Critical Qualitative Health Research seeks to deepen understandings of the philosophies, politics and practices shaping contemporary qualitative health related research. This accessible, lively, controversial introduction draws on current empirical examples and critical discussion to show how qualitative research undertaken in neoliberal healthcare contexts emerges and the complex issues qualitative researchers confront. This book provides readers with a critical, interrogative discussion of the histories and the legacies of qualitative research, as well as of the more recent calls for renewed criticality in research to respond to global health concerns. Contributions further showcase a range of contemporary work engaging with these issues and the complex encounters with philosophies, politics and practices this involves; from seeking explicit engagements with posthuman ideas or detailed explorations of deeply engaged humanist approaches, to critical discussions of the politics and practices of emerging novel, digital and creative methods. This book offers postgraduate researchers, health researchers and students alike opportunities to engage more deeply with the emergent, complex and messy terrain of qualitative health related research.

Working with Substance Misusers is a practical handbook for students and those who work with people who misuse drugs or alcohol. Written by experienced teachers and clinicians, the book introduces:
* the substances themselves
* theories relevant to substance use and misuse
* the skills necessary to work with this client group
* the broad range of approaches to treatment
* particular problems of specific groups.

The reader is encouraged to read and reflect on the material in relation to their own practice. To help this process, each topic has an identified set of learning objectives. Activities designed to reinforce learning include discussion points, case studies, role plays and group exercises.

Working with Substance Misusers makes clear the connection of theory to practice and encourages a skills-based, but reflective, approach to work in this complex field. Cutting across professional boundaries, it provides both new and more experienced practitioners with a key text.

Contents:
List of illustrations. Introduction. 1. The Daughters of Hariti Today Geoffrey Samuel Part 1: South Asia. 2. "We Know How to Do These Things": Birth in a Newar Village 3. Knowing All the Gods: Grandmothers, God Families, and Women Healers in Nepal Linda Iltis 4. Contaminating States: Midwifery, Childbearing and the State in Rural North India Patricia Jeffrey, Roger Jeffrey and Andrew Lyon 5. Midwives and Other Women; Agency, Emotions and the Politics of Healing in Rajasthan, North West India Maya Unnithan-Kumar 6. The Healer on the Margins: The Dai in Rural Bangladesh Santi Rozario 7. Hawa, Gola and Mother-in-Law's Big Toe: On Understanding Dais' Imagery of the Female Body Janet Chawlan 8. "Baby-Friendly" Hospitals and Bad Mothers: Maneuvring Development in the Post-Partum Period in Tamilnadu, South India Cecilia Van Hollen 9. Tibetan and Indian Ideas of Birth Pollution: Similarities and Contrasts Santi Rozario and Geoffrey Samuel Part 2: Southeast Asia. 10. Birth Attendants in Northeast Thailand: Embodying Tradition in Modern Times Andrea Whitaker 11. Childbirth and Traditional Healing in an Iban Longhouse Amanda Harris 12. Of Paraji and Bidan: Hierarchies of Knowledge among Sudanese Midwives Lynda Newland 13. Adat and Modernity: Confinement in a Sasak Government Clinic Cynthia Hunter Index. About the Editors and Contributors

For the growing number of health professionals who are engaged in processes of evaluation in a variety of contexts within the world of healthcare, The Evaluation Handbook is an easy-to-use resource. Encouraging an evidence-based approach to practice, it provides:
* guidelines on how to design and evaluate an intervention
* examples of good practice
* reliable and easy-to-use measures
* advice on how to work effectively.

The handbook is designed to prompt self-evaluation and group project evaluation. It illustrates how simple evaluation methods can help to break down the divisions between research and practice and how more practitioners can apply such methods to improve the quality of care as well as the treatments and services which they offer their patients and clients. The examples, drawn from clinical settings, community practice and work in the voluntary sector, illustrate the kind of evaluation that can be undertaken by a small-scale team or a single practitioner with limited resources.
The Evaluation Handbook will be a useful source of reference for those new to evaluation as well as more experienced managers and researchers.

