Evolving technology and scientific advancement have increased the chances of survival of the extremely premature baby; however, such survival can be associated with some severe long-term morbidities.
The research investigates the caregiving and ethical dilemmas faced by neonatal nurses when caring for extremely premature babies (defined as ≤24 weeks’ gestation). This article explores the issues arising for neonatal nurses when they considered the philosophical question of ‘what if it was me and my baby’, or what they believed they would do in the hypothetical situation of going into premature labour and delivering an extremely premature baby.
Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia.
Relevant ethical approvals have been obtained by the researchers.
A qualitative approach was used to analyse the data. The theme ‘imagined futures’ was generated which comprised three sub-themes: ‘choice is important’, ‘not subjecting their own baby to treatment’ and ‘nurses and outcome predictions’. The results offer an important and unique understanding into the perceptions of nursing staff who care for extremely premature babies and their family, see them go home and witness their evolving outcomes. The results show that previous clinical and personal experiences led the nurses in the study to choose to have the belief that if in a similar situation, they would choose not to have their own baby resuscitated and subjected to the very treatment that they provide to other babies.
The theme ‘imagined futures’ offers an overall understanding of how neonatal nurses imagine what the life of the extremely premature baby and his or her family will be like after discharge from neonatal intensive care. The nurses’ past experience has led them to believe that they would not want this life for themselves and their baby, if they were to deliver at 24 weeks’ gestation or less.
The purpose of this scoping review was to survey the most recent (5 years) acute care, community health, and mental health nursing workload literature to understand themes and research avenues that may be applicable to school nursing workload research. The search for empirical and nonempirical literature was conducted using search engines such as Google Scholar, PubMed, CINAHL, and Medline. Twenty-nine empirical studies and nine nonempirical articles were selected for inclusion. Themes that emerged consistent with school nurse practice include patient classification systems, environmental factors, assistive personnel, missed nursing care, and nurse satisfaction. School nursing is a public health discipline and population studies are an inherent research priority but may overlook workload variables at the clinical level. School nurses need a consistent method of population assessment, as well as evaluation of appropriate use of assistive personnel and school environment factors. Assessment of tasks not directly related to student care and professional development must also be considered in total workload.
Over the past decade, there has been a discernible rise in the number of wellness centers and fitness studios in urban cities in India. These centers are spatial manifestations of the rise in a particular type of "self-care" regimes and "body projects" in modern social imaginary prevalent in urban India, predominantly enabled by the rise of middle-class consumer culture. While the literature on fitness spaces and wellness clubs in Western contexts is instructive to a very large extent, the local particularities of consumption experiences in non-Western contexts require contextualized empirical research in order to better inform modern theories of consumption. This article is a study of a wellness center in the South Indian city of Chennai. Using ethnographic methods, I attempt to unpack the experience of consuming wellness in a space that ostensibly claims to remedy the ills of modern living while doing so in a culturally traditional and "Indian" manner. I show how the experiences of predominantly middle-class consumers here are dictated not by a sentimental attachment to tradition or locality, but by a vocabulary of speaking that primarily favors a language of consumer choice and rational decision-making. Whether or not that is the case, the way in which consumption of an "Indian" brand of wellness occurs demonstrates the stronghold of the language of consumer choice making the space at the wellness center a performative arena for self-identity formation to occur.