Immigrant New Mothers in Finnish Maternity Care: An Ethnographic Study of Caring

2014 ◽  
Vol 4 (2) ◽  
pp. 86-102 ◽  
Author(s):  
Anita Wikberg ◽  
Katie Eriksson ◽  
Terese Bondas
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Maternity Care ◽  
Well Being ◽  
Cultural Knowledge ◽  
Ethnographic Study ◽  
New Mothers ◽  
Centered Care ◽  
Field Notes ◽  
Care Culture

PURPOSE: To illuminate experiences and perceptions of caring in the maternity care culture of immigrant new mothers in Finland.DESIGN: This is a descriptive interpretive ethnography.PARTICIPANTS AND SETTING: Seventeen new mothers from different cultures on a maternity ward in a medium-sized hospital in Finland.METHODS: Focused ethnographic analysis and interpretation of interviews, observations, and field notes were used.FINDINGS: Caring was part of the positive experience of childbearing and beneficial for the health and well-being of the immigrant new mothers. Negative experiences of health care impaired their well-being. The resources of Finnish maternity care and cultural knowledge of the nurses facilitated the caring. The policy and attitude of Finnish society encouraged childbearing. The immigration regulations affected support during childbearing negatively and tended to caused loneliness. The Finnish maternity care was not fully adapted to the mothers’ wishes to understand the organization of Finnish maternity care, to communicate, to breastfeed, and to have family-centered care, a flexible length of stay in the hospital, and extended support after childbirth.CONCLUSION: Caring improves the childbearing experience and the well-being and health of new immigrant mothers; therefore, caring needs to be emphasized in maternity care, health care administration, and nursing education.

scholarly journals Woman-Centered Maternity Nursing Education and Practice

2003 ◽  
Vol 12 (1) ◽  
pp. 18-28 ◽  
Author(s):  
Gloria Giarratano
Keyword(s):  
Nursing Education ◽  
Maternity Care ◽  
Phenomenological Study ◽  
Nursing Program ◽  
Clinical Experiences ◽  
Education Data ◽  
Purposeful Sampling ◽  
Centered Care ◽  
Maternity Nursing ◽  
Baccalaureate Nursing Program

The purpose of this Heideggerian phenomenological study was to uncover the meanings of the clinical experiences of registered nurses working in maternity settings after they studied maternity nursing from a woman-centered, feminist perspective in a generic baccalaureate nursing program. Purposeful sampling was conducted to locate and recruit nurses who had graduated from this nursing program between the December 1996 and December 1998 semesters and were currently working in a maternal-newborn clinical setting. Each participant had taken the required woman-centered, maternity-nursing course during her/his undergraduate education. Data collection included an individual, open-ended interview that focused on the nurses’ descriptions of their everyday practices as maternity nurses. Nineteen maternal-newborn nurses between the ages of 23 and 43 years who had been in practice from six months to three years were interviewed. The constitutive patterns identified from the interviews were: “Otherness,” “Being and Becoming Woman-Centered,” and “Tensions in Practicing Woman-Centered Care.” Findings revealed that the nurses had a raised awareness of oppressive maternity care practices and applied ideology of woman-centeredness as a framework for providing more humanistic care. Creating woman-centered maternity care meant negotiating tensions and barriers in medically focused maternity settings and looking for opportunities for advocacy and woman-empowerment. The barriers the nurses faced in implementing woman-centered care exposed limitations to childbearing choices and nursing practices that remain problematic in maternity care.

Examining the Perspectives of Family Members Involved in the Delivery of Palliative Care at Home

2003 ◽  
Vol 19 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Kelli I. Stajduhar
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Home Health Care ◽  
Ethnographic Study ◽  
Health Care Reforms ◽  
Home Setting ◽  
Home Based ◽  
Field Notes ◽  
Dying At Home ◽  
At Home

This ethnographic study examined the social context of home-based palliative caregiving. Data were composed of observation field notes, interviews, and textual documents, and were analyzed using constant comparative methods. Findings show that home-based palliative caregiving resulted in life-enriching experiences for many caregivers. However, assumptions about dying at home and health care reforms resulted in some caregivers feeling “pressured” to provide home care, and consequently, left them feeling their obligations to care were exploited by the health care system. Shifts toward providing care closer to home not only changed caregivers, but also changed the home setting where palliative care was provided. Findings indicate a need for interventions designed to improve support for caregivers at home, and to explore how assumptions influence and sometimes drive the provision of home health care.

