämnar mycket rum för att starta egen familj i Japans hårda arbetsklimat. Denna nya kulturella norm har kolliderat med den traditionella familjevården och Japan står idag utan en bra lösning för barn- och äldrevård. Det föreslagna projektet är ett prototypiskt intergenerationellt dagvårdscenter för barn och seniorer i Tokyos täta lågbebyggda bostadsområden. Intergenerationell vård började byggas under 90-talet i USA och har visat sig ge bland den bästa vården tillgänglig för barn och äldre.

Estilos ABNT, Harvard, Vancouver, APA, etc.

30

Peppe, Mariana Vitor. "A assistência puerperal prestada pelas enfermeiras abstetras e/ou obstetrizes que realizam o parto domiciliar planejado no estado de São Paulo". Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-29032018-151158/.

Texto completo da fonte

Resumo:

O nascimento é um evento natural que através dos tempos sofreu diversas modificações, levando o parto, que até então era privado, íntimo e feminino, a ser vivido de maneira pública e institucional. Atualmente vivencia-se a desmedicalização do parto e um aumento na procura das gestantes pela opção de parir em casa. No domicílio toda ação é desenvolvida em função das necessidades da mulher, e este modelo, não se resume apenas no parto domiciliar planejado, mas também na assistência pré-natal e puerperal. O puerpério é um período de adaptação física e emocional, a assistência puerperal deve garantir um olhar voltado já às primeiras alterações após o parto, devendo ser iniciado e executado um plano de cuidado. Tem-se como objetivo geral compreender o cuidado prestado pela enfermeira obstetra e/ou obstetriz no período puerperal de um parto domiciliar planejado. Trata-se de uma pesquisa qualitativa, que contou com a participação de doze parteiras que assistem partos domiciliares em algumas regiões do estado de São Paulo. Os dados foram coletados por meio de uma entrevista semi-estruturada, com a seguinte questão norteadora: \"Me fale sobre a assistência que você presta no período puerperal de um parto domiciliar\". Os dados coletados foram transcritos na íntegra e, posteriormente, analisados, utilizando o método de Interpretação dos Sentidos. Da análise emergiram três categorias: \"Motivações e valores que levaram as parteiras de volta para o domicílio\", \"O parto em casa tem que ser planejado\" e \"O cuidado puerperal de um parto domiciliar planejado\", diversos cuidados foram descritos na assistência domiciliar prestada para a mulher e para o recém-nascido. A síntese apresentada infere que a assistência puerperal domiciliar prestada pelas parteiras é individualizada, entretanto, se faz necessário, uma melhora na qualidade da abordagem emocional e pessoal da puérpera. Os resultados evidenciaram que as parteiras enfatizam mais os cuidados biomédicos do que os emocionais e humanísticos, dessa maneira é fundamental apontar que essa assistência deve ser ampliada para uma abordagem integral e individualizada
Childbirth is a natural event that has suffered several changes over time, and what was once experienced in a private, intimate, and feminine world, became public and institutional. Currently, there has been a demedicalization of childbirth, and an increase in the search by pregnant women to give birth at home. In the household, every action is developed considering the woman\'s needs, and this model is not only applied to the planned home birth, but also to prenatal and postpartum care. Postpartum is a period of physical and emotional adaptation, and postpartum care must ensure attention is given to the first changes after birth, when a care plan must be started and executed. The main objective of this study was to understand the care provided by nurse midwives in the postpartum period following a planned home birth. A qualitative study was developed with twelve nurse midwives who assist planned home births in different regions in the state of São Paulo. Data were collected by means of a semi-structured interview with the following guiding question: \"Tell me about the care you provide in the postpartum period following a planned home birth\". The collected data were fully transcribed and later analyzed using the Interpretation of Meanings method. Analysis resulted in three categories: \"Motivations and values that led the nurse midwives back to the household setting\", \"Home childbirth must be planned\", and \"Postpartum care for a planned home birth\", and different care measures were described in the home care provided to women and newborns. The synthesis presented suggests that the postpartum home care provided by nurse midwives is individualized, however the quality of the postpartum women\'s personal and emotional approach must be improved. The results evidenced that the nurse midwives emphasize biomedical care rather than an emotional and humanizing assistance, thus it is fundamental to point out that this care must be broadened to a comprehensive and individualized approach

Estilos ABNT, Harvard, Vancouver, APA, etc.

31

KATO, CHIKAKO, KUNIO IDA, MORIO KAWAMURA, MASAHIRO NAGAYA, HARUHIKO TOKUDA, AKIKO TAMAKOSHI e ATSUSHI HARADA. "RELATION OF FALLS EFFICACY SCALE (FES) TO QUALITY OF LIFE AMONG NURSING HOME FEMALE RESIDENTS WITH COMPARATIVELY INTACT COGNITIVE FUNCTION IN JAPAN". Nagoya University School of Medicine, 2008. http://hdl.handle.net/2237/9648.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

32

Watanabe, R. (Ryoko). "Listening to the voices of dementia:the therapist's teaching-learning process through co-construction of narrative and the triadic relationship with Alzheimer’s disease sufferers". Doctoral thesis, Oulun yliopisto, 2016. http://urn.fi/urn:isbn:9789526211169.

Texto completo da fonte

Resumo:

