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Open Access
Article
Publication date: 5 March 2018

Louise Ackers, Hannah Webster, Richard Mugahi and Rachel Namiiro

The purpose of this paper is to present the findings of research on mothers and midwives’ understanding of the concept of respectful care in the Ugandan public health settings. It…

1875

Abstract

Purpose

The purpose of this paper is to present the findings of research on mothers and midwives’ understanding of the concept of respectful care in the Ugandan public health settings. It focusses on one aspect of respect; namely communication that is perhaps least resource-dependent. The research found endemic levels of disrespect and tries to understand the reasons behind these organisational cultures and the role that governance could play in improving respect.

Design/methodology/approach

The study involved a combination of in-depth qualitative interviews with mothers and midwives together with focus groups with a cohort of midwives registered for a degree.

Findings

The findings highlight an alarming level of verbal abuse and poor communication that both deter women from attending public health facilities and, when they have to attend, reduces their willingness to disclose information about their health status. Respect is a major factor reducing the engagement of those women unable to afford private care, with health facilities in Uganda.

Research limitations/implications

Access to quality care provided by skilled birth attendants (midwives) is known to be the major factor preventing improvements in maternal mortality and morbidity in low income settings. Although communication lies at the agency end of the structure-agency continuum, important aspects of governance contribute to high levels of disrespect.

Originality/value

Whilst there is a lot of research on the concept of respectful care in high income settings applying this to the care environment in low resource settings is highly problematic. The findings presented here generate a more contextualised analysis generating important new insights which we hope will improve the quality of care in Uganda health facilities.

Details

International Journal of Health Governance, vol. 23 no. 1
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 7 October 2014

Daniel W.L. Lai, Gabrielle D. Daoust and Lun Li

The purpose of this paper is to review and discuss existing literature and available research findings related to understanding elder abuse and neglect in culturally diverse…

Abstract

Purpose

The purpose of this paper is to review and discuss existing literature and available research findings related to understanding elder abuse and neglect in culturally diverse communities, particularly the Chinese immigrant community in Canada. The conceptual understandings of elder abuse are examined, based upon the socio-cultural context and challenges faced by aging Chinese immigrants.

Design/methodology/approach

Previous literature and research publications related to elder abuse and neglect related to Chinese in Canada were reviewed and synthesized. Statistical information and research findings were summarized to illustrate the socio-cultural context that defines elder abuse and neglect experienced by aging Chinese immigrants in Canada.

Findings

From a culturally diverse perspective, influence of race, ethnicity, immigrant status, and cultural norms on the recognition, identification, prevention and intervention of elder abuse and neglect are important to consider. A key message for professionals working with the aging population, particularly older immigrants from ethno-cultural minority background, is that understanding the social cultural context in which elder abuse or neglect emerges is critical. For many of the aging Chinese immigrants in Canada, the socio-cultural circumstances that they have experienced, their social environment, and various barriers and challenges further prevent them from being aware of this emerging concern. Cultural norms and practices have played a critical role in their access to preventive and intervention services.

Research limitations/implications

Although this paper is not based upon a particularly empirical research study, the research and literature synthesized are both empirically and conceptually based. As indicated in the review of previous research publications on the subjective matter of elder abuse and neglect in aging Chinese immigrants in Canada is limited. Research on various issues related to elder abuse and neglect in ethno-cultural minority communities is also relatively scant. Evaluation research on prevention and intervention programs is desperately needed so as to facilitate the further establishment of best practice prevention and intervention models that are culturally appropriate and effective. While research engagement with minority groups such as the aging Chinese immigrants who do not speak English or are not familiar with the research culture in the western civilization could be challenging, academic researchers and service providers in both the mainstream and ethno-cultural minority communities should further align themselves in practice-research partnership endeavors to ensure the safety and wellbeing of the aging vulnerable individuals could be better maintained.

Practical implications

In order to provide culturally competent services, service providers should be aware of cultural differences in attitudes towards elder mistreatment, including the ways in which specific types of abuse (e.g. financial abuse) are defined within ethno-cultural communities, and the cultural values and experiences that shape these understandings and determine attitudes or barriers towards reporting, intervention, and service use.