Postpartum Personality Disorders

2020 ◽  
pp. 69-80
Author(s):  
Gisele Apter ◽  
Gail Erlick Robinson
Keyword(s):  
Health Care ◽  
At Risk ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Negative Impact ◽  
Well Being ◽  
New Mothers ◽  
Dependent Personality ◽  
Paranoid Personality ◽  
The Impact

This chapter on personality disorders in the postpartum reviews the impact on the well-being of the mother and the infant if the mother suffers from a pre-existing personality disorder. Borderline personality disorders may have a negative impact on the new mother’s ability to form a healthy relationship with the infant and may become frustrated easily frustrated if the infant doesn’t obey. Women with dependent personality disorders may feel needy, helpless, and indecisive and therefore feel overwhelmed with motherhood. New mothers with paranoid personality disorders feel generally distrusting and suspicious. They may reject the health-care worker’s advice, thereby putting the infant at risk. Working with the mother–infant dyad is essential.

scholarly journals Postnatal Care Practices among the Malays, Chinese and Indians: A Comparison

2018 ◽  
Vol 45 ◽  
pp. 05002 ◽  
Author(s):  
Zuraidah Mohd Yusoff ◽  
Asmiaty Amat ◽  
Darlina Naim ◽  
Saad Othman
Keyword(s):  
Health Care ◽  
Traditional Medicine ◽  
Maternity Care ◽  
Postnatal Care ◽  
Modern Medicine ◽  
Review Of Literature ◽  
New Mothers ◽  
Pregnancy Status ◽  
New Mother ◽  
Care Practices

In Malaysia, each race has its own traditional medicine practice which has existed for hundreds of years before the coming of modern medicine. Also, each race has many kinds of practices that had been around maintaining the health care of the respective community. All of these races or ethnic groups regard that it is very important for new mothers to be nursed back to health and thus each has its own specific and special postnatal or maternity care. The treatment during the postnatal or confinement period is generally considered to be good and safe and can help the new mother to gain back her health to the pre-pregnancy status. It is also belief that the ingredients used are natural and usually do not caused harm to the mother’s condition. Hence, this paper is the result of the study on the traditional postnatal care practiced by the Malay, Chinese and Indian communities in Malaysia. This study was conducted through interviews and review of literature. The results obtained showed that there are a variety of treatments and practices during postnatal or confinement period for each of the race. In addition, traditional postnatal care during confinement are still being sought after and followed by the different races in Malaysia.

scholarly journals 41 Fostering Hope: The Comprehensive Accessible care for Infants with Neonatal abstinence (CAIN) Study

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e17-e17
Author(s):  
Denise Clarke ◽  
Matt Hicks ◽  
Karen Foss ◽  
Natasha Lifeso
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Social Systems ◽  
Well Being ◽  
Care Providers ◽  
Care Needs ◽  
Extended Care ◽  
Health Community ◽  
Centered Care

Abstract Introduction/Background Neonatal Abstinence Syndrome (NAS) occurs in newborns exposed to drugs in-utero. In Canada, maternal opiate use in pregnancy has been steadily rising resulting in as many as 1850 babies born with NAS per year. Management of babies born with NAS requires supportive, interdisciplinary care. Depending on the severity of NAS, babies may be cared for with non-pharmacological interventions or some may need to be admitted to the Neonatal Intensive Care Unit for extended hospital stays to receive medication and management of ongoing complex health care needs. Hospital and community health care providers have expressed concerns around the continuity of care for these babies in their stay in hospital and their transition to home. Objectives This study examined the experiences of hospital and community-based health care providers and families regarding the management of babies with NAS. The driving force behind our inquiry related to our interest in streamlining care for these babies in highly complex health and social systems. Design/Methods In total, 47 interdisciplinary participants were interviewed over a four-month period with individuals from Women’s and Child Health, Community, and family members. Interviewed transcripts were reviewed over several months and were completed in December 2019 using an inductive thematic analysis which culminated in the identification of an overarching theme linked with primary themes. ​ Results The study identified existing gaps in the management of these patients, determined how to improve communication between hospital and community networks, and provided a better understanding of the attitudes, perceptions and experiences of hospital and community personnel. The overarching theme identified was hope, with the primary themes being: system, mental health, mother/baby, judgement, and knowledge (see Figure 1). Several gaps identified in the system included fear, stigma, and language. Certain solutions proposed for improvement included focused care in a rooming in model for the mother and baby dyad, supporting mothers’ well-being, involving mothers and families, and supporting care providers in a family centered care model. In Figure 1, green lines indicate themes that are linked with and support hope, and red lines indicate themes that are barriers to hope. Conclusion This research demonstrates that programs and interventions implemented when working with mothers and babies with NAS must foster hope in mothers, families, and in the extended care provider team.

