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To rate 40 validated educational projects from the National Diffusion Network and Georgia, an instrument was developed to identify and measure four dimensions of project complexity: (1) need for teacher creation of project elements; (2) need for administrative arrangements; (3) need for a new analysis of pupil needs; and (4) need for involvement of several grade levels. (CJ)

In this hermeneutic study, six women from the local Perinatal Mental Health Program were interviewed about their experiences with infant feeding. None of the women in the study were breastfeeding their infants. The research question centered on their experience of formula feeding with a view to gaining better insight about the issues that women face when feeding practices do not conform to best-practice (i.e., breastfeeding) promotional standards. We also considered the needs of nurses working in the mental health setting, who may face conflicting recommendations concerning the treatment of a mental health crisis in the presence of current infant feeding best-practice guidelines. Our findings support concerns that current guidelines overlook the special needs of women who live with perinatal mood disorder. We speculate that breastfeeding challenges may present a risk for postpartum depression in women who are biologically vulnerable. The need for ongoing assessment for emerging depression among women who are experiencing breastfeeding challenges is identified. The importance of deepened understanding among mental health nurses is highlighted. [ABSTRACT FROM AUTHOR]

The article focuses on the use of arts in imparting knowledge and research related to nursing. It discusses the work of nursing theorist Sally Gadow related to philosophical groundwork in giving nursing knowledge. It explores post-partum depression, women with perinatal mood disorder who decided not to breastfeed their babies and the relationship between arts and hermeneutics.

The author talks about the promotion of breastfeeding by nurses that may threaten relationship with patients. She cites from her experience and literature reports suggesting that some women feel pressured by nurses who believe that breastfeeding is ideal for everyone. Patients with mood disorders, difficulty lactating and risk of medication transfer may feel pressured and anxious to breastfeed. She advises nurses to assess maternal mental health status and communicate in a nonjudgmental way.

Does passion for a cause threaten the nurse-patient relationship?