Originality/value

This paper is a first attempt in the research community to synthesize a few critical issues related to elder abuse and neglect in the aging Chinese immigrant community in Canada. The paper has connected previous empirical findings related to Chinese older adults as well as other culturally diverse aging populations to the conceptualization of elder abuse and neglect by considering the unique socio-cultural context faced by the ethnocultural older adults.

Details

The Journal of Adult Protection, vol. 16 no. 5
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 1 August 2007

Pavel Puchkov and Said Damzaev

Non‐Russian readers of Russian fairy tales may find the stories disturbing and harsh, full of cruel and violent acts such as murders, robberies and other illegal actions. In…

Abstract

Non‐Russian readers of Russian fairy tales may find the stories disturbing and harsh, full of cruel and violent acts such as murders, robberies and other illegal actions. In Russia, however, many children grow up reading these fairy tales as part of an ordinary cultural upbringing. This article analyses the subject of elder abuse and disrespect of age as presented in Russian fairy tale works. On the basis of sociological research of the fairy tales, the author draws a conclusion about the prevalence of elder abuse and age discrimination portrayed in the analysed folk works.

Details

The Journal of Adult Protection, vol. 9 no. 3
Type: Research Article
ISSN: 1466-8203

Keywords

Book part
Publication date: 2 August 2023

Catarina Barata, Vânia Simões and Francisca Soromenho

Obstetric violence is the mistreatment of women in the setting of obstetric care, which includes preconception, medically assisted reproduction, pregnancy, childbirth and

Abstract

Obstetric violence is the mistreatment of women in the setting of obstetric care, which includes preconception, medically assisted reproduction, pregnancy, childbirth and postpartum. Obstetric violence follows and perpetuates the devaluation and subjugation of women in patriarchal societies, where socio-cultural conceptions contribute to a view of the female body as faulty and deviating from the male prototype. These shape the perception that female reproductive processes require technological corrections. The medicalisation of reproductive processes and the mechanisation of a normal life event, with the threat of death and other life-changing consequences, disempower women and objectify the body and its functions.

The entrance of women into the workforce and the specialised fields, feminising care professions, failed to shift this paradigm. Female health workers are trained in the procedures instituted by dominant patriarchal structures, expressing values encoded in the professional culture and the institutions where they work. As women conform to the models they are exposed to during their training, perpetuating corporate hierarchies and practices, they act as agents and perpetrators of obstetric violence. Thus, obstetric violence also constitutes a specific type of violence against women at the hands of other women.

Details

The Emerald International Handbook of Feminist Perspectives on Women’s Acts of Violence
Type: Book
ISBN: 978-1-80382-255-6

Keywords

Article
Publication date: 2 November 2018

Ashfaque Ahmed Talpur, Tony Ryan, Parveen Ali and Sharron Hinchliff

The purpose of this paper is to perform a review of the literature of empirical studies on elder mistreatment (EM) in South Asians, and to discuss key implications for policy…

Abstract

Purpose

The purpose of this paper is to perform a review of the literature of empirical studies on elder mistreatment (EM) in South Asians, and to discuss key implications for policy, practice and research.

Design/methodology/approach

For this review, multiple electronic databases in the international health and social science were searched and supplemented by grey literature and cross-references. Quality of papers was assessed by two authors against the standard checklists.

Findings

In total, 16 studies met the inclusion criteria of this review, of which 11 were cross-sectional design, and only six of them used standard instruments to measure EM. The prevalence estimates of overall EM retrieved from general population-based studies ranged from 9.3 per cent in India to 49.1 per cent in Nepal. Age, gender, residential settings, socioeconomic status, health, education, and social structures and processes were key risk factors for EM in South Asian communities. Reporting and action taking were culturally rooted.

Originality/value

While the review is not systematic, there are limitations associated with the paper in covering the diverse range of databases and studies. However, this review provides a valuable synthesis of the empirical papers on the incidence, culturally specific risk factors and reporting trends of EM in South Asians. Additionally, the review presents the papers evaluated for a quality to ensure the validity of empirical data. Finally, the review includes several implications for policy, practice and future research on EM which may ultimately contribute in improving the health and wellbeing of elder South Asians.