Abstract In dementia care, it has been widely recognized that not only providing medical treatment, but also building an appropriate care relationship between medical professionals and the persons with dementia is one of the keys for understanding the person’s needs and for developing their residual physical and mental abilities. However, there has been little discussion about the meanings and contexts of the care relationship and the role of the therapeutic tools used and the therapist’s expertise in establishing it. To examine these points, the following research questions were addressed: 1) as a mediating tool in the care relationship, what kinds of narratives were created through everyday interaction between therapists and dementia sufferers? 2) how and why were narratives constructed? 3) what is the teaching-learning process of the therapist through narrative joint formation?, and consequently, 4) what is the relationship in dementia care? The data was collected from interviews with one experienced occupational therapist and observations of his care sessions with two Alzheimer’s disease (AD) sufferers in a Japanese nursing home for two years. Their interactions and narratives were transcribed and qualitatively analysed based on Vygotsky's cultural-historical approaches and Bakhtin’s theory of dialogue in education as a theoretical framework. The results have shown that the therapist jointly created narratives and a triadic relationship between the AD sufferers, the narratives, and himself. Using the narratives, he arranged a dialogical environment where the AD sufferers could express their own voices and encounter the voices of others. This enabled them to learn the meaning of their therapeutic activity in connection to their own life experience. As cognitive/psychological tools, the narratives worked towards a teaching-learning process and helped to establish the care relationship. Through the co-construction of narratives and the triadic relationship, the therapist listened to the AD sufferers’ voices carefully, participated in an open ended and unfinalisable dialogue himself with them, and confronted them as equal respondents. In this sense, the therapist is seen as a dialogic teacher who actively learns knowledge and ideas from the dementia sufferers and unceasingly explores unknown questions in narratives with them
Tiivistelmä Dementian hoidossa on laajalti tiedostettu, että lääkehoidon ohella hyvän hoitosuhteen muodostaminen hoitohenkilöstön ja potilaan välille on avainkysymys potilaan tarpeiden ymmärtämiseksi ja käytettävissä olevien fyysisten ja henkisten kykyjen hyödyntämiseksi. Tästä huolimatta on ollut hyvin vähän keskustelua hoitosuhteen merkityksistä ja konteksteista, kuten myös erilaisten työvälineiden roolista ja terapeutin asiantuntijuudesta luoda niitä. Näiden seikkojen tarkastelemiseksi asetettiin seuraavat tutkimuskysymykset: 1) millaisia narratiiveja hoitosuhteen välittävänä työkaluna luotiin terapeutin ja dementiapotilaiden päivittäisessä vuovaikutuksessa, 2) miten ja miksi narratiiveja konstruoitiin, 3) millainen on terapeutin opettamis- ja oppimisprosessi yhteisessä narratiivin muodostamisessa ja näin ollen, 4) millainen on dementian hoitosuhde? Aineisto koottiin haastattelemalla kokenutta toimintaterapeuttia ja havainnoimalla hänen terapiaistuntojaan kahden Alzheimer-potilaan kanssa japanilaisessa hoivakodissa kahden vuoden ajan. Heidän vuorovaikutuksensa ja narratiivinsa transkriptoitiin ja analysoitiin laadullisesti teoreettisena viitekehyksenä Vygotskin kulttuuri-historiallinen lähestymistapa ja Bahtinin dialogin teoria. Tulokset osoittivat, että terapeutti loi yhdessä potilaiden kanssa narratiiveja sekä kolmenvälisen suhteen potilaiden, tarinoiden ja itsensä kesken. Narratiiveja käyttäen hän loi dialogisen ympäristön, jossa potilaat ilmaisivat omat äänensä ja kohtasivat toiset. Tämä auttoi heitä ymmärtämään terapian merkityksen suhteessa heidän omaan elämänkokemukseensa. Narratiivit kognitiivisina/psykologisina välineinä auttoivat opetus- ja oppimisprosessissa ja edistivät hoitosuhteen muodostumista. Narratiivien yhteiskehittely ja kolmenvälinen suhde auttoivat terapeuttia kuuntelemaan huolella potilaiden ääniä, osallisti hänet heidän avoimena jatkuvaan dialogiinsa ja asetti heidät yhdenvertaisiksi osapuoliksi. Tässä mielessä terapeutti nähdään dialogisena opettajana, joka aktiivisesti oppii dementiapotilailta ja joka jatkuvasti tutkii heidän kanssaan narratiivien tuntemattomia kysymyksiä

Estilos ABNT, Harvard, Vancouver, APA, etc.

33

Bernardelo, Paola Alves. "Parto domiciliar planeado em Portugal - as famílias e as suas escolhas". Master's thesis, Instituto Superior de Ciências Sociais e Políticas, 2020. http://hdl.handle.net/10400.5/19602.

Texto completo da fonte

Resumo:

Dissertação de Mestrado em Família e Género
Aproximadamente 0,8% das mulheres em território português tem seus filhos fora do ambiente hospitalar (Pordata, 2019). As mulheres e famílias que optam por um parto domiciliar planeado (PDP) enfrentam muitas dificuldades e obstáculos. Este estudo descreve as principais razões e motivos que levam as famílias a optarem pelo ambiente domiciliar para o nascimento de seus bebês, bem como o impacto dessa escolha na vida pessoal e familiar. Para que fosse possível conhecer os fatores subjetivos à escolha do PDP, a técnica de recolha de dados utilizada foi a entrevista semiestruturada, realizada, separadamente, à mulher e ao seu parceiro. Realizaram-se um total de 16 entrevistas, das quais: 10 mulheres, 5 homens e 1 Enfermeira Especialista de Saúde Materna e Obstétrica. Tendo em vista a escolha pela não participação de alguns homens, somente as entrevistas onde os 5 homens e 5 mulheres que participaram da gestação e do parto dos mesmos filhos, foram descritos e tiveram os dados analisados. O trabalho de Guerra (2006) foi utilizado como norteador para a escolha da metodologia de análise de dados, que recaiu sobre uma Postura Analítica e Reconstrução do sentido. Todo o material recolhido na pesquisa foi sujeito a Análise de Conteúdo, no intuito de descrever situações e interpretar o sentido social. Foi realizada uma Análise Descritiva Temática aprofundada, onde os corpus centrais das entrevistas foram identificados permitindo a identificação de categorias e subcategorias com base no conteúdo das entrevistas e nos achados teóricos. Três caterorias foram identificadas como centrais para a escolha do PDP: (I) Autonomia (i. Capacidade de escolha; ii. Informações de Qualidade; iii. Liberdade); (II) Razões (i. Percepção de Segurança; ii. Evitar Interveções; iii. Experiências Hospitalares Anteriores; iv. Maior Controle do Processo; v. Ambiente Familiar; e vi. Conhecimento dos Modelos Obstétricos); (III) Implicações da escolha (i. estigmatização; ii. Conflitos Internos; iii. Conflitos entre os membros do casal; iv. Aspectos financeiros; v. Parto Idealizado X Parto Real). O estudo termina com a reflexção crítica sobre esta prática e as escolhas nesse domínio, incluindo questões de género, e propostas de investigações futuras.
Approximately 0.8% of women in Portuguese territory have their children outside the hospital environment (Pordata, 2019). Women and families opting for planned home birth face many difficulties and obstacles. This study describes the main reasons that lead families to choose the home environment for the birth of their babies, as well as the impact of this choice on personal and family life. The data collection technique used to learn about the factors that influence the family’s choice of planed home birth, was the semi-structured interview, conducted separately with the women and their partners. A total of 16 interviews were conducted, of which: 10 women, 5 men and 1 Specialist Nurse of Maternal and Obstetric Health. Since some men choose not to participate in the interviews, only the interviews where the 5 men and 5 women who participated in the pregnancy and childbirth of the same children, were analyzed and were described in this dissertation. The theoretical-methodological stance adopted was the Analytical Stance and Sense Reconstruction. Guerra's work (2006) was used as a guide for choosing the data analysis methodology. All the material collected was submitted to an Analysis of Content, with the intention of describing situations and interpreting their social meaning. In the Thematic Descriptive Analysis, the central corpus of the in-depth interviews was analyzed making possible the identification of categories and subcategories. The categories and subcategories were created based on the content of the interviews and on the theoretical findings. Three main categories were identified as the main reasons for the PDP option: (I) Autonomy (Ability to choose; Quality information; Freedom); (II) Reasons (Perception of Security; Avoid Interventions; Previous Hospital Experiences; Greater Control of the Process; Family Environment; Knowledge of Obstetric Models); (III) Implications of the choice (Stigmatization; Internal Conflicts; Conflicts Between the Members of the Couple; Financial Aspects; Idealized Delivery versus Real Delivery). The study ends with a critical reflection on this practice and the choices in this area, including gender issues and proposals for future research.
N/A

