scholarly journals Applying Salutogenesis in Midwifery Practice

2022 ◽  
pp. 459-464
Author(s):  
Sally Muggleton ◽  
Deborah Davis

AbstractThis chapter presents midwifery as unique amongst the healthcare professions because it mostly focuses on physiological processes and a period of transition in the life of a woman and her family. Thus, midwives work across a childbearing continuum and the health-ease dis-ease continuum. The “midwifery model of care” and its approach to childbearing focuses on wellness rather than illness and works closely with women to help them mobilize their own resources to move towards greater health. But the contrasting pathogenic approach to maternity care is still ubiquitous in contemporary healthcare provision with over-medicalization of childbirth and overuse of interventions, which can also cause more harm than good.While there is resonance between midwifery practice and salutogenesis, research examining the relationship is still in its infancy. Few researchers explicitly draw on salutogenic theory. Of these, few studies and scoping reviews are described in more detail. They suggest that there is an alignment between salutogenesis and midwifery practice.The chapter concludes by stressing that salutogenesis, with its focus on health rather than pathology, offers a promising way forward to underline that much of midwifery work is health promotion and must be operationalized accordingly in midwifery practice.

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Gry Skogheim ◽  
Ingela Lundgren

Tema for denne artikkelen er medikalisering i norsk fødselsomsorg. I teksten beskriver og analyserer vi noen av faktorene som er knyttet til medikalisering. Til tross for at norsk fødselsomsorg har svært gode medisinske/fysiske utfallsmål for kvinner og barn, er det behov for forbedringer. Norge, som mange andre høy-inntektsland, har for mange keisersnitt og andre fødselsintervensjoner. Medikalisering ser også ut til å føre med seg sentralisering, samt dominans over andre modeller for fødselsomsorg og helsefremmende perspektiv. Til tross for at et av målene i den norske tjenesten er en demedikalisert fødselsomsorg (på ulike nivå i helsetjenesten), har økende grad av sentralisering funnet sted de siste tiår; f.eks. har antallet jordmorledede fødeenheter/fødestuer blitt redusert. Å inkludere en kvinnesentrert modell i tjenesten kan styrke at kvinnenes behov blir møtt. I en kvinnesentrert modell er f.eks. kvinners erfaringer, deres delaktige i omsorgen de tilbys og relasjonen mellom kvinnen og jordmor/helsepersonell, svært viktig. I tillegg kan anvendelse av salutogenese-teorien bidra til å styrke fødselsomsorgens helsefremmende perspektiv.   Potential for improvement in the Norwegian childbirth model In this paper some aspects of medicalization in the Norwegian childbirth context are described and analysed. Despite having very good medical outcomes for women and babies, there is a need for improvement. As in many other high-income countries, there are too many Caesarean sections and interventions during births. Medicalized care tends to lead to centralisation of the care and dominate over other models of care and health promoting aspects. Even if the goal of the Norwegian model is de-medicalised maternity care on different levels, centralisation have occurred during the last decades. For example midwifery-led units has decreased in numbers. Woman-centred care is a model of care that can meet what is lacking by focusing at women´s experiences, women´s participation and involvement in the care and the relationship between the woman and the care-giver. Furthermore, salutogenesis is a health promoting perspective that could contribute to maternity care.


2021 ◽  
pp. 205715852110134
Author(s):  
Bente Dale Malones ◽  
Sindre Sylte Kallmyr ◽  
Vera Hage ◽  
Trude Fløystad Eines

Pain assessment tools are often used by patients to report their pain and by health professionals to assess patients’ reported pain. Although valid and reliable assessment of pain is essential for high-quality clinical care, there are still many patients who experience inappropriate pain management. The aim of this scoping review is to examine an overview of how hospitalized patients evaluate and report their pain in collaboration with nurses. Systematic searches were conducted, and ten research articles were included using the PRISMA guidelines for scoping reviews. Content analysis revealed four main themes: 1) the relationship between the patient and nurse is an important factor of how hospitalized patients evaluate and report their post-surgery pain, 2) the patient’s feelings of inconsistency in how pain assessments are administered by nurses, 3) the challenge of hospitalized patients reporting post-surgery pain numerically, and 4) previous experiences and attitudes affect how hospitalized patients report their pain. Pain assessment tools are suitable for nurses to observe and assess pain in patients. Nevertheless, just using pain assessment tools is not sufficient for nurses to obtain a comprehensive clinical picture of each individual patient with pain.


2014 ◽  
Vol 14 (4) ◽  
pp. 1337-1403 ◽  
Author(s):  
Zoë Kuehn ◽  
Pedro Landeras

Abstract Students from more advantageous family backgrounds tend to perform better than those from less advantageous backgrounds. But it is not clear that these students exert more effort. We build a model of students, schools, and employers to study the interaction of family background and effort exerted by the student in the education process. Two factors turn out to be key in determining the relationship between effort and family background: (i) the student’s attitude toward risk and (ii) how the student’s marginal productivity of effort depends on her family background. We show that when the degree of risk aversion is relatively low (high) compared to the sensitivity of the marginal productivity of effort, students from more advantageous family backgrounds exert more (less) effort. Empirically, we find that if parental education was reduced from holding a university degree to incomplete compulsory education, primary and secondary school students would exert around 21–23% less effort (approximately equal to a reduction of 2 hours weekly in homework). For primary school students we also find that marginal productivities of effort are higher for those from less advantageous family backgrounds.


