scholarly journals Women’s Decision-Making About Birthplace Choices: Booking for Birth Center, Hospital, or Home Birth in the North of England

2018 ◽  
Vol 8 (2) ◽  
pp. 115-134
Author(s):  
Carol Lambert ◽  
Julie Jomeen ◽  
Wilf McSherry
Keyword(s):  
Decision Making ◽  
Phenomenological Study ◽  
Social Representations ◽  
Home Birth ◽  
Structured Interviews ◽  
Birth Center ◽  
The North ◽  
Knowing That ◽  
Center Hospital ◽  
Women In Decision Making

Aim:This article presents findings from an interpretive phenomenological study that illuminates unique characteristics of the different social representations of antenatal primigravida and multigravida women who book to birth their babies in a birth center, hospital, or at home.Methods:Semi-structured interviews were conducted with 19 women and analyzed by interpretive phenomenological analysis.Findings:Analysis revealed different social representations independent of each other that illustrate how these social groups, determined by women’s collective voices, are uniquely characterized by group views, beliefs, misinterpretations, and preconceptions that establish what influences women in decision-making about choice of birthplace.Conclusion:Women make decisions about what they want for themselves in this birthing experience. These decisions are made long before this impending experience. Recognizing the different social representations of women in pregnancy reveals deeper insight into the complexities of women’s decision-making about birth choices and highlights why some women might opt for certain choices. Knowing that some women may make decisions based on little or misrepresented information confirms midwives are best placed in their interactions with women to provide positive influences, empowering them to make decisions based upon what they want for themselves. This affirms the woman and her midwife should remain partners in the decision-making process.

scholarly journals Retirement decision-making influenced by family and work relationships

2017 ◽  
Vol 20 (2) ◽  
pp. 206-213 ◽  
Author(s):  
Desirée Ariane Modos Figueira ◽  
Maria do Carmo Lourenço Haddad ◽  
Raquel Gvozd ◽  
Paloma de Souza Cavalcante Pissinati
Keyword(s):  
Decision Making ◽  
Family Relationships ◽  
Social Representations ◽  
Public University ◽  
Work Relationships ◽  
Work Experiences ◽  
The North ◽  
Analysis Technique ◽  
Family And Work ◽  
Qualitative Descriptive

Abstract Objective: To identify the influence of family and work relationships on decision-making about retiring. Methods: A qualitative descriptive study was carried out with 16 pre-retirees from a public university institution located in the north of Paraná, Brazil. Data were collected between July and November 2012 from three reflection groups that discussed aspects related to retirement. The Content Analysis technique was chosen for data analysis. For the theoretical basis of the results, the Theory of Social Representations was used. Results: Two categories emerged from discourse analysis: The influence of family relationships on decision-making about retiring and the influence of work relationships on decision-making about retiring. Conclusion: Family and work experiences influence decision-making about retiring, and become more important when the pre-retiree does not have post-career life projects, demonstrating the importance of the participation of workers in strategies to prepare for retirement during working life.

scholarly journals Information that (de)motivate women’s decision making on Planned Home Birth

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Franciele Volpato ◽  
Roberta Costa ◽  
Odaléa Maria Brüggemann ◽  
Juliana Jacques da Costa Monguilhott ◽  
Iris Elizabete Messa Gomes ◽  
...  
Keyword(s):  
Decision Making ◽  
Exploratory Study ◽  
Home Birth ◽  
Qualitative Approach ◽  
Natural Process ◽  
Structured Interviews ◽  
Documentary Sources ◽  
Analysis Process ◽  
Medical Structure ◽  
Planned Home Birth

ABSTRACT Objective: To understand how information about Planned Home Birth motivates or discourages women’s decisions on this location of birth. Method: Descriptive exploratory study, qualitative approach. Data collection carried out from February to April 2019, through semi-structured interviews with 14 women and documentary sources. The data were analyzed using Bardin’s content analysis process, with the help of ATLAS.ti 8.0. Results: The motivations for choosing Planned Home Birth are: respect for the autonomy and natural process of childbirth and delivery, support from a partner and trust in professionals. Aspects that discourage this choice are fear of complications, the need for a hospital medical structure, opinions that value risk. Conclusion: Women’s choices are based not only on information, but also on how that information is processed. This study demonstrated that the perception pertaining to the safety of Planned Home Birth is essential for making this decision.

