transparent gif


Ej inloggad.

Göteborgs universitets publikationer

Glancing beyond or being confined to routines: Labour ward midwives' responses to change as a result of action research

Författare och institution:
Viola Nyman (Institutionen för vårdvetenskap och hälsa); T. Bondas (-); S. Downe (-); Marie Berg (Institutionen för vårdvetenskap och hälsa)
Publicerad i:
Midwifery, 29 ( 6 ) s. 573-578
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
Objective to examine midwives' responses to a changed approach in the initial encounters with women and their partners in the labour ward. Design as part of a local project to improve hospital based childbirth care, Action Research (AR) was undertaken with midwives. To establish their beliefs, practices, and responses to change during the first cycle, 37 out of 57 midwives were interviewed. Data analysis was guided by interpretative description. Setting a labour ward in western Sweden. Findings two themes emerged: ‘Glancing beyond routines’ describes how the changed care approach enabled ‘valuing the idea’ and ‘acquiring extended space to create a lingering presence’. The theme ‘being confined to inherent routines’ expresses ‘resistance to the need for change’ and a ‘feeling of pressure to change’. Key conclusions the AR study design enabled the midwives to reflect on their routines and to transform tacit use-in-action to reflection-in-action. Midwives who persisted in being confined to inherent routines felt pressured by the change process. Others felt that the AR process granted them official licence to create chronological and emotional space in which they could ‘be’ and not just ‘do’. Implications for practice to a greater or lesser extent, midwives in this setting had integrated relatively impersonal system-wide technocratic norms of childbirth into their belief systems and behaviours. The data suggest that a whole-system shift is necessary to enable caring, behaviours based on the formation of positive relationships to become the key driver of the first encounter on the labour ward.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
Reproduktionsmedicin och gynekologi ->
Obstetrik och kvinnosjukdomar ->
Reproduktiv och perinatal omvårdnad
Action research, Interpretive description, Labour ward, Midwives, latent phase, care, experiences, management, women
Postens nummer:
Posten skapad:
2013-07-09 15:54

Visa i Endnote-format

Göteborgs universitet • Tel. 031-786 0000
© Göteborgs universitet 2007