scholarly journals Nursing Ethics: A Lifelong Commitment

2016 ◽  
Vol 34 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Susanne W. Gibbons ◽  
E. Ann Jeschke
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Health Care Professionals ◽  
Ethics Education ◽  
Core Competencies ◽  
Well Being ◽  
Nursing Ethics ◽  
Health Care Context ◽  
The Face ◽  
Normative Argument

Over the past 30 years, the health-care context as well as the roles and responsibilities of nurses have drastically changed. Leaders in nursing around the world recognize that the health-care system is stressed and the well-being of the nursing workforce plagued by the pressures and challenges it faces in everyday practice. We do not intend to make a strong normative argument for why nursing ethics education should be done in a certain way, but instead show from where we have come and to where we can go, so that educators are positioned to address some of the current shortcomings in ethics education. Our goal is to provide an illustration of ethics education as an interwoven, ongoing, and essential aspect of nursing education and professional development. By developing professional identity as character, we hope that professional nurses are given the skills to stand in the face of adversity and to act in a way that upholds the core competencies of nursing. Ultimately, health-care organizations will thrive because of the support they provide nurses and other health-care professionals.

scholarly journals A qualitative cross-cultural analysis of NICU care culture and infant feeding in Finland and the U.S.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sarah Holdren ◽  
Cynthia Fair ◽  
Liisa Lehtonen
Keyword(s):  
Infant Feeding ◽  
Transition To Parenthood ◽  
Well Being ◽  
Cultural Analysis ◽  
Family Centered Care ◽  
Cross Sectional ◽  
Centered Care ◽  
Care Culture ◽  
Family Centered ◽  
The U.S

Abstract Background The benefits of family-centered care for the health and well-being of preterm infants and their families include increased parent-infant closeness, improved lactation, and positive mental health outcomes; however, it is known that the extent to which family-centered care is adopted varies by unit. This study aimed to understand how differences in neonatal care culture in two units in Finland and the U.S. were translated to parents’ infant feeding experiences in the hope of improving relationally focused feeding practices in both locations. Methods This qualitative, cross-sectional study utilized narrative methodologies to understand the lived experiences of 15 families hospitalized in a tertiary neonatal intensive care unit in Finland (n = 8) and the U. S (n = 7). Results A global theme of lactation as a means or an end showed that lactation and infant feeding were framed differently in each location. The three supporting themes that explain families’ perceptions of their transition to parenthood, support as a family unit, and experience with lactation include: universal early postnatal challenges; culture and space-dependent nursing support; and controlled or empowering breastfeeding experiences. Conclusions Care culture plays a large role in framing all infant caring activities, including lactation and infant feeding. This study found that in the unit in Finland, breastfeeding was one method to achieve closeness with an infant, while in the unit in the U.S., pumping was only an end to promote infant nutritional health. Therefore, breastfeeding coupled with closeness was found to be supportive of a salutogenic, or health-promoting, care approach for the whole family.