Estilos ABNT, Harvard, Vancouver, APA, etc.

34

Kruno, Rosimery Barão. "Parto domiciliar na voz das mulheres : uma perspectiva à luz da humanização". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2004. http://hdl.handle.net/10183/25317.

Texto completo da fonte

Resumo:

Trata-se de um estudo descritivo, exploratório, cujo objetivo foi conhecer as vivências, preparação, sentimentos e motivações de mulheres que optaram por partos domiciliares. Participaram da pesquisa dez mulheres que tiveram, pelo menos, uma experiência de parto domiciliar, em Porto Alegre, nos últimos cinco anos. As informações foram coletadas por meio de entrevista semi-estruturada e analisadas segundo a proposta de Minayo, sendo organizadas em quatro grupos: motivações (decisão, influência familiar); preparação (preparo pessoal do ambiente); sentimentos (vulnerabilidades, fragilidades, medos); vivências (resgate da força feminina, parto e transformação pessoal, filho s). Os dados indicam que as mulheres que optaram por partos domiciliares não aceitam o que o sistema hospitalar atualmente oferece às parturientes e reconhecem que, para algumas, o parto hospitalar é a melhor opção, seja por questões que envolvem decisões pessoais ou de saúde.
This paper is aboul a descriptive exploralory study underlaken with the objective of getting acquainled wilh life experiences, preparalion, feelings and molivalions of women who opled for home delivery. The subjecls of lhe research comprised len women who had ai leasl one experience of home delivery in Porto Alegre, Brazil, in lhe lasl five years. Semi-structured inlerviews supplied ali of lhe informalion Ihal was analyzed according lo Minayo 's proposal and ciassified inlo four groups: molivalions (decision, family influence); preparation (personal and environmenlal preparalion); feelings (vulnerabilities, fragilities, fears) ; life experiences (rescue of women 's slrenglh, delivery and personal change, children). The dala indicate Ihallhe women, who opledfor home delivery, do nol accepl whallhe hospilal system offers lo women in labor ai presenl bul they do recognize thal, for a few women, hospilal delivery is lhe best choice for them, be il for reasons thal involve personal decisions or health ones.
Tratase de un estudio descriptivo exploratorio, cuyo objetivo fue conocer a las vivencias, preparación, sentimientos y motivaciones de las mujeres que eligieron parto en casa. Participaron de esta invesligación diez mujeres que tuvieron, por lo menos, una experiencia de parto en casa en Porto Alegre, Brasil, en los últimos cinco anos. Las informaciones fueron colecladas por medio de entrevisla semi-estructurada y analizadas a través de la propuesta de Minayo. Fueron enlonces clasificadas en cuatro grupos: motivaciones (decisión, influencia familiar); preparación (preparo personal y dei ambiente); sentimientos (vulnerabilidades, fragilidades, miedos); experiencias de vida (rescate de la fuerza femenina, parlo y transformación personal, hijos). Los datos indican que las mujeres, que eligieron parto en casa, no aceptan lo que el sistema hospitalar ofrece a las parturientas aclualmente pero reconocen que, para algunas mujeres, el parto hospitalar es la mejor opción para ellas, sea por razones que envuelven decisiones personales o de salud.

Estilos ABNT, Harvard, Vancouver, APA, etc.

35

Gilbert, Taryn Nicole. "Twisted sisters: The progression of white women from home-wreckers to friends in Onoto Watanna's "Miss Nume of Japan" and Sui Sin Far's "The wisdom of the new"". Thesis, Wichita State University, 2013. http://hdl.handle.net/10057/10632.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

36

Campos, Ludimila Brum. "Ser-aí-mulher-que-vivenciou-o-parto-domiciliar-planejado: contribuições para a enfermagem". Universidade Federal de Juiz de Fora (UFJF), 2017. https://repositorio.ufjf.br/jspui/handle/ufjf/5852.

Texto completo da fonte

Resumo:

Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-09-29T17:59:54Z No. of bitstreams: 1 ludimilabrumcampos.pdf: 948665 bytes, checksum: b530a619cc1d4b7b381bf3c9970d57fe (MD5)
Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-10-09T19:45:51Z (GMT) No. of bitstreams: 1 ludimilabrumcampos.pdf: 948665 bytes, checksum: b530a619cc1d4b7b381bf3c9970d57fe (MD5)
Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-10-09T19:46:06Z (GMT) No. of bitstreams: 1 ludimilabrumcampos.pdf: 948665 bytes, checksum: b530a619cc1d4b7b381bf3c9970d57fe (MD5)
Made available in DSpace on 2017-10-09T19:46:06Z (GMT). No. of bitstreams: 1 ludimilabrumcampos.pdf: 948665 bytes, checksum: b530a619cc1d4b7b381bf3c9970d57fe (MD5) Previous issue date: 2017-08-21
Objetivou-se desvelar os sentidos da mulher que vivenciou o parto domiciliar planejado. Pesquisa de natureza qualitativa, pautada na abordagem fenomenológica com o referencial teórico-filosófico e metodológico de Martin Heidegger. Participaram nove mulheres que vivenciaram o parto domiciliar planejado. A entrevista fenomenológica foi norteada pelas seguintes questões: Como foi para você vivenciar o parto domiciliar? Como você se sentiu? O que isso significou para você? Dos depoimentos, emergiram as estruturas essenciais que constituíram as Unidades de Significação. A compreensão vaga e mediana desses significados permitiu a elaboração do fio condutor que conduziu ao segundo momento metódico, a compreensão interpretativa ou hermenêutica. O modo do ser-aí-mulher-quevivenciou- o-parto-domiciliar-planejado é desvelado como ser-no-mundo esteve lançada na facticidade se vendo lançada na possibilidade de parir em casa que escolheu de forma autêntica o parto domiciliar planejado. De modo curioso, pesquisaram, viram documentários e constatou que o melhor a ser feito para si e para o bebê e ao repetir estas informações sem solidez, desvela-se o falatório. Do medo de ter que parir no hospital que já é uma ameaça conhecida anunciou o pavor, o terror e o horror, pois não é familiar ter que sair de um parto domiciliar e ir para o hospital. Revela ter sido presença no parto domiciliar planejado ao ser considerada e respeitada como ser de possibilidades. Mostrou-se na ambiguidade e também na impropriedade/inautenticidade ao sentir-se muito mais forte após a experiência do parto. Desvelou-se na ocupação junto aos instrumentos por não se ver segura para parir e portando perdeu-se no caráter público do impessoal desvelando a decadência. A equipe que assistiu o parto, demonstrou uma solicitude liberadora, sendo desvelada uma pré-ocupação com o ser-mulher ajudando-as para um poder-ser diante das possibilidades. Conhecer os sentidos que as mulheres atribui ao parto domiciliar planejado permitirá uma reflexão e ação no que diz respeito à atenção ao parto e nascimento e contribuirá para a visibilidade e ressignificação deste modo de partejar como uma possibilidade de local que é seguro e que possibilita o protagonismo e a humanização do parto.
The objective was to unveil the senses of the woman who experienced the planned home birth. Research of a qualitative nature, based on the phenomenological approach with the theoretical-philosophical and methodological reference of Martin Heidegger. Nine women participated in the planned home birth. The phenomenological interview was guided by the following questions: How was you experiencing home birth? How did you feel? What did that mean to you? From the testimonies, the essential structures that constituted the Units of Significance emerged. The vague and meditative understanding of these meanings allowed the elaboration of the guiding thread that led to the second methodical moment, the interpretative or hermeneutic understanding. The mode of being-there-woman-who-experienced-the-homeplanned- planning is unveiled as being-in-the-world was thrown into the facticity if it was launched into the possibility of giving birth at home that authentically chose the planned home birth . Curiously, they have searched, seen documentaries and found that the best thing to do for you and your baby is to repeat the information without soundness. From the fear of having to give birth at the hospital that is already a known threat has announced the terror, terror and horror, as it is not familiar to have to leave a home birth and go to the hospital. It reveals having been a presence in the planned home birth when being considered and respected as being of possibilities. It was shown in ambiguity and also in impropriety / inauthenticity by feeling much stronger after the birth experience. It was unveiled in the occupation next to the instruments for not being seen safe to give birth and carrying was lost in the public character of the impersonal revealing the decadence. The team that attended the delivery demonstrated a liberating solicitude, and a pre-occupation with the being-woman was revealed, helping them to be able to be in the face of possibilities. Knowing the senses that women assign to the planned home birth will allow a reflection and action regarding the attention to childbirth and birth and will contribute to the visibility and re-signification of this way of being part of it as a possibility of a place that is safe and that makes possible the protagonism And the humanization of childbirth.

Estilos ABNT, Harvard, Vancouver, APA, etc.

37

Gusman, Christine Ranier [UNIFESP]. "Parteiras Indígenas e os Objetos do Partejar: apropriação, usos, sentidos e significados". Universidade Federal de São Paulo (UNIFESP), 2017. http://repositorio.unifesp.br/11600/41854.

Texto completo da fonte

Resumo:

Made available in DSpace on 2018-06-04T19:14:33Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-11-17
Esta tese é o resultado de um estudo que pretendeu colocar em análise as estratégias do Programa Trabalhando com Parteiras Tradicionais e suas repercussões para um grupo de mulheres Krahô. A entrega do kit da parteira é um ícone do programa, uma presunção de que uma nova prática alinhada ao saber hegemônico terá início a partir de então. Nesse sentido, o estudo buscou analisar como as mulheres Krahô compreendem sua participação no programa e se apropriam e ressignificam os objetos do kit da parteira no contexto do parto domiciliar. A tese está estruturada em formato de quatro artigos, cada qual representando momentos distintos do estudo. Os dois primeiros são anteriores ao trabalho de campo e frutos de questionamentos vivenciados tanto na etapa de desenvolvimento do programa de parteiras quanto no percurso para aprovação nos comitês de ética. Os dois últimos são provenientes do trabalho de campo e contaram com a antropologia e o método etnográfico como suportes principais. Os trâmites para aprovação ética do estudo mostraram-se tortuosos e excessivamente burocráticos, a experiência indicou que é nos processos singulares e subjetivos que as posturas éticas ou não éticas podem ser experimentadas, a despeito do que possa estar registrado em formulários. Os resultados apontam um descompasso entre o discurso e a prática de valorização do saber tradicional e um nítido viés etnocentrado do programa ao ofertar instrumentos fora da lógica de cuidado das mulheres e pressupor um impacto nos indicadores de saúde a partir da aquisição do saber hegemônico. Os objetos foram apropriados e ressignificados no cotidiano das aldeias, mas não encontraram um lugar claro no contexto do parto domiciliar. Traços de violência simbólica emergiram e a categorização das mulheres Krahô como “parteiras” trouxe impactos e prejuízos na relação social de algumas mulheres. Sugere-se o resgate da dimensão intercultural na formulação e execução de políticas públicas direcionadas a esse público como um caminho profícuo, sob pena de se engendrar num ciclo alienado e alienante, desperdiçando recursos e adiando discussões importantes como o fortalecimento da rede de atenção à saúde no entorno das mulheres indígenas.
This thesis is the result of a study that sought to analyze the strategies of the Working with Traditional Midwives Program and its repercussions on a group of Krahô women. Midwife kit delivery is an icon of the program, a presumption that a new practice aligned with hegemonic knowledge will begin there after. Thus, the study sought to analyze how Krahô women view their participation in the program and take ownership of and resignify midwife kit objects in the home birth context. The thesis is structured in four papers, each representing different moments of the study. The first two occurred prior to fieldwork and result from issues raised during the development stage of the midwifery program and throughout the process of approval by ethics committees.The last two stem from fieldwork and were mainly supported by anthropology and the ethnographic method. The procedures for the ethical approval of the study were tortuous and overly bureaucratic. Experience has indicated that ethical or unethical stances can be experienced in the singular and subjective processes, regardless of what may be recorded in forms. Results point to a mismatch between the discourse and the practice of recognizing traditional knowledge and a clear ethnocentric bias of the program when offering tools outside the rationale of women care and assuming an impact on health indicators from the acquisition of hegemonic knowledge. The objects were appropriated and resignified in the daily life of villages, but they failed to find a clear place in the context of home birth. Symbolic violence traits emerged and the categorization of Krahô women as midwives brought impacts and losses in the social relationship of some women. We suggest reviving the intercultural realm in the formulation and implementation of public policies directed to this public as a profitable pathway, under penalty of engendering an alienated and alienating cycle, wasting resources and delaying important discussions such as the strengthening of the health care network around indigenous women.
BV UNIFESP: Teses e dissertações

