"It's what midwifery is all about": Western Australian midwives' experiences of being "with woman' during labour and birth in the known midwife model
"It's what midwifery is all about": Western Australian midwives' experiences of being "with woman' during labour and birth in the known midwife model
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DOI：
10.1186/s12884-018-2144-z
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发表时间：
2019-01-14
影响因子：
3.1
通讯作者：
Duggan, Ravani
中科院分区：
文献类型：
--
作者：
Bradfield, Zoe;Hauck, Yvonne;Duggan, Ravani
背景“与妇女在一起”的现象是助产学的基础，因为它是助产学的哲学、关系和实践的基础。从助产士在各种情况下提供护理的角度来看，围绕着妇女怀孕现象存在着知识差距。因此，本研究的目的是探讨经验的妇女'在劳动和分娩的角度来看，助产士的工作模式，其中护理是由一个已知的midwice.MethodsA描述现象学设计与10名助产士工作在一个已知的助产士'模型谁描述了他们的经验与妇女'在劳动和分娩。该方法是告知胡塞尔哲学，旨在探索相同的现象，通过丰富的描述揭示共同点的个人experience.ResultsFive主题出现1）建立关系; 2）妇女为中心的护理; 3）对助产士的影响; 4）对妇女的影响;和5）在已知的助产士模型的挑战。助产士强调了与妇女在一起时信任关系的重要性，确认这种关系超出了妇女与助产士的关系，包括妇女的支持者和家庭。在分娩和分娩期间，在这种关系的背景下与妇女在一起有助于以妇女为中心的护理。与妇女在一起会影响助产士，而且，值得注意的是，助产士正在与之合作的妇女。最后，挑战，影响正在与女人“在已知的助产士模型是由midwives.ConclusionsFindings共享提供了宝贵的洞察助产士的经验与女人”的背景下，提供护理的模式，由一个已知的助产士。在这种模式中，信任关系是与妇女相处的渠道，它影响着助产士、助产专业以及妇女及其家庭。描述与妇女在一起的挑战为专业发展和服务审查提供了机会。丰富的描述，从独特的声音助产士，提供了深入了解应用实践与妇女'在一个已知的助产士模型，增加了重要的知识，有关一个现象，如此深刻地嵌入在哲学和实践的助产士职业。
BackgroundThe phenomenon of being with woman' is fundamental to midwifery as it underpins its philosophy, relationships and practices. There is an identified gap in knowledge around the with woman' phenomenon from the perspective of midwives providing care in a variety of contexts. As such, the aim of this study was to explore the experiences of being with woman' during labour and birth from the perspective of midwives' working in a model where care is provided by a known midwife.MethodsA descriptive phenomenological design was employed with ten midwives working in a known midwife' model who described their experiences of being with woman' during labour and birth. The method was informed by Husserlian philosophy which seeks to explore the same phenomenon through rich descriptions by individuals revealing commonalities of the experience.ResultsFive themes emerged 1) Building relationships; 2) Woman centred care; 3) Impact on the midwife; 4) Impact on the woman; and 5) Challenges in the Known Midwife model. Midwives emphasised the importance of trusting relationships while being with woman', confirming that this relationship extends beyond the woman - midwife relationship to include the woman's support people and family. Being with woman' during labour and birth in the context of the relationship facilitates woman-centred care. Being with woman' influences midwives, and, it is noted, the women that midwives are working with. Finally, challenges that impact being with woman' in the known midwife model are shared by midwives.ConclusionsFindings offer valuable insight into midwives' experiences of being with woman' in the context of models that provide care by a known midwife. In this model, the trusting relationship is the conduit for being with woman' which influences the midwife, the profession of midwifery, as well as women and their families. Descriptions of challenges to being with woman' provide opportunities for professional development and service review. Rich descriptions from the unique voice of midwives, provided insight into the applied practices of being with woman' in a known midwife model which adds important knowledge concerning a phenomenon so deeply embedded in the philosophy and practices of the profession of midwifery.