Abstract:
INTRODUCTION:For over a decade, enquiries into adverse perinatal outcomes have led to reports that poor collaboration has been detrimental to the safety and experience of maternity care. Despite efforts to improve collaboration, investigations into maternity care at Morecambe Bay (UK) and Djerriwarrh Health Services (Australia) have revealed that poor collaboration and decision-making remain a threat to perinatal safety. The Labouring Together study will investigate how elements hypothesised to influence the effectiveness of collaboration are reflected in perceptions and experiences of clinicians and childbearing women in Victoria, Australia. The study will explore conditions that assist clinicians and women to work collaboratively to support positive maternity outcomes. Results of the study will provide a platform for consumers, clinician groups, organisations and policymakers to work together to improve the quality, safety and experience of maternity care. METHODS AND ANALYSIS:4 case study sites have been selected to represent a range of models of maternity care in metropolitan and regional Victoria, Australia. A mixed-methods approach including cross-sectional surveys and interviews will be used in each case study site, involving both clinicians and consumers. Quantitative data analysis will include descriptive statistics, 2-way multivariate analysis of variance for the dependent and independent variables, and χ2 analysis to identify the degree of congruence between consumer preferences and experiences. Interview data will be analysed for emerging themes and concepts. Data will then be analysed for convergent lines of enquiry supported by triangulation of data to draw conclusions. ETHICS AND DISSEMINATION:Organisational ethics approval has been received from the case study sites and Deakin University Human Research Ethics Committee (2014-238). Dissemination of the results of the Labouring Together study will be via peer-reviewed publications and conference presentations, and in written reports for each case study site to support organisational change.
journal_name
BMJ Openjournal_title
BMJ openauthors
Watkins V,Nagle C,Kent B,Hutchinson AMdoi
10.1136/bmjopen-2016-014262subject
Has Abstractpub_date
2017-03-07 00:00:00pages
e014262issue
3issn
2044-6055pii
bmjopen-2016-014262journal_volume
7pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:INTRODUCTION:Pharmacotherapy plays an important role in the treatment of major depression. At the initiation of antidepressant treatment, both improvement of symptoms in the short term and relapse prevention in the long term should be taken into account. However, there is insufficient evidence regarding the efficacy an...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-027574
更新日期:2019-05-19 00:00:00
abstract:OBJECTIVES:To determine whether studying aetiological pathways of depression, in particular the well-established determinant of childhood trauma, only in a specialised mental healthcare setting can yield biased estimates of the aetiological association, given that the majority of individuals are treated in primary care...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035088
更新日期:2020-07-23 00:00:00
abstract:INTRODUCTION:While patient and citizen engagement has been recognised as a crucial element in healthcare reform, limited attention has been paid to how best to engage seniors-the fastest growing segment of the population and the largest users of the healthcare system. To improve the healthcare services for this populat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008190
更新日期:2015-11-03 00:00:00
abstract:INTRODUCTION:Smokeless tobacco (ST) was consumed by 356 million people globally in 2017. Recent evidence shows that ST consumption is responsible for an estimated 652 494 all-cause deaths across the globe annually. The WHO Framework Convention on Tobacco Control (FCTC) was negotiated in 2003 and ratified in 2005 to imp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042860
更新日期:2020-12-24 00:00:00
abstract:PURPOSE:Chagas disease (CD) has become a global health issue mainly due to migration. Germany lacks surveillance data and is home to a large Latin American immigrant population. Recognising that Bolivia is the country with the highest CD prevalence in Latin America, this cross-sectional, descriptive pilot study investi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013960
更新日期:2017-01-16 00:00:00
abstract:OBJECTIVES:To promote gender diversity and equity in higher education, Athena Scientific Women's Academic Network (SWAN) supports and recognises higher education institutions (HEI) in advancing the careers of women through charter commitment, awards, training and advocacy since 2005. Most evaluation studies, however, a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032915
