scholarly journals Exploring the lived experiences of first-time mothers and their partners affected by post-natal depression in rural Sanyati district, Zimbabwe

Author(s):  
Mathew Nyashanu ◽  
Thamary Karonga ◽  
Fungisai Mushawa

Background: First time mothers and their partners are faced with a number of challenges including learning new skills and changing roles to meet the baby’s needs. support the new baby. Although an exciting time, the early days of first-time parents is filled with excitement as well as challenges in adapting their lifestyle resulting in pressure and anxiety to look after the baby. The objective of this study was to explore the lived experiences of first-time mothers and their partners affected by post-natal depression (PND) among rural communities.Methods: A collaborative exploratory qualitative approach underpinned by interpretive phenomenological analysis (IPA) was employed. Semi-structured interviews were conducted on ten (10) first time mothers and their partners who came for six-week post-natal care and for growth monitoring up to 6 months post-delivery at Sanyati Baptist hospital. Data were analysed using a thematic approach and guided by the four stages of data analysis in interpretive phenomenological analysis (IPA). N-vivo was used to organize the data to enhance management during analysis.Results: The study showed that first time parents from rural communities felt trapped with childbirth, overwhelmed by changes, resultant disruptive relationships, lack of support and bouts of depression.Conclusions: There is need to improve maternal support for first time mothers in rural communities. First time fathers need to learn new skills and adapt in supporting the baby and mother to prevent depression and marital breakdown.

2021 ◽  
Vol 15 (1) ◽  
pp. 1-8
Author(s):  
Nonhlahla Mamba ◽  
Oslinah B Tagutanazvo

Background/Aims Women have different and varying experiences of labour and their coping strategies vary as well. Having support during labour may help women feel in control of their labour. This study aimed to explore and describe the experiences of first-time mothers during the first stage of labour. Methods The study used a qualitative, exploratory, descriptive design. A purposive sample of nine first-time postpartum mothers were selected to participate following normal vaginal delivery at Mbabane Government Hospital. Data were collected through face-to-face interviews and analysed thematically. Open coding was used to analyse data. Results Four themes emerged: 1. Ignorance of the signs of labour 2. Anxiety related to fear 3. Maintaining adequate nutrition 4. Coping with labour pains. Each theme had several subcategories. Most participants were ignorant of the signs of labour and reported anxiety related to fear of the unknown and practiced different ways of coping with labour pains. Conclusions First-time mothers require adequate preparation for labour, as many women in this study were ignorant of the signs of labour and reported anxiety related to fear of the unknown. Pregnant women should be educated about the physiological aspects of the first stage of labour and oriented in the labour ward during the prenatal period.


The Canadian prescription process requires a person to go through several steps. Prescription medications have associated risks and benefits and it is important for people to be aware of these before and while they are taking medications. One of the approaches to informing people about new prescription medications is that they are provided Consumer Medication Information (CMI). CMI is given to Canadians at the pharmacy when they pick up prescriptions, they will be taking for the first time. This study used semi-structured interviews to examine the lived experiences of a sample of Canadians (N = 36) to identify opportunities for improvement in how and when they are informed about new prescription medications. The findings were synthesized into a journey map. Generally, participants wanted to receive CMI digitally and earlier in the prescription process. Adopting these changes could have several benefits which include loss prevention and increased accessibility to CMI as well as more participatory decision making and opportunities to ask questions. Future research is warranted to explore similar topics with a larger sample and determine what method (e.g., email, website, mobile application) would be most suitable.