Details

The Journal of Adult Protection, vol. 20 no. 5/6
Type: Research Article
ISSN: 1466-8203

Keywords

Book part
Publication date: 22 November 2019

Cara Delay and Beth Sundstrom

This chapter examines symphysiotomy in twentieth-century Ireland as one example of a systematized obstetric violence that has characterized Ireland’s modern history. Expanding…

Abstract

This chapter examines symphysiotomy in twentieth-century Ireland as one example of a systematized obstetric violence that has characterized Ireland’s modern history. Expanding scholarly interpretations of state- and Church-inflicted abuse of women in the twentieth century, this analysis establishes the medical profession as a central actor alongside the twentieth-century state-Church coalition that regulated women’s reproductive lives and engaged in systematic repression. This chapter recognizes that Ireland’s history of reproductive abuse and coercion did not just involve contraception or abortion but also labor and birth experiences. In addition, it offers a more complete and complex interpretation of obstetric violence by highlighting the experiences of married women with wanted pregnancies; almost all research to date focuses on the experiences of unmarried pregnant women or unwanted pregnancies. This examination of symphysiotomy and obstetric violence in Ireland illuminates the ways in which religious, national, and medical power has been mapped on women’s reproductive bodies, particularly in the decades after independence in 1922. It also makes essential links between Ireland’s past and present, demonstrating that a careful analysis of the history of obstetric violence and the religious underpinnings of it are essential in understanding Ireland today. With this research, we also place symphysiotomy within the context of the global reproductive justice movement, asking how a reproductive justice framework – one that links reproductive rights with social justice – can help us interpret obstetric violence and address the wounds of Ireland’s past.

Details

Reproduction, Health, and Medicine
Type: Book
ISBN: 978-1-78756-172-4

Keywords

Book part
Publication date: 12 September 2014

John F. Ehrich and Lisa C. Ehrich

In the past, leadership scholars have tended to focus on leadership as a force for good and productivity (Ashworth, 1994; Higgs, 2009; Padilla, Hogan, & Kaiser, 2007). However…

Abstract

Purpose

In the past, leadership scholars have tended to focus on leadership as a force for good and productivity (Ashworth, 1994; Higgs, 2009; Padilla, Hogan, & Kaiser, 2007). However, recently attention has been given to the ‘dark side’ of leadership (see Higgs, 2009; Judge, Piccolo, & Kosalka, 2009). The aim of this chapter is to explore dark leadership from the perspective of the narcissistic leader using a fictional character from a popular film.

Methodology/approach

Using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, 1994 (DSM-IV) (American Psychiatric Association, 2000) as an operational definition of narcissistic personality disorder we explore the psychology of the narcissistic leader through a fictional character study in a popular film.

Findings

We have created a psychological profile of a narcissistic leader which identifies specific behavioural characteristics within a toxic organizational culture.

Social implications

This study has implications for employees within any organizational culture. It is significant because it can illustrate how dark leadership can impact negatively within organizations.

Originality/value

The use of actual living persons on which to base case study material in the study of dark leadership is problematic and constrained by ethical issues. However, the use of characters in fiction, such as contemporary film and drama, represents an excellent source of case study material. Given that little empirical works exists on narcissistic leaders and leadership, the chapter adds originality and value to the field.

Details

The Contribution of Fiction to Organizational Ethics
Type: Book
ISBN: 978-1-78350-949-2

Keywords

Book part
Publication date: 16 August 2014

Colin D. Butler

This chapter explores the protest self-immolations since 2009 of over 100 Tibetans in China. It investigates whether these events have ecological as well as social causes and may…

Abstract

Purpose

This chapter explores the protest self-immolations since 2009 of over 100 Tibetans in China. It investigates whether these events have ecological as well as social causes and may thus be relevant to the emerging discipline of ‘EcoHealth’.

Method

Targeted literature review and reflective analysis, presented as a narrative.