更新日期:2020-02-12 00:00:00
abstract:INTRODUCTION:This review aims to evaluate the efficacy of acupuncture in the treatment of chronic obstructive pulmonary disease (COPD). METHODS AND ANALYSIS:14 databases will be searched from their inception. These include PubMed, AMED, EMBASE, the Cochrane Library, seven Korean medical databases (Korean Studies Infor...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004590
更新日期:2014-04-28 00:00:00
abstract:OBJECTIVES:Our aim was to determine clusters of non-communicable diseases (NCDs) in a very large, population-based sample of middle-aged and older adults from low- and middle-income (LMICs) and high-income (HICs) regions. Additionally, we explored the associations with several covariates. DESIGN:The total sample was 7...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034441
更新日期:2020-07-19 00:00:00
abstract:OBJECTIVES:To assess whether chronic kidney disease of unknown aetiology (CKDu) is present in India and to identify risk factors for it using population-based data and standardised methods. DESIGN:Secondary data analysis of three population-based cross-sectional studies conducted between 2010 and 2014. SETTING:Urban ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023353
更新日期:2019-03-07 00:00:00
abstract:OBJECTIVE:To examine whether providing thermal clothing improved the health of patients with heart failure during winter. DESIGN:Parallel group randomised controlled trial. SETTING:Large public hospital in Brisbane during winter 2016. PARTICIPANTS:91 patients with systolic or diastolic heart failure who were over 50...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-017592
更新日期:2017-10-08 00:00:00
abstract:OBJECTIVE:To evaluate the application of clinical pathway simulation in machine learning, using clinical audit data, in order to identify key drivers for improving use and speed of thrombolysis at individual hospitals. DESIGN:Computer simulation modelling and machine learning. SETTING:Seven acute stroke units. PARTI...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-028296
更新日期:2019-09-17 00:00:00
abstract:OBJECTIVES:Circulating 25-hydroxyvitamin D (25-OHD) is associated with improved cancer prognosis in some studies, yet it may be a surrogate marker for physical activity. We investigated the associations of leisure-time physical activity (LTPA) with circulating 25-OHD levels in cancer survivors, and determined whether a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016064
更新日期:2017-07-10 00:00:00
abstract:INTRODUCTION:High-grade gliomas (HGGs) are the most malignant type of brain tumours. The 5-year survival is 10% and a significant part of the ongoing research aims to increase survival through surgical and oncological treatments. Accordingly, there is an increasing need for investigating the HGG trajectory in order to ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003183
更新日期:2013-07-11 00:00:00
abstract:BACKGROUND:The last two decades have seen an increase in literature reporting an increase in knowledge and use of contraceptives among individuals and couples in Kenya, as in the rest of Africa, but there is a dearth of information regarding knowledge about benefits of family planning (FP) in Kenya. OBJECTIVES:To asse...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004643
更新日期:2014-03-18 00:00:00
abstract:INTRODUCTION:Persistent infection with sexually transmitted, high-risk human papillomavirus (HPV) types is the cause of all cervical cancers and some anogenital and oropharyngeal cancers. HPV is an extremely common asymptomatic infection but little known and poorly understood by the public. Patients with HPV-related ca...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011205
更新日期:2016-04-25 00:00:00
abstract:INTRODUCTION:Stroke is a leading cause of disability worldwide. The average hospital length of stay ranges from 3 to 28 days, and after discharge home the stroke survivors will live with physical, cognitive, even psychological disorders for the rest of their lives. It is essential to review the unmet needs of stroke su...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029160
更新日期:2019-06-21 00:00:00
abstract:OBJECTIVE:To evaluate the efficiency of county public hospitals in Shandong Province following China's new medical reform and compare the efficiency of hospitals with different bed sizes for improving efficiency. DESIGN AND SETTING:This was a cross-sectional study on the efficiency and size of 68 county public hospita...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035703
更新日期:2020-06-15 00:00:00
abstract:OBJECTIVES AND SETTING:Advances in multigene panel testing for cancer susceptibility has increased the complexity of counselling, requiring particular attention to counselees' psychosocial needs. Changes in psychosocial problems before and after genetic testing were prospectively compared between genetic test results i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029926
