Search PubMedSearch

Biomedical subjects

P M McGovern

Publications and source records attributed to P M McGovern.

14 recordsLinked to original sources

A survey of community-based violence prevention and control efforts in Minnesota.

Rates of interpersonal violence at the national level in the United States exceed those of other industrialized nations; evidence of violence exists at the state level as well. Yet, data that identify the magnitude of the problem, pertinent risk factors, and efficacy of intervention efforts are limited. Faculty at the University of Minnesota School of Public Health conducted a survey to assess the extent to which violence prevention research and programmatic efforts exist statewide. Study findings served as a basis for developing a relevant research agenda and prioritizing limited academic resources. This paper describes the survey and development of an academic-community partnership that fosters collaborative research on violence prevention that will hopefully contribute to control of the violence epidemic.

Adolescent

Women's postpartum maternity benefits and work experience.

BACKGROUND: This study was conducted to describe women's perceptions of their maternity leave policy and its implementation, maternity leave benefits, postpartum work experience, and factors that relate to returning to work. METHODS: Surveys were mailed to 436 married, recently employed, first-time mothers at 1, 3, 6, 9 and 12 months postpartum. RESULTS: Most respondents said they had written maternity leave policies they could understand, but they were not completely satisfied with their policies. The average 11.1-week maternity leave was considerably shorter than their 8-month ideal, and only 25.5% had the option of working part-time. A minority (35.8%) were allowed to use personal days to care for a sick infant. Most women were distressed about making child care arrangements. Compared with women who remained at home, those who returned to work complained of more respiratory, gynecologic, and breast symptoms. CONCLUSIONS: Relatively little is known about women's postpartum work experience. In this study, return to work after delivery was related to several demographic, occupational, and social factors and was associated with health problems and concerns about child care. With a majority of new mothers now returning to work, attention has recently been directed to factors that facilitate the merger of work and parenting roles. One such important factor is women's parental or maternity leave benefits, the focus of this study.

Adult

Changes in women's physical health during the first postpartum year.

OBJECTIVE: To examine changes in women's physical health during the first postpartum year. DESIGN: Participants completed surveys at 1, 3, 6, 9, and 12 months post partum. PARTICIPANTS AND SETTING: Four hundred thirty-six first-time mothers who gave birth at one of two St Paul, Minn, hospitals during a 12-month period and who met the criteria for the study. MAIN OUTCOME MEASURES: Physical symptoms and number of illness days experienced within the previous 2 weeks. RESULTS: Physical problems seen at a higher prevalence at 1 month post partum included breast symptoms, vaginal discomfort, fatigue, hemorrhoids, poor appetite, constipation, increased sweating, acne, hand numbness or tingling, dizziness, hot flashes, and illness days. Several of these disorders--hemorrhoids, dizziness, fatigue, and constipation--persisted beyond 1 month and were joined by other "late" problems, including respiratory symptoms, sexual concerns, and hair loss. Women who returned to the work force noted more symptoms of respiratory infections, and women with vaginal deliveries had a higher prevalence of hemorrhoids, vaginal discomfort, pain with intercourse, difficulty reaching orgasm, sinus problems, and acne. CONCLUSIONS: Recovery from childbirth often requires more than the 6 weeks traditionally allotted, and postpartum health appears to be affected by delivery type and work status.

Adult

Transmission of HIV via a needlestick injury: practice recommendations and research implications.

1. The majority of occupational exposures to potentially infectious blood and body fluids occur via needlestick injury. The morbidity and mortality from these exposures is significant. 2. Models from Haddon and White can help identify strategies to decrease the probability of needlestick injury. 3. A review of research examining work practices mandated by the Bloodborne Pathogens Standard challenges their effectiveness. Principles identified by Robertson provide insight into why work practices may not prevent needlestick injuries. 4. Engineering controls may be more effective in preventing needlestick injuries. Analysis of type and potential impact of needlestick preventive devices, cost, training requirements, and acceptance is essential in product selection.

Accidents, Occupational

The parental leave debate: implications for policy relevant research.

Legislative activity regarding parental and family medical leave has been intense, with heated debate, in both national and state political arenas. Proponents of legislation report that policy is needed because of women's increasing rate of labor force participation and the concomitant shortage of substitute infant care. Benefits of policy are presumed to include women's health and parent-child bonding. However, no direct empirical evidence exists to support these assumptions. Opponents of legislation say that the cost of policy is burdensome to employers. However, the General Accounting Office reports that the only measurable net costs to employers associated with the federal bill will be to cover the leave takers' health insurance premiums. This literature review examines the above issues and identifies a policy relevant research agenda, crucial to the development of rational and humane policy.

Child Day Care Centers

Role function and job satisfaction: a study of nurse graduates of educational resource center programs employed by the health care industry.

This study analyzed the roles, functions, and job satisfaction of 65 master's prepared occupational health nurses employed within the health care industry to compare nurses who function as internal consultants with those who function as external consultants. The only significant difference between groups was that external consultants were more involved in marketing and management functions, whereas internal consultants were more involved in direct care. The study hypothesis that occupational health nurses performing more management functions would report greater job satisfaction was not supported by the data. Study findings did support a theoretical model by Hardy, revealing that greater role certainty and more role adapting behaviors were significantly associated with job satisfaction.

Cross-Sectional Studies

Shiftwork. Consequences and considerations.

1. The shiftworker's inability to adapt to shiftwork schedules can lead to a loss of physical and psychological well being, and can produce negative safety and performance consequences. 2. The factors that contribute to the intolerance of working shiftwork schedules are complex and interrelated and include host variables (i.e., circadian rhythms) and environmental variables (i.e., type of shifts worked). 3. The most direct and consistent effect of working shiftwork is the impairment of the quality and quantity of sleep. 4. Interventions should include a program that monitors workers' tolerance to shiftwork and provides information and recommendations for employees to effectively manage a lifestyle that incorporates nighttime work schedules.

Adaptation, Physiological

Minnesota workplace drug testing. Analysis of policy and procedures.

1. An employer's decision whether to drug test or not was found to correlate with the size of the company and how extensively the employer perceives a drug abuse problem exists among its work force. 2. A company's drug testing program must be designed, implemented, and evaluated within a medical-legal framework. This includes issues of: confidentiality, employee actions that trigger a drug test, the presence of a drug and alcohol policy, communicating the program to employees and unions, the employee's rights, the consequences of an employee's positive drug test, and the procedures to be followed when collecting a specimen. 3. Future studies need to explore the issue of dealing with job performance problems; in particular, the cost and effectiveness of employee drug testing vs. the use of discipline alone.

Data Collection