Estilos ABNT, Harvard, Vancouver, APA, etc.

38

Gusman, Christine Ranier. "Parteiras indígenas e os objetos do partejar: apropriação, usos, sentidos e significados". Universidade Federal de São Paulo, 2017. http://hdl.handle.net/11612/906.

Texto completo da fonte

Resumo:

Esta tese é o resultado de um estudo que pretendeu colocar em análise as estratégias do Programa Trabalhando com Parteiras Tradicionais e suas repercussões para um grupo de mulheres Krahô. A entrega do kit da parteira é um ícone do programa, uma presunção de que uma nova prática alinhada ao saber hegemônico terá início a partir de então. Nesse sentido, o estudo buscou analisar como as mulheres Krahô compreendem sua participação no programa e se apropriam e ressignificam os objetos do kit da parteira no contexto do parto domiciliar. A tese está estruturada em formato de quatro artigos, cada qual representando momentos distintos do estudo. Os dois primeiros são anteriores ao trabalho de campo e frutos de questionamentos vivenciados tanto na etapa de desenvolvimento do programa de parteiras quanto no percurso para aprovação nos comitês de ética. Os dois últimos são provenientes do trabalho de campo e contaram com a antropologia e o método etnográfico como suportes principais. Os trâmites para aprovação ética do estudo mostraram-se tortuosos e excessivamente burocráticos, a experiência indicou que é nos processos singulares e subjetivos que as posturas éticas ou não éticas podem ser experimentadas, a despeito do que possa estar registrado em formulários. Os resultados apontam um descompasso entre o discurso e a prática de valorização do saber tradicional e um nítido viés etnocentrado do programa ao ofertar instrumentos fora da lógica de cuidado das mulheres e pressupor um impacto nos indicadores de saúde a partir da aquisição do saber hegemônico. Os objetos foram apropriados e ressignificados no cotidiano das aldeias, mas não encontraram um lugar claro no contexto do parto domiciliar. Traços de violência simbólica emergiram e a categorização das mulheres Krahô como “parteiras” trouxe impactos e prejuízos na relação social de algumas mulheres. Sugere-se o resgate da dimensão intercultural na formulação e execução de políticas públicas direcionadas a esse público como um caminho profícuo, sob pena de se engendrar num ciclo alienado e alienante, desperdiçando recursos e adiando discussões importantes como o fortalecimento da rede de atenção à saúde no entorno das mulheres indígenas.
This thesis is the result of a study that sought to analyze the strategies of the Working with Traditional Midwives Program and its repercussions on a group of Krahô women. Midwife kit delivery is an icon of the program, a presumption that a new practice aligned with hegemonic knowledge will begin there after. Thus, the study sought to analyze how Krahô women view their participation in the program and take ownership of and resignify midwife kit objects in the home birth context. The thesis is structured in four papers, each representing different moments of the study. The first two occurred prior to fieldwork and result from issues raised during the development stage of the midwifery program and throughout the process of approval by ethics committees.The last two stem from fieldwork and were mainly supported by anthropology and the ethnographic method. The procedures for the ethical approval of the study were tortuous and overly bureaucratic. Experience has indicated that ethical or unethical stances can be experienced in the singular and subjective processes, regardless of what may be recorded in forms. Results point to a mismatch between the discourse and the practice of recognizing traditional knowledge and a clear ethnocentric bias of the program when offering tools outside the rationale of women care and assuming an impact on health indicators from the acquisition of hegemonic knowledge. The objects were appropriated and resignified in the daily life of villages, but they failed to find a clear place in the context of home birth. Symbolic violence traits emerged and the categorization of Krahô women as "midwives" brought impacts and losses in the social relationship of some women. We suggest reviving the intercultural realm in the formulation and implementation of public policies directed to this public as a profitable pathway, under penalty of engendering an alienated and alienating cycle, wasting resources and delaying important discussions such as the strengthening of the health care network around indigenous women.

Estilos ABNT, Harvard, Vancouver, APA, etc.

39

Rodríguez, Garrido Pía. "Fortalecimiento de la mujer en la decisión de un parto en domicilio en Chile". Doctoral thesis, Universitat de Barcelona, 2021. http://hdl.handle.net/10803/673410.

