A nursery for seamen: life histories from the St. John's Royal Naval Hospital Cemetery, Newfoundland

A cemetery associated with the St. John’s Royal Naval Hospital, NL (~1725-1825) was partially excavated in 1979, uncovering the skeletal remains of at least 21 individuals. Isotopic analyses (δ¹³Cvpdb, δ¹⁵Nair, δ¹⁸Ovpdb, and ⁸⁷Sr/⁸⁶Sr) were used to examine the diet and geographic origins of these individuals and compare them with recent results from other British Naval cemeteries. Their origins according to enamel carbonates and ⁸⁷Sr/⁸⁶Sr are mainly consistent with the British Isles and the bone collagen values were largely consistent with naval rations. There was some variability in δ¹⁵Nair and δ¹³Cvpdb values, suggesting different social classes and the consumption of C₄ foods associated with North America. While this study has highlighted deficiencies in the ability of isotopic analyses to define the variability within naval rations, it is the first to examine origins of early modern naval sailors isotopically, as well as the experiences of these sailors within the context of Newfoundland.

The process of implementing a new baby-friendly hospital initiative for nurses: a grounded theory study

Maternity nursing practice is changing across Canada with the movement toward becoming “baby friendly.” The World Health Organization (WHO) recommends the Baby-Friendly Hospital Initiative (BFHI) as a standard of care in hospitals worldwide. Very little research has been conducted with nurses to explore the impact of the initiative on nursing practice. The purpose of this study, therefore, was to examine the process of implementing the BFHI for nurses. The study was carried out using Corbin and Strauss’s method of grounded theory. Theoretical sampling was employed, which resulted in recruiting and interviewing 13 registered nurses whose area of employment included neonatal intensive care, postpartum, and labour and delivery. The data analysis revealed a central category of resisting the BFHI. All of the nurses disagreed with some of the 10 steps to becoming a baby-friendly hospital as outlined by the WHO. Participants questioned the science and safety of aspects of the BFHI. Also, participants indicated that the implementation of this program did not substantially change their nursing practice. They empathized with new mothers and anticipated being collectively reprimanded by management should they not follow the initiative. Five conditions influenced their responses to the initiative, which were (a) an awareness of a pro-breastfeeding culture, (b) imposition of the BFHI, (c) knowledge of the health benefits of breastfeeding, (d) experiential knowledge of infant feeding, and (e) the belief in the autonomy of mothers to decide about infant feeding. The identified outcomes were moral distress and division between nurses. The study findings could guide decision making concerning the implementation of the BFHI.