Palliative care environments for patient, family and staff well-being: an ethnographic study of non-standard design

2021 ◽  
pp. bmjspcare-2021-003159
Author(s):  
Rebecca McLaughlan ◽  
Emma Kirby
Keyword(s):  
Palliative Care ◽  
Well Being ◽  
Ethnographic Study ◽  
Standard Practice ◽  
Hospital Design ◽  
Key Stakeholders ◽  
Standard Design ◽  
Framework Approach ◽  
Field Notes ◽  
Design Solutions

ObjectiveThere is an increased expectation that contemporary hospital design will improve clinical outcomes and patient experiences and support staff well-being. In response, this study examined innovative approaches in the design of in-patient palliative care facilities.MethodsAn ethnographic study comprised the identification and analysis of 30 architectural precedents, 24 qualitative, semistructured interviews with key stakeholders and 11 site visits, during which field notes and photographs were taken. Data were analysed using the framework approach, to identify design solutions that move beyond standard practice, to offer insight into the possibilities and challenges of processes of design or refurbishment in palliative care settings.ResultsThree thematic areas of focus were derived from the analysis: (1) planning solutions that support privacy plus connection; (2) enhancing comfort through the use of non-standard materials—and managing the risks associated with those and (3) shaking off tradition in hospital design.ConclusionsMyriad constraints resist innovation within the contemporary construction of hospital and hospice facilities. Drawing on a series of real-world examples, our findings point to the value of broad consultation and collaboration throughout the design process in achieving design solutions that go beyond standard practice for the benefit for patients, families and staff.

Shifting Sexual Assault Forensic Examiners Orientation From Prosecutorial to Patient-Centered: The Role of Training

2017 ◽  
Vol 35 (21-22) ◽  
pp. 4757-4778
Author(s):  
Debra Patterson ◽  
Megan Pennefather ◽  
Kathleen Donoghue
Keyword(s):  
Health Care ◽  
Sexual Assault ◽  
Health Care Professionals ◽  
Qualitative Interviews ◽  
Well Being ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Emotional Outcomes ◽  
Centered Care ◽  
Evidence Collection

Sexual assault forensic examiners (SAFEs) have a complex role that entails providing health care and medical forensic evidence collection. The literature indicates that there are two orientations that guide SAFEs in this role. A patient-centered orientation emphasizes attending to emotional needs, offering options, and respecting survivors’ decisions, which has been linked to positive emotional outcomes. A prosecutorial orientation places emphasis on evidence collection and has been associated with providing fewer comprehensive services. SAFE training may play a pivotal role in guiding new SAFEs to adopt a patient-centered orientation. However, there is a paucity of research examining how training can bolster the adoption of this orientation. Thus, the current qualitative study explored if and how a national blended SAFE training influenced participants’ adoption of a patient-centered orientation. Semistructured qualitative interviews were conducted with 64 health care professionals who participated in a national SAFE training. Utilizing analytic induction, the results suggest that the majority of participants entered the training with a prosecutorial orientation but shifted to a patient-centered orientation. Multiple elements of the training influenced this shift including (a) content that dispelled misconceptions of survivors; (b) providing explanations of how attending to survivors’ well-being can lead to positive outcomes; (c) earlier placement of patient-centered content to allow instructors to explain how patient-centered care can be applied to each component of the SAFE role including the medical forensic exam; and (d) continual emphasis on patient-centered care.

scholarly journals Equity, intercultural approaches, and access to information on traditional, complementary, and integrative medicines in the Americas

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Daniel F. Gallego-Pérez ◽  
Carmen Verônica Mendes Abdala ◽  
Daniel Miele Amado ◽  
Islândia Maria Carvalho de Sousa ◽  
Natalia Sofía Aldana-Martínez ◽  
...  
Keyword(s):  
Health Care ◽  
Well Being ◽  
Scientific Data ◽  
Health Access ◽  
Informed Decision Making ◽  
Access To Information ◽  
Primary Health ◽  
Centered Care ◽  
Complementary And Integrative Medicine ◽  
Universal Health

Access to information and intercultural approaches in the field of health are essential for the elimination of inequities in health access and care. Intercultural models such as traditional, complementary, and integrative medicine (TCIM) are an important part of health care in most countries and often contribute to expanding access to primary health care. Despite legal recognition and policies to integrate TCIM into health systems, their contribution to health, well-being, and people-centered care to achieve universal health is still underestimated. This article presents the progress (2017-2020) achieved by the Virtual Health Library specialized in the TCIM (VHL TCIM Americas), an initiative created as a tool to reduce the gaps in the production and access to validated information on TCIM. Through collaborative network work, VHL TCIM Americas contributes to the democratization of health, access to verified scientific data, visibility of non-conventional knowledge, strengthening of research capacities, and exchange of experiences for informed decision-making.

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