Texto completo da fonte

Resumo:

INTRODUCCIÓN: El nacimiento humano es un fenómeno social y cultural que por siglos ha estado expuesto a transformaciones. La profesionalización de la partería, la incorporación de médicos hombres a la obstetricia y la aplicación de tecnologías, por mencionar algunas, han generado una serie de consecuencias en la socialización actual del nacimiento. Frente a esto, el aumento de la medicalización del parto ha develado importantes complicaciones en la salud mental, emocional, física y social de las mujeres. En su respuesta han emergido diversos colectivos interpelando el rol que juegan las instituciones sanitarias en la atención del nacimiento, visualizando el parto en domicilio acompañado por una profesional como alternativa posible frente a sus demandas. OBJETIVOS: Por lo expuesto, surge la necesidad de (1) Explorar las representaciones sociales y sanitarias del parto en domicilio, (2) Analizar el concepto de seguridad del parto en domicilio; y (3) Analizar los significados sociales que las mujeres le otorgan al parto en domicilio en el contexto chileno. METODOLOGÍA: Para responder a los objetivos de este estudio se estructuró la investigación en 3 fases con uso de la metodología idónea para abordar cada uno de ellos. Es así como para responder al primer objetivo general, se utilizó una revisión integradora de la literatura permitiendo explorar las representaciones sociales y sanitarias del parto en domicilio. A su vez, para responder al segundo objetivo general, se realizó un scoping review lo que permitió analizar el concepto de seguridad que rodea al parto en domicilio. Por último, para responder al tercer objetivo general, se utilizó un enfoque cualitativo, fenomenológico feminista y situado, a partir de entrevistar a 30 mujeres habitantes de las zonas norte, centro y sur de Chile, que habían dado a luz en sus domicilios. RESULTADOS: De este modo y en base al compendio desarrollado, se presentan los principales hallazgos de esta investigación a través de la publicación de tres artículos científicos. Por su parte y en respuesta al primer objetivo, emergieron cuatro dimensiones centrales de análisis: (1) Dimensión de empoderamiento en el nacimiento; (2) Dimensión comparativa de estudios sociosanitarios del nacimiento; (3) Dimensión institucional del parto; (4) Dimensión cultural del parto. Y nueve subdimensiones: (1.1) Empoderamiento de la mujer; (1.2) Soberanía del cuerpo; (1.3) Políticas contra-hegemónicas; (2.1) Domicilio versus hospital; (2.2) Costos versus efectividad; (2.3) Seguridad versus inseguridad; (3.1) Profesionales de la salud; (3.2)
INTRODUCTION: The human birth is a social and cultural phenomenon that for centuries has been exposed to transformations. The professionalization of midwifery, the incorporation of male doctors to obstetrics and the application of technologies, to name a few, have generated a series of consequences in the current socialization of birth. Faced with this, the increase in the medicalization of childbirth has revealed important complications in the mental, emotional, physical, and social health of women. In their response, various groups have emerged questioning the role played by health institutions in birth care, visualizing home delivery accompanied by a professional as a possible alternative to their demands. AIMS: (1) Explore the social and health representations of home delivery, (2) Analyze the concept of home delivery safety; and (3) Analyze the social meanings that women give to home birth in the Chilean context. METHOD: The research was structured in 3 phases. Thus, to respond to the first general aim, an integrative review of the literature was used to explore the social and health representations of home birth. In turn, to respond to the second general aim, a scoping review was carried out, which allowed analyzing the concept of safety surrounding home delivery. Finally, to respond to the third general aim, a qualitative, feminist and situated phenomenological approach was used, based on interviewing 30 women living in the northern, central, and southern areas of Chile, who had given birth at home. RESULTS: The main findings of this research are presented through the publication of three scientific articles. For its part, and in response to the first objective, four central dimensions of analysis emerged: (1) Dimension of empowerment at birth; (2) Comparative dimension of social and health studies of birth; (3) Institutional dimension of childbirth; (4) Cultural dimension of childbirth. In response to the second objective, three central categories of analysis emerged: (1) Risk of death; (2) Delivery setting; (3) Consensus model. Finally, in response to the third research objective, a central category of analysis emerged: (1) Home birth trajectories. Two subcategories: (1.1) Making the decision to deliver at home; (1.2) The moment of childbirth: (re)born. CONCLUSION: In relation to the social and health representations of home birth, it is evident that, from a health and institutional perspective, home birth is not widely accepted as a valid and safe alternative. However, social representations indicate a certain interest in returning to home birth as a response to the excessive medicalization and institutionalization of birth. In turn, the scientific literature that addresses the concept of home birth safety is permeated by notions of risk and mortality. Both are decisive when making the decision and decreeing an ideal place for the birth. However, scientific evidence determines compliance with safety standards to carry it out at home. In their response, the social meanings that Chilean women give to home birth reveal a series of positive and negative feelings in their trajectories, the latter a product of the sociocultural resistance that surrounds them. Even so, they mean home birth as a political act, positively valuing the presence of midwives and their partners.

Estilos ABNT, Harvard, Vancouver, APA, etc.

40

Freeze, Rixa Ann Spencer Lawrence Susan C. Raeburn John. "Born free unassisted childbirth In North America /". 2008. http://ir.uiowa.edu/etd/202.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

41

Millogo, Tieba. "Trends and predictors of home deliveries in Kassena-Nankana East and West districts in Ghana: 2003-2009". Thesis, 2014. http://hdl.handle.net/10539/17389.

Texto completo da fonte

Resumo:

Introduction: About sixty million of home deliveries occur worldwide every year. The vast majority of them in Low and Middle Income Countries (LMIC) where most of all out of health facility deliveries are attended by relatives and traditional births attendants . Poor hygienic conditions, ignorance of clean birth practices and lack of skills to manage the complications when they occur, make home deliveries unsafe for the mothers and their new-borns. Thus, getting pregnant women to give birth at health facility is critical in the efforts to improve reproductive health outcomes in many LMIC.

Estilos ABNT, Harvard, Vancouver, APA, etc.

42

Burns, Emily. "The meaning of home : spirituality and domestic space in Australian home birth experiences". Thesis, 2016. http://hdl.handle.net/1959.7/uws:37650.

Texto completo da fonte

Resumo:

The home and the hospital have become polarised sites in the discourse on childbirth. The hospital has been heavily critiqued as a site of childbirth since the 1960s, and scholars have interrogated the hospital within a broader framework of medicalisation. Oakley (1984), Kitzinger (2005), Reiger (2000) and Davis-Floyd (2003) have been particularly critical of the increasing medicalisation of childbirth, and argue for the importance of childbirth knowledge beyond the technology-fuelled medical institution. Research on homebirth has in many ways echoed the medicalisation thesis, with a focus on the ways home birthing women attempt to gain autonomy over their bodies by birthing outside of the medical system. What is missing in this critique, however, is an analysis of the space home-birthing women have chosen in their pursuit of autonomy - the home. This thesis draws on interviews with 58 Australian home birthing women, doulas and independent midwives from New South Wales, Queensland and Victoria. Via a series of publications, I argue that during the bounded time-span of pregnancy and childbirth, these women renegotiate the meanings and relationships with their home environments, infusing them with the spiritual dimensions of pregnancy and childbirth. This is facilitated by the social nature of natural birth (Mansfield, 2008) and the perception of women’s ‘innate knowledge’ of how to birth naturally. As a result of the biological and gendered experiences of spirituality (King, 1995; Rose, 2001; Sointu & Woodhead, 2008), home birthing women create rituals like the ‘Blessingway’ (an alternative baby-shower), and ceremonies that memorialise the placenta as well as the birth itself, generating an albeit temporary, but nonetheless sacred home-space. The sacred home-space is reinforced by what I term the ‘nostalgic imagination’ of natural childbirth. Drawing on an imaginary mythology of birth and the connections between women throughout history, home birthing women are able to draw on an authoritative spiritual alternative to medical discourse.