Contents:
Introduction 1. Biology of Twinning 2. Twin Pregnancy and the Twin Fetus 3. Intrauterine Behaviour 4. Antecedents and Forerunners of Postnatal Life 5. Still in Hospital: Birth and Soon After Birth 6. Back Home 7. The Initial Stages of Twinship 8. 'Twinning' 9. Becoming 'Twinned' - The Couple Effect 10. Change in the Twins 11. Different Types of Twins 12. Changes in the Family 13. Conclusions

Much has been written about twins. Very, little, however, is about their everyday lives, not even postnatal let alone prenatal. In this fascinating new study Alessandra Piontelli follows the development and behaviour of thirty pairs of twins from their early life in the womb through to their third year as members of the human community. Drawing on detailed ultrasound observations and work with mothers and families in clinical and natural settings to trace the subtle ways in which various types of twins live, behave and interact with their unequally shared and unique pre- and postnatal environments.
Piontelli shows how from a very early on distinctive and personal traits can be seen in the behaviour of each member of a twin couple and how these traits continue and strengthen well beyond birth. At the same time, the 'couple effect' has an impact on their behaviour even after the birth when social interactions begin. The book describes not only the behaviour of the twins, but the impact they have on the lives of their family and carers - what family members say, how they react and how the family changes.
Scientifically based, but warmly human in content, this unique longitudinal study offers new insights to professionals working with mothers and families of twins and to researchers in human development across a range of disciplines.

What do we mean by 'gender' and how does this relate to health?
How is 'biology' best understood?
What does a focus on the division of labour bring to our understanding of health work?
Is (gender) 'equity' in health possible?
How have developments such as the resurgence of emotions and the new genetics affected these and other social relations at the turn of the century?
These are just some of the questions addressed in Gender, Health and Healing in which a whole range of issues are brought together and connected to emerging concerns in contemporary life such as the new genetics and transformations in biomedical knowledge and practices. It offers a challenging assessment of gender relations and embodied practices across the public/private divide, using health and healing as paradigmatic examples.
This thought-provoking volume lies at the intersection of gender studies, the sociology of health and healing, health policy, the critical analysis of scientific knowledge and the current debates around the body, health and emotions. Bringing together new and leading scholars in the field, it provides a unique critical overview of contemporary debates in health care for an interdisciplinary readership.

This is a comprehensive and practical guide to all aspects of breastfeeding babies with special care needs. The language is clear and direct and the references up to date. The author covers the basics of breastfeeding and lactation, positioning and attachment, milk supply, the impact of common drugs, as well as breast conditions and problems and their resolution. Particular attention is paid to feeding the vulnerable baby and to alternative methods of feeding.Crystal clear and practical in writing and approach Full coverage of a topic which is poorly covered elsewhere Simple and explanatory with helpful up-to-date drawings, tables and photographs New material and expanded/updated current chapters Tackles issues which all midwives and neonatal intensive care nurses have to face at some point This revised edition includes new material on:the instinctive nature of breastfeeding at birth skin-to-skin contact and care many new concepts relating to positioning and attachment how long it takes to acquire these skills non-nutritive sucking breast conditions, especially sore and cracked nipples areolar massage breastfeeeding and HIV

Appropriate for health administrators in departments of sociology, social policy and nursing. Students in pre-registration programmes and those meeting management theory for the first time. There can be little doubt that the reforms of the last few decades within the health service have had a major impact on the management responsibilities for nurses, midwives and health visitors. Integrating management theory and principles with nursing practice, Managing in the Healthcare demonstrates how the concepts and principles of management are intrisically linked to the work that nurses do.

How can future parents best be prepared for parenting? And what kind of support and help can health professionals really give all parents? This book explores the skills that health professionals need in order to support parents' efforts to be "good enough" . It looks at the basic skills of adult education and how these can be applied, and it also takes a practical approach to the realistic support health professionals can give. The book looks not only at the needs of every parent but also of those with particular needs and issues. It asks and attempts to answer:what are the challenges facing parents who adopt a child? How does it feel to have carried, given birth to and parent a child whose genetic material is not your own? What are the most effective ways of communicating with parents who have learning difficulties? How can you help the parent of a child with a disability to celebrate the child rather than focus on the disability? How can women in prison be helped to make the transition to motherhood? Each chapter will include both a theoretical and a practical element. Hugely topical and key area for healthcare currently Based on a "real world" perspective and offers realistic aims Examples of and/or suggestions for good practice Assist readers in acquiring educational skills, which can be used to help parents achieve optimum parenting. Well-known and respected editor and contributors working in this field