Findings

Chinese citizens identifying as Tibetan have experienced substantial ethnically based discrimination for over 60 years, manifest as attempted cultural destruction, pervasive disrespect and linguistic suppression. Tibetans, now a minority in much of their former territory, have witnessed and at times been forced to participate in ecological destruction, much of it led by Chinese settlers, endorsed by occupying authorities. Tibetans have for decades protested against the Chinese they regard as invaders and occupiers, but Tibetan acts of protest self-immolation are a recent response. Academic analysis has been scarce, particularly by Chinese scholars. Until now, EcoHealth practitioners have also denied any relevance, as if in a waltz led by the Chinese government.

Practical and social implications

Attempts to identify rational causes for Tibetan self-immolation conflict with themes of liberation and fairness central to Communist Chinese ideology. Most Chinese analysis of Tibetan self-immolation is superficial, nationalistic and unsympathetic. Also disturbing is the reaction to these issues shown by the International Association of Ecology and Health. It is suggested that this illustrates a failure to translate rhetoric of ‘speaking truth to power’ to reality, a retreat from idealism common to many social movements.

Originality and value

Increasing human demand on a limited biosphere necessitates a deepened understanding of eco-social factors. Practitioners concerned with sustaining our civilisation are encouraged to explore the integrated dimensions revealed by this case study.

Details

Ecological Health: Society, Ecology and Health
Type: Book
ISBN: 978-1-78190-323-0

Keywords

Article
Publication date: 26 June 2023

James D. Grant and Danielle Mercer

The authors sought to examine how hegemonic masculinity and sexism functioned in a storied, historic corporation, a test of MAnne's (2017) claim that misogyny is a structural…

Abstract

Purpose

The authors sought to examine how hegemonic masculinity and sexism functioned in a storied, historic corporation, a test of MAnne's (2017) claim that misogyny is a structural phenomenon rather than being about anger and hatred of individual men.

Design/methodology/approach

This study was an archaeological excavation of discourse in a well-documented employment relationship. The researchers were informed by feminist poststructuralism and drew on critical discourse analysis of labour arbitration and media from the case of a woman, twice wrongfully dismissed.

Findings

The authors concluded that the employer was the site of hegemonic masculinity, which led to a train conductor being repeatedly targeted and demeaned in a bad faith and discriminatory manner for disrupting the conductor’s employer's patriarchal strictures. The authors found that misogyny shaped the conductors’s experience as a repeated pattern of abuse, a gendered feature of a patriarchal organisation, and a coercive matter of maintaining the conductor’s subordination. The authors also found that the male arbitrator in the conductor’s second dismissal arbitration became complicit in misogyny by penalising the conductor for acts of resistance, giving the employer what the employer wanted, to purge the conductor for violating the patriarchal norms.

Originality/value

The authors traced how a historic corporation demonstrated vulnerability to the resistance of a lone female worker, who faced discriminatory, disturbing and bad faith managerial behaviour in the creation of the conductor’s own meaning and resistant identity. The authors concluded that evidence of the regulation of employee relations, such as the decisions of arbitrators, can reveal the processes and outcomes of work under hegemonic masculinity, sexism and misogyny.

Details

Qualitative Research in Organizations and Management: An International Journal, vol. 18 no. 3
Type: Research Article
ISSN: 1746-5648

Keywords

Book part
Publication date: 17 March 2010

Irvin Sam Schonfeld and Edwin Farrell

The chapter examines the ways in which qualitative and quantitative methods support each other in research on occupational stress. Qualitative methods include eliciting from…

Abstract

The chapter examines the ways in which qualitative and quantitative methods support each other in research on occupational stress. Qualitative methods include eliciting from workers unconstrained descriptions of work experiences, careful first-hand observations of the workplace, and participant-observers describing “from the inside” a particular work experience. The chapter shows how qualitative research plays a role in (a) stimulating theory development, (b) generating hypotheses, (c) identifying heretofore researcher-neglected job stressors and coping responses, (d) explaining difficult-to-interpret quantitative findings, and (e) providing rich descriptions of stressful transactions. Extensive examples from research on job stress in teachers are used. The limitations of qualitative research, particularly in the area of verification, are also described.

Details

New Developments in Theoretical and Conceptual Approaches to Job Stress
Type: Book
ISBN: 978-1-84950-713-4

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