Estilos ABNT, Harvard, Vancouver, APA, etc.

43

Swart, Theresa. "'n Behoeftebepaling vir tuisbevallings : 'n skripsie". Thesis, 2014. http://hdl.handle.net/10210/12872.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

44

Sung, Jin-Shiu. "Engendering knowledge : a study of Han Taiwanese pregnancy cultures surrounding home delivery". Phd thesis, 2012. http://hdl.handle.net/1885/149885.

Texto completo da fonte

Resumo:

Home delivery in Taiwan, the birthing complex predominating in the decades prior to the 1980s, prescribes the home as the site of birth along with 'natural' childbirth attended mostly by female 'professionals'. This thesis addresses Taiwanese pregnancy cultures surrounding home delivery, and examines the intertwining historical-social processes of the production of knowledge for pregnant women, as well as the associated gender ideology at different levels. I have selected Rural Dajia Community as my fieldwork region, and Sankang Village as the epitome of a typical rural society in Central Taiwan. This research shows that there exists both continuity and change between Taiwanese pregnancy cultures and classical Chinese discourses in images of 'women', 'illness' and 'pregnancy'. The Chinese discourse on foetus-calming (an-tai) and foetus-nurturing concerning foetal spirits (tai-sha), together have had a great influence on subsequent discourses in rural Taiwan. Accordingly, Taiwanese pregnancy needs to be explored not just within the context of culture and prevailing gender ideology but within the imagined 'cosmic order' as well. I suggest that the gendered hierarchy in the Taiwanese 'ritual complex of pregnancy' was grounded in a broader cosmic order and an associated gender ideology, in which male hong-tou priests had absolute superiority over both female spirit mediums ang-yi and male tang-ki. I further suggest that an exploration of pregnancy cultures must acknowledge the medical pluralism characteristic of Taiwan, and highlight the interaction between textual/authoritative knowledge and oral/embodied knowledge. Medical pluralism is a complex historical product, in which each tradition was informed by certain political associations: traditional Chinese medicine, Taiwanese local medicine and introduced Western biomedicine/Japanese colonial medicine. Among these, the 'modern' midwives' service in the house of birthing women and their flexibility in dealing sensitively with popular beliefs and practices, was an important episode in the negotiation of 'tradition' and 'modernity'. Moreover, medical pluralism entails power struggles with different models of gendered hierarchy. There are engendered hierarchies between male and female practitioners in both ritual and medical domains. In conversation with Charlotte Furth's foundational work, this research offers a comprehensive picture of pregnancy cultures in pre-industrialised Taiwan. As shown, the home delivery model conforms to local values of prescribing a conventional site of birth along with valuing the intimate 'cultural comfort' of the mother. However, it also reveals the tight cultural controls of a tradition misrecognised as 'natural', in terms of the practices performed and the personnel involved. For example, the practice of taishen guanzhan entails a comprehensive confinement, which reflects the imposition of Chinese patriarchal and paternal thinking on the maternal body. Moreover, the distinctive conceptions of women and pregnancy are like other 'terms' that have positional meanings within a broad cosmological order with gendered attributes. It is from these implications that, I contend, the meaning of evil spirits or sha emerged. In conversation with Emily Ahern and Arthur Wolf's work, my research examines the role and impact of this cosmology of evil on related fields of scholarship.--provided by Candidate.

Estilos ABNT, Harvard, Vancouver, APA, etc.

45

Pelser, Laetitia. "Die omvang en uitkomste van tuisgeboortes in Pretoria". Thesis, 2012. http://hdl.handle.net/10210/5630.

Texto completo da fonte

Resumo:

M.Cur.
There is little information about the outcomes and safety of home births, although more and more women are starting to lean towards natural and active births. A home birth provides a more relaxed environment with familiar attendants and less medical intervention. No separation exists between mother and baby as well as other family members. Freedom of movement is promoted and the woman can eat and drink as she pleases. Unnecessary routine preparation for labour doesn't exist and privacy is respected. The purpose of this research was to explore and describe the outcomes of home births in Pretoria, attended by private midwifes, and to provide guidelines in relation with home births.

Estilos ABNT, Harvard, Vancouver, APA, etc.

46

Jackson, Melanie. "Birthing outside the system : wanting the best and safest : a grounded theory study about what motivates women to choose a high-risk homebirth or freebirth". Thesis, 2014. http://handle.uws.edu.au:8081/1959.7/uws:29953.

Texto completo da fonte

Resumo:

Childbirth in Australia occurs largely in a medicalised context, with 96.9% of births occurring in hospital, 2.2% in birth centres and 0.4% at home as planned homebirths (Li, Zeki, Hilder, & Sullivan, 2013). Only a small percentage of women choose to birth outside the system – that is, have no midwife present (freebirth), or elect to have a homebirth with medical risk factors. In Australia, women with risk factors have little choice but to birth in hospital under obstetric care as they are often excluded from midwifery care programs, birth centres and publicly funded homebirth. In Australia, the choice to birth at home is often met with hostility from medical practitioners, while attracting disapproval from the majority of society. It is within this context that the women in this study have made their choice to birth outside the system. The research question for this study is: what motivates women to birth outside the system – that is, to have a homebirth with risk factors present, or a freebirth where the birth at home is intentionally unattended by health professionals.

Estilos ABNT, Harvard, Vancouver, APA, etc.

47

Tzeng, Shu-Yuan, e 曾淑媛. "A Study about the Management of Home-Help Service in Japan". Thesis, 2005. http://ndltd.ncl.edu.tw/handle/68821559789272163986.

