Doctoral Dissertation Research: Effecting Changes While Providing Reproductive Health Care in Diverse Organizational Contexts

该奖项全部或部分根据2021年美国救援计划法案（公法117-2）资助。这个博士论文项目探讨了怀孕的态度和做法的变化，对怀孕结果的影响，以及照顾者试图改善结果的同时，导航不同的制度惯例。照顾者面临着个性化的护理和更广泛的组织优先级之间的权衡，本研究调查照顾者如何平衡这些权衡，同时影响组织变革。这项研究有价值地有助于在不同的经济，道德和制度挑战中的医疗保健实践的奖学金。通过关注多个可比较的机构，研究有助于描述个人对组织变革的贡献。该研究的结果有助于指导在不同背景下实施医疗保健。这项研究有助于培养研究生的科学方法和分析方法。该项目研究了护理人员如何在基础设施和资源有限的不同组织环境中，特别是在监狱中，为孕妇和产后妇女提供支持和保健。调查的重点是权衡所施加的照顾者的并发尝试，以影响积极的组织变革，同时保持高标准的医疗保健。使用的方法相结合，包括观察方法，与不同样本的利益相关者，焦点小组和社交媒体内容的分析访谈，研究人员研究如何照顾者导航这些权衡在多个组织设置。这种比较的方法有助于奖学金的多方面因素，塑造了医疗服务提供者如何推进和实施改善他们工作的系统。这个奖项反映了NSF的法定使命，并已被认为是值得通过使用基金会的智力价值和更广泛的影响审查标准进行评估的支持。

This award is funded in whole or in part under the American Rescue Plan Act of 2021 (Public Law 117-2). This doctoral dissertation project examines variation in caregiving attitudes and practices, the resulting impacts on pregnancy outcomes, and caregivers’ attempts to improve outcomes in general while navigating differential institutional conventions. Caregivers face tradeoffs between individualized care and broader organizational priorities, and this research investigates how caregivers balance those tradeoffs while effecting organizational change. This research valuably contributes to scholarship on the practice of health care amid divergent economic, ethical, and institutional challenges. By focusing on multiple comparable institutions, the research helps to characterize individuals’ contributions to organizational change. The results from the study help to guide the implementation of health care in diverse contexts. This study contributes to the training of a graduate student in scientific methodology and analytical approaches. This project examines how caregivers provide support and healthcare for pregnant and post-partum women in diverse organizational settings with limited infrastructure and access to resources, particularly prisons. The investigation focuses on tradeoffs imposed by the caregivers’ concurrent attempts to effect positive organizational change while maintaining high standards of health care. Using a combination of methods, including observational approaches, interviews with a diverse sample of stakeholders, focus groups, and an analysis of social media content, the investigators examine how caregivers navigate these tradeoffs in multiple organizational settings. This comparative approach contributes to scholarship on the multifaceted factors that shape how healthcare providers advance and implement improvements to the systems in which they work.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.