2021 ◽  
Vol 19 ◽  
Author(s):  
Vusi Mthimkhulu ◽  
Hugo D. Van der Walt

Orientation: Workplace testing is seen as a viable method in monitoring alcohol intoxication in the workplace. This article explored lived experiences of random and scheduled alcohol breathalyser testing to gain insights into meaning and understanding of the phenomenon under study.Research purpose: Random and scheduled testing are preferred techniques of assessing intoxication in the workplace. This article set to gain insights into whether behaviour can have an influence on the effectiveness of random and scheduled testing. The information can contribute to the ongoing debate on the efficacy of workplace testing and lays groundwork for future studies.Motivation for the study: Emergent data seem to suggest that the success of workplace testing in preventing alcohol and substance use in the workplace is indecisive.Research approach/design and method: A qualitative method was employed to collect data from eight alcohol-consuming individuals who performed jobs considered safety-sensitive through semi-structured interviews. Data were analysed through the application of an interpretative phenomenological analysis (IPA).Main findings: Findings revealed incidents of alcohol intoxication within the workplace in spite of random and scheduled testing in place. There seems to be a disregard for rules that prohibit intoxication in the workplace. Money bribes seem to enable cheating on testing in the workplace. Behaviour undercuts the goal of an alcohol-free workplace.Practical implications: Behaviour stemming from on-site intoxication and cheating on alcohol tests hinders on the goal of attaining an alcohol-free workplace.Contribution/value-add: The analysis of behaviour could contribute to the ongoing debate regarding the efficacy of workplace testing.


2019 ◽  
Vol 25 (4) ◽  
pp. 731-752 ◽  
Author(s):  
Fiona Eva Bakas ◽  
Nancy Duxbury ◽  
Tiago Vinagre de Castro

Purpose Given limited research about how artisans become integrated into tourism, the purpose of this paper is to investigate the emergence of artisan entrepreneur–mediators who link artisans to tourism in rural areas and small cities in Portugal. Using social embeddedness as a conceptual framework, this paper views artisan entrepreneur–mediators as existing within an entrepreneurial ecosystem. The paper investigates their role within this ecosystem and how social networks influence the artisan entrepreneur–mediators’ roles in connecting artisans to creative tourism. Design/methodology/approach The paper is based on new (2017 and 2018) empirical evidence developed through two rounds of semi-structured interviews of five artisan entrepreneur–mediators. Findings This paper finds that artisan entrepreneur–mediators in rural areas or small cities take on multiple roles as networking agents who organize and offer creative tourism experiences, providing the missing link between artisans and tourists. An analysis of the nuances of the operations of these artisan entrepreneur–mediators suggests that high levels of social embeddedness within local rural communities are important in order for these neo-rural entrepreneurs to attain their goals. Originality/value Originality lies in the identification of a gap in artisan entrepreneurship literature in a rural context. It is the first time that a critical analysis of artisan entrepreneur–mediators who facilitate the link between artisans and tourism is carried out in terms of social embeddedness, their roles and connections to creative tourism, and types of community engagement.


Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Mmajapi E.T. Masala-Chokwe ◽  
Tendani S. Ramukumba

Background: Social support refers to the assistance people receive from others, and it is divided into four types of support. Given the increasing mortality and morbidity rates of mothers and neonates postpartum, this study intended to determine whether the social support needs of the first-time mothers were met after early discharge from health care facilities.Objectives: The objective of the study was to explore the lived experiences and social support needs of the first-time mothers after an early discharge from health care facilities in the City of Tshwane, Gauteng.Method: A qualitative explorative study was conducted to explore the lived experiences and social support needs of the first-time mothers. The population were first-time mothers who had a vaginal delivery and were discharged within 6–12 hours of delivery from health care facilities. Purposive sampling was performed and 14 semi-structured interviews were conducted, with those mothers who came for the prescribed three postnatal check-ups at the three health care facilities identified according to maternity services provided. Saturation of data for the three health care facilities was reached at the 14th interview. Data analysis was performed using the hermeneutic interpretive approach.Results: Almost all participants had completed grades 11 or 12, but most were unemployed. The needs identified included the need for social support, lack of confidence, knowledge and skill to care for themselves and their newborn babies after early discharge.Conclusion: There is need to identify alternative types of social support for the first-time mothers, to ensure a normal adjustment to motherhood.