What do we mean by 'gender' and how does this relate to health?
How is 'biology' best understood?
What does a focus on the division of labour bring to our understanding of health work?
Is (gender) 'equity' in health possible?
How have developments such as the resurgence of emotions and the new genetics affected these and other social relations at the turn of the century?
These are just some of the questions addressed in Gender, Health and Healing in which a whole range of issues are brought together and connected to emerging concerns in contemporary life such as the new genetics and transformations in biomedical knowledge and practices. It offers a challenging assessment of gender relations and embodied practices across the public/private divide, using health and healing as paradigmatic examples.
This thought-provoking volume lies at the intersection of gender studies, the sociology of health and healing, health policy, the critical analysis of scientific knowledge and the current debates around the body, health and emotions. Bringing together new and leading scholars in the field, it provides a unique critical overview of contemporary debates in health care for an interdisciplinary readership.

This extensively illustrated book provides an accessible and up-to-date introduction to obstetric anaesthesia and analgesia. With only three principal authors, there is a consistency of style within a comprehensive textbook that presents the basic science, pharmacology and clinical practice relevant to obstetric anaesthesia. Chapters cover topics such as analgesia during labour, anaesthesia and postoperative analgesia for caesarean delivery, major obstetric and anaesthetic complications, evaluation of the foetus and resuscitation of the neonate, and common clinical scenarios such as management of pre-eclampsia, obesity, multiple gestation and co-existing disease.

Clinical supervision has been available to nurses for over a decade. This book, edited by leading practitioners in the field, looks at how clinical supervision has developed during this period and what the issues are for the future, including:
* education and training in clinical supervision
* the introduction of clinical supervision into policy and practice
* the practice of clinical supervision within the different nurse specialisms
* current research activity
* international perspectives and experiences.
The book is firmly grounded in clinical practice and all the contributors write from real experience. They include clinicians, educationalists, researchers and policy makers from the UK, Finland, America and Australia.
Containing the latest research evidence, Fundamental Themes in Clinical Supervision demonstrates the potential of this form of training to support staff and improve client care an essential tool for nurses and other health professionals.

Clinical supervision has been available to nurses for over a decade. This book, edited by leading practitioners in the field, looks at how clinical supervision has developed during this period and what the issues are for the future, including:
* education and training in clinical supervision
* the introduction of clinical supervision into policy and practice
* the practice of clinical supervision within the different nurse specialisms
* current research activity
* international perspectives and experiences.
The book is firmly grounded in clinical practice and all the contributors write from real experience. They include clinicians, educationalists, researchers and policy makers from the UK, Finland, America and Australia.
Containing the latest research evidence, Fundamental Themes in Clinical Supervision demonstrates the potential of this form of training to support staff and improve client care an essential tool for nurses and other health professionals.

This collection brings together the leading research in maternity care from the United States, Canada and Europe to discuss systems of care for pregnancy and childbirth. The essays focus on the practical side of "good" social science and "feminist-friendly" research. The text not only looks at maternity, but also the act of childbirth, with the goal of providing not just comparative perspectives of care, but also to integrate the differences in care within each essay for a truly international understanding of maternity care.

This book is a collection of original essays on the meaning of providing care. These essays address not only the work of caring for the elderly, but also the work of caring for children, the infirm and those with disabilities.
The essays approach the topic from an ethical standpoint and also from a more practical, feminist and sociological point of view. The main goal of this book is to re-conceive the notion of care work, beginning with steps as simple as replacing the phrase 'caregiver' with the phrase 'care worker'.

To be at the birth of a baby is special, yet there is an increasing secularisation and reliance on technology in contemporary maternity care, particularly in the western context. Through exploration of experiences at birth this book explores joy at birth, which is often ignored and overlooked beyond the activities that help to ensure survival. This book draws on a collection of stories of birth from mothers, birth partners, obstetricians and midwives, that demonstrate joy at birth across professional groups and in different types of births and locations with or without technological interventions. Each chapter introduces stories of joy that highlight embodied, spatial and relational meanings. Employing the Heideggerian notion of a human being, it sketches out an ontological focus that draws our gaze to the everyday taken-for-granted ways of being at birth. Based on phenomenological experiential data and rigorous interpretive analysis underpinned by seminal philosophical writings, this book calls for readers to attend to the wholeness of birth in all situations and at all births in ways not attempted before. It will be of great interest to midwives, and those working in and studying maternity, obstetrics and neonatology, as well as social and medical anthropology, sociology, cultural, organisational and clinical psychology and spirituality.