更新日期:2019-09-24 00:00:00
abstract:OBJECTIVE:To investigate the incidence of primary care presentations for herpes zoster (zoster) in a representative New Zealand population and to evaluate the utilisation of primary healthcare services following zoster diagnosis. DESIGN:A cross-sectional retrospective cohort study used a natural language processing so...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-021241
更新日期:2018-05-31 00:00:00
abstract:OBJECTIVES:Current strategies to prevent adult pneumococcal disease have been recently reviewed in Italy. We did a postlicensure study to estimate the direct vaccine effectiveness (VE) of the 13-valent pneumococcal conjugate vaccine (PCV13) against adult pneumococcal community-acquired pneumonia (pCAP). STUDY DESIGN:B...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019034
更新日期:2018-03-25 00:00:00
abstract:INTRODUCTION:Cancer-related cognitive impairment (CRCI) can have detrimental effects on quality of life, even among patients with non-central nervous system (CNS) cancers. Several studies have been conducted to explore different markers associated with CRCI to understand its pathobiology. It is proposed that the underl...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-017578
更新日期:2018-01-27 00:00:00
abstract:OBJECTIVE:To model the long-term cost-effectiveness of consuming milk powder fortified with potassium to decrease systolic blood pressure (SBP) and prevent cardiovascular events. DESIGN:A best case scenario analysis using a Markov model was conducted. PARTICIPANTS:8.67% of 50-79 year olds who regularly consume milk i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017136
更新日期:2017-09-25 00:00:00
abstract:INTRODUCTION:People are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-018247
更新日期:2017-12-28 00:00:00
abstract:OBJECTIVE:To determine the effects of yoga practice on subclinical cardiovascular measures, risk factors and neuro-endocrine pathways in patients undergoing cardiac rehabilitation (CR) following acute coronary events. DESIGN:3-month, two-arm (yoga +usual care vs usual care alone) parallel randomised mechanistic study....
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2019-030119
更新日期:2019-11-03 00:00:00
abstract:OBJECTIVES:To investigate an association between fatty liver disease (FLD) and erosive oesophagitis. DESIGN AND SETTING:This was a cross-sectional study of subjects selected from examinees who underwent health check-up, including oesophagogastroduodenoscopy in one hospital between 2004 and 2011. Erosive oesophagitis w...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023585
更新日期:2019-01-30 00:00:00
abstract:INTRODUCTION:Haemophilia is a rare, inherited disorder in which blood does not clot normally, resulting in bleeding into joints and muscles. Long-term consequence is disabling joint pain, stiffness, muscle weakness, atrophy and reduced mobility. The purpose of this proposed feasibility of a randomised controlled trial ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029474
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVES:To establish the prevalence and correlates of continuum beliefs for five mental illnesses in a multiethnic population and to explore its association with stigma. DESIGN:A community-based, cross-sectional study. SETTING:A national study in a multiethnic Asian country. PARTICIPANTS:A comprehensive study of ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014993
更新日期:2017-04-05 00:00:00
abstract:INTRODUCTION:Palliative care coverage and opioid consumption in India are relatively low compared with global data. The literature suggests commonplace concealment and collusion in withholding information, but these hypotheses lack evidence. OBJECTIVES:This study aimed to develop an explanatory evidence-based model of...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024248
更新日期:2019-03-04 00:00:00
abstract:OBJECTIVES:Care.data was a 2013 UK government initiative to extract patient data from general practices in England to form a centralised whole-population database for service planning and health research. After a public outcry, the scheme was postponed and cancelled. Public views of care.data have previously been analy...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038006
更新日期:2020-09-10 00:00:00
abstract:INTRODUCTION:Adequate functioning of the blood-brain barrier (BBB) is important for brain homoeostasis and normal neuronal function. Disruption of the BBB has been described in several neurological diseases. Recent reports suggest that an increased permeability of the BBB also contributes to increased seizure susceptib...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-013954
更新日期:2017-01-05 00:00:00