scholarly journals Mind the Gap: Towards a Typology of Climate Service Usability Gaps

2020 ◽  
Vol 12 (4) ◽  
pp. 1512 ◽  
Author(s):  
Kevin Raaphorst ◽  
Gerben Koers ◽  
Gerald Jan Ellen ◽  
Amy Oen ◽  
Bjørn Kalsnes ◽  
...  
Keyword(s):  
Decision Making ◽  
Climate Adaptation ◽  
Climate Change Impacts ◽  
Structured Interviews ◽  
Climate Services ◽  
The North ◽  
Decision Making Processes ◽  
Climate Service ◽  
North And South

Literature on climate services presents a large diversity of different services and uses. Many climate services have ‘usability gaps’: the information provided, or the way it is visualized, may be unsuitable for end users to inform decision-making processes in relation to adaptation against climate change impacts or for the development of policies to this end. The aim of this article is to contribute to more informed and efficient decision-making processes in climate adaptation by developing a typology of usability gaps for climate services. To do so, we first present and demonstrate a so-called ‘climate information design’ (CID) template with which to study and potentially improve the visual communicative qualities of climate services. Then, two climates services are selected for a further, qualitative explorative case study of two cases in the north and south of the Netherlands. A combination of focus group sessions and semi-structured interviews are used to collect data from Dutch governmental stakeholders as well as private stakeholders and NGOs. This data is then coded to discover what usability gaps are present. We then present twelve different types of usability gaps that were encountered as a typology. This typology could be used to improve and redesign climate services.

What makes decision-making difficult for oncologists faced with critical situations? The socio-affective side of the physician–patient relationship

2018 ◽  
Vol 25 (10-11) ◽  
pp. 1396-1409 ◽  
Author(s):  
Léa Restivo ◽  
Claire Julian-Reynier ◽  
Laura Peyla ◽  
Thémis Apostolidis
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Social Representations ◽  
Medical Problem ◽  
Medical Decision ◽  
Structured Interviews ◽  
Physician Patient Relationship ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Difficult Decision

The aim of this qualitative study based on a Social Representations approach was to explore experienced oncologists’ representations of difficult decision-making situations. In total, 22 semi-structured interviews with oncologists were conducted and analysed by performing a thematic content analysis. The thematic content analysis brought to light the main medical problem involved such as uncertainty, the lethal nature of cancer and physicians’ specialties, as well as the psychosocial ones, such as patients’ non-medical characteristics and the patient–physician relationships. This analysis also showed the painful tensions experienced by specialists in the context of decision-making situations when the medical arguments conflict with the psychosocial ones. These findings suggest that in order to understand more clearly the complex processes involved in difficult medical decision-making situations, studies on physicians’ expertise should include the socio-affective climate involved in each patient–physician relationship.

scholarly journals An interpretative phenomenological study of midwives supporting home birth for women with complex needs

2019 ◽  
Vol 27 (10) ◽  
pp. 625-632 ◽  
Author(s):  
Anna-Marie Madeley ◽  
Veronika Williams ◽  
Abigail McNiven
Keyword(s):  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Study ◽  
Home Birth ◽  
Evidence Base ◽  
Current Evidence ◽  
Structured Interviews ◽  
Complex Needs ◽  
Physiological Processes ◽  
Current Guidelines

Background As the landscape of women presenting for maternity care changes, so do the challenges associated with providing quality, informed and compassionate care, particularly for women with complex needs. Aim To explore the lived experience of midwives in facilitating care for women with complex needs who choose to birth at home. Method A qualitative design is employed, using an interpretative phenomenological analysis informed by hermeneutic principles. Purposive sampling is used to recruit midwives through social media and JiscMail. Data are collected via semi-structured interviews. Findings Two interpretative themes arose. A ‘radical midwife’ embraces the phrase ‘radical’ by positioning midwives between traditional beliefs and practices, physiological processes, midwife knowledge and skill set by applying current evidence and professional context. A ‘conflicted midwife’ arises out of this dichotomy and exposes the realities of striving for radicality while the negotiating ‘the system’. Conclusions It is no longer acceptable to assume that home birth for women with complex needs is exceptional. This must be the catalyst to move towards a constructive discourse with midwives, women and the wider team to address and expand the evidence base and pathways to support those who are already facilitating this care and those who will inevitably continue to provide care ‘outside of current guidelines’.