2021 ◽  
Vol 15 (6) ◽  
pp. 284-291
Author(s):  
Andrew David Dainty ◽  
Donna Barnes ◽  
Erica Bellamy ◽  
Nicola Kyte ◽  
Katie Berry

Aims: This study aimed to capture the lived experience of some of the first trainee nursing associates (TNAs) during the pilot of the role in the January 2017 cohort of TNAs, based at the University of Derby. Methods: A convenience sampling approach was used to recruit participants to this phenomenological study. In-depth, semi-structured interviews were carried out with four participants to capture the experience, as lived by the first cohort of TNAs. Transcripts were transcribed verbatim and were analysed using interpretive phenomenological analysis. Results: Analysis suggests that the participant experience was characterised by six themes, namely: challenges relating to NA training; developing new skills; opportunity; the importance of support; impact of the NA role; and understanding the NA role. Conclusion: This study adds to our understanding relating to the lived experience of some of the first TNAs taking up training for this role within healthcare, and highlights some of the factors that were most pertinent, according to the lived experience of the trainees themselves. The authors hope that the findings of this study will prove useful for those considering taking up training for the role, or indeed establishments considering implementing the role with their settings.


2020 ◽  
Vol 30 (12) ◽  
pp. 1876-1887
Author(s):  
Jenny McLeish ◽  
Merryl Harvey ◽  
Maggie Redshaw ◽  
Jane Henderson ◽  
Reem Malouf ◽  
...  

Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.


2020 ◽  
pp. 135910452096451
Author(s):  
Jessica Amy Staniford ◽  
Matthew Lister

The way professionals conceptualise CD likely impacts the identity of children given the diagnosis, yet how psychiatrists conceptualise CD, and experience making the diagnosis, is under-researched. Interpretative Phenomenological Analysis explored how psychiatrists conceptualise CD and experience making the diagnosis. Semi-structured interviews captured participants’ lived experiences and associated meanings. Four superordinate themes emerged: ‘Parents and professionals are overwhelmed by their struggles with CD’; ‘What is CD? Uncertainty regarding the cause, but clarity that it is a severe problem’; ‘CD as a controversial construct’; and ‘Whose issue is it anyway? Battles with blame and responsibility’. The emerging problem-saturated narrative is discussed. Clinical implications include increased training, reflective practice and using a formulation-based approach.


2021 ◽  
pp. 027243162110367
Author(s):  
Siobhan B. Mitchell ◽  
Anne M. Haase ◽  
Sean P. Cumming

This study employed semi-structured interviews and Interpretative Phenomenological Analysis to explore experiences of on-time maturation in nine adolescent ballet dancers from across three vocational ballet schools in the United Kingdom. Two themes were identified as central to their experiences: ‘A right and a wrong way to grow’, and fitting in and moving forward. Instead of perceiving themselves as ‘average’ and experiencing a relatively easy pubertal transition, on-time dancers described unique challenges associated with a fluctuation between fitting in and not fitting in within their social context. The implications of on-time maturation in this context are complex and do not appear to follow the same trajectory as early maturing ballet dancers nor on-time non-dancers.


2018 ◽  
Vol 34 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Rebecca Judd ◽  
Helen Guy ◽  
Ruth A. Howard

Objective: Caring for someone close who is dying, such as a spouse, is an emotive experience; however, there is little research examining the phenomenon of caregiving for a spouse at the end of life and of men’s experiences specifically. Existing literature suggests that men who are providing care are less likely to seek help than women, especially psychological and emotional support for themselves. The aim of the current study was to explore the lived experiences of men caring for a dying spouse or partner and their help-seeking for themselves during this time. Methods: Eight semi-structured interviews were conducted with men caring for their partner, who was receiving palliative care. Interviews were transcribed verbatim and analyzed using interpretative phenomenological analysis. Results: Three superordinate themes emerged from the data, “Illness Questions Everything,” “Constructing the Caring Role,” and “Help-Seeking at the Limit.” The arrival of a terminal illness into a partnership is traumatic, and while it can deepen relationships, it can also create distance. The carer role has conflicting demands and carers need to make sense of their experience in order for the carer role to be constructed as a source of purpose or meaning. Finally, the idea of seeking help for oneself as a carer during this time is seen as “incompatible,” unmanageable, and can only be considered if constructed as a “last resort.” Significance of Results: Men care too; however, they can feel confused by this role and unsure as to how this fits with their identity as a man. They make sense of this by identifying as a partner whose “duty” or “responsibility” is to provide care. Although this is an understandable stance, it puts them at risk of further emotional, psychological, and physiological difficulties if their own needs are not met. Men need to be supported during this time and their caring qualities need to be destigmatized and demystified so that they can feel more able to identify with the role and look after themselves while caring for their dying partner.


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