A study was conducted to describe midwives’ adherence to preoperative care during emergency caesarian section at Bwaila Maternity Wing in 2012 in Malawi. The study utilized a descriptive prospective and retrospective...A study was conducted to describe midwives’ adherence to preoperative care during emergency caesarian section at Bwaila Maternity Wing in 2012 in Malawi. The study utilized a descriptive prospective and retrospective design. A structured questionnaire was administered to all 28 midwives who were directly involved in the preparation of clients for emergency caesarean section. Clients charts were also reviewed using a standard checklist to determine adherence to preoperative care. Data were analyzed using SPSS version 16.0 and descriptive statistics in the form of frequencies and percentages were computed for the dataset. A midwife was supposed to score at least 80% on each component of preoperative care guidelines to be compliant to the stipulated pre-operation standards. The midwives scored above 80% on only four of the 14 preoperative care guidelines which were;bladder catheterization (100%, n = 14), obtaining informed consent (92.9%, n = 12), administration of IV (96.4%, n = 13) and administration of preoperative antibiotics (82.1%, n = 11). Midwives however scored less than 80% on preoperative procedures that dealt with vital signs (28.6%, n = 4): BP check (28.6%, n = 4);Pulse rate check (25%, n = 3.5);respiration check (25%, n = 3.5) and temperature check (25%, n = 3.5). The midwives scored further below standard on blood specimen collection (78.6%, n = 11). Psychological support to clients was also below standard at 60.7%, n = 8. Other components of psychological support such as surgery information (57.1%, n = 8), allowing clients ask questions (28.6%, n = 4) and answering clients’ questions (25%, n = 3.5) were also scored below standard. Overall the standard of preoperative care was below standard at the facility. Most of the midwives were new graduates, who had never received any in-service training on preoperative care. Therefore in service training it is recommended for the midwives to provide good quality of care.展开更多
With the in-depth implementation of the education and teaching reform in each learning segment, the subject teaching model and classroom atmosphere in many colleges and universities have changed significantly. Front-l...With the in-depth implementation of the education and teaching reform in each learning segment, the subject teaching model and classroom atmosphere in many colleges and universities have changed significantly. Front-loading homework is an important part of many forms of homework. It can help students preview the knowledge points related to the teachers teaching. It can let students know where their knowledge loopholes are. In the teaching process of subject teachers, they can listen to lectures more pertinently, which is beneficial to the enhancement of students core quality and the improvement of subject ability. Teachers need to update their teaching concepts in a timely manner. According to the requirements of the new curriculum reform for subject teaching, teachers should make scientific and reasonable adjustments to the content of the front-loading homework so as to fully mobilize the students interest and enthusiasm in completing the front-loading homework and truly play its role. This paper will study the design and application of prepositional homework in primary school mathematics teaching.展开更多
文摘A study was conducted to describe midwives’ adherence to preoperative care during emergency caesarian section at Bwaila Maternity Wing in 2012 in Malawi. The study utilized a descriptive prospective and retrospective design. A structured questionnaire was administered to all 28 midwives who were directly involved in the preparation of clients for emergency caesarean section. Clients charts were also reviewed using a standard checklist to determine adherence to preoperative care. Data were analyzed using SPSS version 16.0 and descriptive statistics in the form of frequencies and percentages were computed for the dataset. A midwife was supposed to score at least 80% on each component of preoperative care guidelines to be compliant to the stipulated pre-operation standards. The midwives scored above 80% on only four of the 14 preoperative care guidelines which were;bladder catheterization (100%, n = 14), obtaining informed consent (92.9%, n = 12), administration of IV (96.4%, n = 13) and administration of preoperative antibiotics (82.1%, n = 11). Midwives however scored less than 80% on preoperative procedures that dealt with vital signs (28.6%, n = 4): BP check (28.6%, n = 4);Pulse rate check (25%, n = 3.5);respiration check (25%, n = 3.5) and temperature check (25%, n = 3.5). The midwives scored further below standard on blood specimen collection (78.6%, n = 11). Psychological support to clients was also below standard at 60.7%, n = 8. Other components of psychological support such as surgery information (57.1%, n = 8), allowing clients ask questions (28.6%, n = 4) and answering clients’ questions (25%, n = 3.5) were also scored below standard. Overall the standard of preoperative care was below standard at the facility. Most of the midwives were new graduates, who had never received any in-service training on preoperative care. Therefore in service training it is recommended for the midwives to provide good quality of care.
文摘With the in-depth implementation of the education and teaching reform in each learning segment, the subject teaching model and classroom atmosphere in many colleges and universities have changed significantly. Front-loading homework is an important part of many forms of homework. It can help students preview the knowledge points related to the teachers teaching. It can let students know where their knowledge loopholes are. In the teaching process of subject teachers, they can listen to lectures more pertinently, which is beneficial to the enhancement of students core quality and the improvement of subject ability. Teachers need to update their teaching concepts in a timely manner. According to the requirements of the new curriculum reform for subject teaching, teachers should make scientific and reasonable adjustments to the content of the front-loading homework so as to fully mobilize the students interest and enthusiasm in completing the front-loading homework and truly play its role. This paper will study the design and application of prepositional homework in primary school mathematics teaching.