scholarly journals Against the grain: midwives' experiences of facilitating home birth outside of guidelines

2020 ◽  
Vol 28 (6) ◽  
pp. 370-376
Author(s):  
Lisa Larner ◽  
Claire Hooks
Keyword(s):  
Decision Making ◽  
Lived Experiences ◽  
Home Birth ◽  
Informed Choice ◽  
Previous Experience ◽  
Structured Interviews ◽  
Qualitative Design ◽  
Autonomous Decision ◽  
The Impact ◽  
Role Implementation

Background Midwifery standards promote autonomous decision-making and informed choice, resulting in maternal home birth choices which may contravene guidelines. There is a paucity of evidence exploring midwives' experiences of managing these choices. Aims To explore the lived experiences of midwives facilitating home birth outside of guidelines. Methods A qualitative design using an interpretive hermeneutic cycle to analyse semi-structured interviews. Findings Participants reported confidence in supporting maternal choices, identifying barriers including other birth supporters. Perceived levels of risk, previous experience and safety concerns impacted on confidence. Peer, unit and professional midwifery advocate (PMA) support were identified as being beneficial to midwives. Recommendations Expansion of birth choices clinics; implementation of dedicated home birth teams; guideline review for midwife led birthing units; expansion of the PMA role; implementation of a structured debriefing service and further research looking at women's choices, and the impact of the loss of midwifery supervision.

scholarly journals The Place of Women in Places of Decision in the Public and Private Sector: Case of Senegal

2021 ◽  
pp. 43-64
Author(s):  
Diène Kolly Ousseynou Diouf
Keyword(s):  
Decision Making ◽  
Positive Influence ◽  
Structured Interviews ◽  
Public And Private ◽  
The Public ◽  
Qualitative And Quantitative ◽  
Representation Of Women ◽  
Public And Private Sector ◽  
Women In Decision Making ◽  
Quantitative Nature

The issue of greater representation of women in decision-making bodies is a recurrent issue in corporate governance in general and in the management of diversity in particular, which companies are now confronted with. On the other hand, in Senegal, there is little written on the question but a lot of debates and good political intentions. The purpose of this article is to show from an empirical study that women still have failed to move beyond the "glass ceiling" that prevents them from reaching the highest positions. Through our study, based on a methodology of a qualitative and quantitative nature, we carried out semi-structured interviews (10), then administered questionnaires (60 and 39 selected) to some members of the decision-making bodies of companies in Senegal. . The results show that preconceived ideas remain far from the reality on the ground. They especially underline that the presence of women in decision-making bodies can have a positive influence on the performance and governance of organizations.

scholarly journals A INFLUÊNCIA DAS SOCIALIZAÇÕES NO PROCESSO DECISÓRIO DE MULHERES EMPREENDEDORAS

2020 ◽  
Vol 17 (3) ◽  
pp. 192
Author(s):  
Ananda Silveira Bacelar ◽  
Almiralva Ferraz Gomes ◽  
Weslei Gusmão Piau Santana ◽  
Robson Amaral Santos
Keyword(s):  
Decision Making ◽  
Identity Formation ◽  
Women Entrepreneurs ◽  
Social Representations ◽  
Behavioral Changes ◽  
Decision Making Process ◽  
Structured Interviews ◽  
Female Entrepreneurs ◽  
Childhood Education ◽  
The Family