1992 ◽  
Vol 262 (6) ◽  
pp. S9 ◽  
Author(s):  
E Bowdan

Regulation of feeding is a fundamental element of homeostasis. This is reflected in the similarity of control mechanisms in a wide range of animals, including insects and humans. A close examination of feeding behavior can illuminate the physiological processes driving regulation. A simple, inexpensive method for recording fine details of feeding by caterpillars is described. Possible experiments, interpretation of the data, and the relationship of observations to the underlying physiology, are outlined.


2021 ◽  
Vol 53 (10) ◽  
pp. 857-863
Author(s):  
Steven E. Roskos ◽  
Tyler W. Barreto ◽  
Julie P. Phillips ◽  
Valerie J. King ◽  
W. Suzanne Eidson-Ton ◽  
...  

Background and Objectives: The number of family physicians providing maternity care continues to decline, jeopardizing access to needed care for underserved populations. Accreditation changes in 2014 provided an opportunity to create family medicine residency maternity care tracks, providing comprehensive maternity care training only for interested residents. We examined the relationship between maternity care tracks and residents’ educational experiences and postgraduate practice. Methods: We included questions on maternity care tracks in an omnibus survey of family medicine residency program directors (PDs). We divided respondent programs into three categories: “Track,” “No Track Needed,” and “No Track.” We compared these program types by their characteristics, number of resident deliveries, and number of graduates practicing maternity care. Results: The survey response rate was 40%. Of the responding PDs, 79 (32%) represented Track programs, 55 (22%) No Track Needed programs, and 94 (38%) No Track programs. Residents in a track attended more deliveries than those not in a track (at Track programs) and those at No Track Needed and No Track programs. No Track Needed programs reported the highest proportion of graduates accepting positions providing inpatient maternity care in 2019 (21%), followed by Track programs (17%) and No Track programs (5%; P<.001). Conclusions: Where universal robust maternity care education is not feasible, maternity care tracks are an excellent alternative to provide maternity care training and produce graduates who will practice maternity care. Programs that cannot offer adequate experience to achieve competence in inpatient maternity care may consider instituting a maternity care track.


Author(s):  
Hannah Masoud

Physicians who encounter patients in the emergency department with chest pain, palpitations, or shortness of breath may often find it difficult to differentiate diagnosis of panic attacks from acute coronary syndrome or Takotsubo Cardiomyopathy. Redefining and understanding the pathophysiological relationship of psychiatric illness including anxiety, depression, or panic attacks and Takotsubo Cardiomyopathy may help clinicians implement a more effective and beneficial model of care for this affliction that is being found to be increasingly more common in today’s age.


2020 ◽  
Vol 4 (4) ◽  
pp. 123-128
Author(s):  
Tri Niswati Utami ◽  
Nurhayati Nurhayati ◽  
Reni Agustina Harahap ◽  
Zuhrina Aidha

The trend of working women in Indonesia has increased. In 2017 the participation rate of women workers increased by 39.3%. This study aims to analyze the tendency of women to work in villages and cities, analyze the relationship of women who work with reproductive health, the relationship between marital status and reproductive health and Islamic perspectives on working women. The method used was quantitative, sourced from secondary data on Indonesia's Demographic and Health Data Survey 2017 Data were analyzed using the chi-square test. It was found that the tendency of women to work in villages was higher by 65.5%. The analysis found that the significant correlation between job status and marital status with reproductive health, with p-value of 0.0001 and 0.0001. It is not forbidden in Islam that women work outside the home, but must uphold a woman’s character, her role in her family and dignity. Considering women have a dual role, in the household and as workers, the company should give the right to maintain reproductive health such as menstruation leave, pregnancy, childbirth, and breastfeeding. Keywords: female workers; types of work; reproductive health; marital status; village


2008 ◽  
Vol 14 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Roger Banks ◽  
Linda Gask

Healthcare provision in the UK is in a process of continual change. The structures and processes by which people with mental health problems and people with learning disabilities receive support from statutory services have been, and continue to be, subject to many and varied strategic, policy and professional influences. Integrated and collaborative ways of working between generalist (‘primary’) and specialist (‘secondary’) care have become eroded over time and yet they may be needed more than ever. In this editorial we encourage a collaborative approach between practitioners in generalist and specialist care in studying and developing three strands of work: policy and strategy; training; and professional behaviour. Above all, we advocate strongly for a renewed and dynamic dialogue between psychiatrists and general practitioners in working together to provide high-quality mental healthcare.


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