Pregnant Women: Violent Men is written by an experienced midwifery educator and health professional, and by a social scientist and Open University Lecturer who has considerable experience in supporting women who survive violence. Case studies and scenarios illustrate how to apply theory to clinical midwifery practice, taking into account contemporary society, exploring the causes of violence and focusing on violence in pregnancy and childbirth. Pregnant Women: Violent Men is an essential purchase for every midwife and health care professional involved in offering childbearing women care and support. * Offers sound advice and ideas on how the midwife can support, influence and stand alongside women as they experience both childbirth and the crime of domestic violence; and discusses who else can help, including the law and the Women's Aid network * Explores the shape of society and examines the roots of violence * Sensitively considers the role of the midwife when faced with domestic violence among childbearing women

Based on major multi-centre research in the UK, Dying to Care identifies why work stress is a problem in health care generally, and in HIV health care in particular. The similarities and differences between work stress experienced in general health care settings and in HIV/AIDS are explored in a state-of-the-art review of research and experience in the field to date.
The book has a practical focus, and goes on to explore ways in which the unique stresses of patient advocacy in HIV/AIDS can be addressed, identifying the best approaches for management. Highlighting the practical importance of a clear distinction between the burnout and work stress for design of strategies for burnout prevention, the emergence of the concept of burnout is described and the general historical confusion between work stress and burnout examined. This will be a key handbook for managers, physicians, nurses, social workers, health advisors and counsellors working in or alongside healthcare.

Based on major multi-centre research in the UK, Dying to Care identifies why work stress is a problem in health care generally, and in HIV health care in particular. The similarities and differences between work stress experienced in general health care settings and in HIV/AIDS are explored in a state-of-the-art review of research and experience in the field to date.
The book has a practical focus, and goes on to explore ways in which the unique stresses of patient advocacy in HIV/AIDS can be addressed, identifying the best approaches for management. Highlighting the practical importance of a clear distinction between the burnout and work stress for design of strategies for burnout prevention, the emergence of the concept of burnout is described and the general historical confusion between work stress and burnout examined. This will be a key handbook for managers, physicians, nurses, social workers, health advisors and counsellors working in or alongside healthcare.

This updated and expanded edition of The Pregnant Drug Addict (1995) explores the difficulties of managing the maternity care of those who are drug dependent. Catherine Siney has brought together a number of specialists whose combined expertise provides an essential guide to this problematic subject. Key issues include the medical and obstetric problems of mothers, the consequences for the child, pregnant women who are HIV positive or have hepatitis B, outreach work and counselling.

First published in 1999, this volume discusses how the nursing and health care fields are developing rapidly. This series of monographs offers up-to-date reports of recently completed research projects in the fields of nursing and health care. The aim of the series is to report studies that have relevance to contemporary nursing and health care practice. It includes reports of research into aspects of clinical nursing care, management and education. The series is of interest to all nurses and health care workers, researchers, managers and educators in the field.

This accessible introduction to phenomenology for nurses explains what has become one of the most widely used qualitative research methods within mental healthcare.

Motor Neurone Disease is one of the most difficult conditions to manage medically and socially. A disease which leads to the loss of control of most muscle systems of the body, it has no known cause and no cure. For this reason, clinicians have traditionally been reluctant to reveal the diagnosis to sufferers or their families and the condition has become known as one of the best kept secrets of medical practice. However in recent years a number of organizations have set up to support sufferers and their families and consequently, the public profile of the condition has changed dramatically.
Motor Neurone Disease provides an extremely helpful guide to the medical facts relating to the condition and considers the psycho-social effects on sufferers and those who care for them. It will be essential reading for doctors, nurses, social workers, physio-, speech and occupational therapists as well as all those suffering from Motor Neurone Disease, their families and carers.