Texto completo da fonte

Resumo:

碩士
淡江大學
日本研究所碩士班
93
After the implement of Long-Term Care insurance Law in the year of 2000, there are more private enterprises have joined in welfare service sector in Japan. My study is through the document research to understand the present conditions and the features of the long-term care business market in Japan. Then, focus on the private home-help service providers, discuss the opportunities they have and the threats they are facing, their superiority and inferiority by analytic method of the administrative strategy. In the meantime I would like to discuss the strategies used by the corporations in several case studies. The research shows the importance of the quality improvement in the management of the home care service when market is growing rapidly, and when government removes the barriers. Not only the human resource management is a key point to improve the quality of the service, but also the manager can get a lot of profit from controlling well labor cost. Beside, it is not easy for managers to improve higher value and get higher profits far away from other competitors. However, there are a lot of managers take the strategies such as building the IT system and flexible personal system , efficiently using the organization’s inside and outside net-works, developing diversification or provide complex services to customers, in order to improve the efficiency, to get more profit and to lower the cost. Finally, there are some suggestions for Taiwanese home-care enterprises. First, the home-help service provider should get the trust from their customers to develop their business. Second, to be more efficient, the service location should be near cities, because of well development and for the time saving for home-care-giver to move from the one customer to another.　 Third, the companies need more care-givers than management employees. 　Fourth, keep all the networks working well.　 Fifth, providing complex services and creating more services that would meet customers’ satisfaction. Sixth, the managers would solve the dilemmas between human resource management about informal employees, such as the employees’ satisfaction and the career education, and keep the cost down.

Estilos ABNT, Harvard, Vancouver, APA, etc.

48

YOSHIZAWA, KANAKO, e 吉澤佳菜子. "Shifting between Business and Home： Comparing female entrepreneurs between Japan and Taiwan". Thesis, 2018. http://ndltd.ncl.edu.tw/handle/6uztn4.

Texto completo da fonte

Resumo:

碩士
輔仁大學
社會學系碩士班
106
This research conducted interviews and analyses to compare the experiences between female entrepreneurs in Japan and Taiwan to understand the dilemma of concentrating on their businesses or on their families. 10 female entrepreneurs were selected and interviewed mainly from service industry field by snowball sampling method. This research analyzes how the governments of Japan and Taiwan help females start their own businesses through policies and how the social policies encourage females to create a career. On the other hand, this study also tries to figure out the differences of the motivations that Japanese and Taiwanese females start their businesses, the ways they take care of careers and families at the same time, and how a female’s role in a family supports or prevents females from establishing their careers. 　The common ground of the Japan and the Taiwan cases is that the entrepreneurial process has encountered difficulties and must face the dilemma between entrepreneurship and family. The biggest difference is in "differences in entrepreneurial culture thinking" and lack of entrepreneurial culture in Japanese society. Although the government provides entrepreneurial support, sexual discrimination, the support of family members has become the main driving force for women's entrepreneurship. In Taiwan, women have higher entrepreneurial opportunities, but the government support systems is not friendly. Individual entrepreneurship must face family challenges. In addition to family support, the system of providing babysitters can make up for the lack of housework.

Estilos ABNT, Harvard, Vancouver, APA, etc.

49

Hagiwara, Chiaki, e 萩原千瑛. "Long-term Care Insurance and Career Adherence of Home-helper in Japan". Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4f3xkj.

Texto completo da fonte

Estilos ABNT, Harvard, Vancouver, APA, etc.

50

Santos, Mário João Duarte da Silva. "Knowledge, power and new professional dynamics in Portuguese home births". Doctoral thesis, 2019. http://hdl.handle.net/10071/20580.

Texto completo da fonte

Resumo:

The contemporary option of an out-of-hospital birth confronts different risk perceptions, questions established organisational dynamics, and challenges medical power and expertise. Looking at the Portuguese context, this research is thus focused on home birth as a social phenomenon, where different professional actors define their own fields of knowledge and power, mostly without a formal organisation or an institutional structure. The diffuse distribution of home birth called for the use of a multi-sited ethnography, in order to understand the connections between the formal and the informal, the public and the private, the regulated and the unregulatable. The four essays that constitute this thesis propose an original and integrative sociological perspective on home birth. The first essay offers a sociohistorical analysis of the extinct figure of the community midwife. This sets the stage for the analysis of midwifery today, in the second essay, which looks at the contemporary circulation of knowledge and power among home birth professionals. In the third essay, "natural" childbirth initiatives and home births, more broadly, are analysed for its particular features regarding how gender is conceived and enacted. And the four essay presents a critical analysis of the organisation of contemporary home births in Portugal, proposing a set of recommendations for improving maternity care. Beyond the academic and sociological relevance of this research, it is expected that it can have a wider social impact, by informing the definition of maternal health policies that are sensitive to the rather invisible but relevant reality of home birth.
A opção contemporânea por um parto fora do hospital confronta diferentes perceções de risco, questiona dinâmicas organizacionais estabelecidas e desafia o poder e a pericialidade médica. Observando o contexto português, esta pesquisa centra-se no parto em casa enquanto fenómeno social, onde diferentes atores profissionais definem os seus campos de saber e de poder, maioritariamente sem uma organização formal ou uma estrutura institucional. Sendo um objeto difuso, elegeu-se uma etnografia multissituada, de forma a compreender as conexões entre o formal e o informal, entre o público e o privado, o regular e o irregulável. Os quatro ensaios que compõem esta tese propõem uma perspetiva sociológica original e integrada sobre o parto em casa. O primeiro ensaio apresenta uma análise socio-histórica da figura extinta da parteira comunitária, o que serve de base ao segundo ensaio, onde é feita uma análise da atual profissão de parteira e se discute a circulação contemporânea de saberes e poderes entre profissionais do parto domiciliário. No terceiro ensaio, é discutida a forma como o género é concebido e posto em prática no parto em casa e em contextos a ele associados. E o quarto ensaio apresenta uma análise crítica da organização do parto em casa contemporâneo em Portugal, propondo um conjunto de recomendações para a melhoria dos cuidados de saúde materna. Além da sua relevância académica e sociológica, é esperado que esta pesquisa possa ter um impacto social mais abrangente, informando a definição de políticas de saúde materna que sejam sensíveis à realidade pouco visível, mas relevante do parto em casa.

Estilos ABNT, Harvard, Vancouver, APA, etc.

Teses / dissertações sobre o tema "Childbirth at home – Japan"

Crie uma referência precisa em APA, MLA, Chicago, Harvard, e outros estilos