RESUMOA dinâmica identitária de gênero atrelada ao desenvolvimento crescente dos empreendimentos geridos por mulheres orienta a compreensão das mudanças comportamentais da contemporaneidade. Este trabalho, portanto, tem como objetivo analisar de que modo a formação identitária de empreendedoras que atuam no segmento de educação infantil, em Vitória da Conquista, Bahia, interfere no processo de tomada de decisões dessas mulheres. Considerou-se, portanto, as socializações que ocorreram ao longo da vida das gestoras. A partir de uma análise qualitativa, analisou-se o caso de dez empreendedoras através da realização de entrevistas semiestruturadas. O estudo demonstrou que a percepção das entrevistadas em torno da construção de suas identidades como mulheres foi marcada pela influência das socializações que tiveram, principalmente no âmbito familiar. Ademais, foi identificado um perfil de gestão feminino marcado por características como intuição, sensibilidade e flexibilidade de relacionamento. Desse modo, concluiu-se que as representações sociais de gênero definem padrões comportamentais para mulheres que influenciam a escolha do segmento de atuação e o processo decisório.Palavras-chave: Gênero. Identidade. Decisão. ABSTRACTThe gender identity dynamics linked to the growing development of enterprises managed by women guides the understanding of contemporary behavioral changes. This work, therefore, aims to analyze how the identity formation of female entrepreneurs working in the early childhood education segment, in Vitória da Conquista, Bahia, interferes in the decision-making process of these women. Therefore, the socializations that occurred throughout the life of the managers were considered. From a qualitative analysis, the case of ten women entrepreneurs was analyzed through semi-structured interviews. The study showed that the interviewees' perception of the construction of their identities as women was marked by the influence of the socializations they had, especially in the family context. In addition, a female management profile was identified, marked by characteristics such as intuition, sensitivity and relationship flexibility. Thus, it was concluded that social representations of gender define behavioral patterns for women that influence the choice of the segment of activity and the decision-making process.Keywords: Genre. Identity. Decision.

scholarly journals The Use of Intuition in Homeopathic Clinical Decision Making: An Interpretative Phenomenological Study

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Sarah Brien ◽  
Bridget Dibb ◽  
Alex Burch
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Clinical Decision Making ◽  
Phenomenological Study ◽  
Deductive Reasoning ◽  
Conventional Medicine ◽  
Medical Practitioner ◽  
Clinical Decision ◽  
Medical Mistrust ◽  
Structured Interviews

While intuition plays a role in clinical decision making within conventional medicine, little is understood about its use in complementary and alternative medicine (CAM). The aim of this qualitative study was to investigate intuition from the perspective of homeopathic practitioners; its’ manifestation, how it was recognized, its origins and when it was used within daily clinical practice. Semi-structured interviews were carried out with clinically experienced non-National Health Service (NHS) UK homeopathic practitioners. Interpretative phenomenological analysis was used to analyze the data. Homeopaths reported many similarities with conventional medical practitioner regarding the nature, perceived origin and manifestation of their intuitions in clinical practice. Intuition was used in two key aspects of the consultation: (i) to enhance the practitioner-patient relationship, these were generally trusted; and (ii) intuitions relating to the prescribing decision. Homeopaths were cautious about these latter intuitions, testing any intuitive thoughts through deductive reasoning before accepting them. Their reluctance is not surprising given the consequences for patient care, but we propose this also reflects homeopaths’ sensitivity to the academic and medical mistrust of both homeopathy and intuition. This study is the first to explore the use of intuition in decision making in any form of complementary medicine. The similarities with conventional practitioners may provide confidence in validating intuition as a legitimate part of the decision making process for these specific practitioners. Further work is needed to elucidate if these findings reflect intuitive use in clinical practice of other CAM practitioners in both private and NHS (i.e., time limited) settings.

Quota Women Are Threatening to Men

2017 ◽  
Vol 76 (3) ◽  
pp. 107-116 ◽  
Author(s):  
Klea Faniko ◽  
Till Burckhardt ◽  
Oriane Sarrasin ◽  
Fabio Lorenzi-Cioldi ◽  
Siri Øyslebø Sørensen ◽  
...  
Keyword(s):  
Decision Making ◽  
Organizational Performance ◽  
Gender Stereotypes ◽  
Perceived Threat ◽  
Preferential Treatment ◽  
Public Sector Employees ◽  
Different Types ◽  
Low Levels ◽  
Women In Decision Making ◽  
The Impact

Abstract. Two studies carried out among Albanian public-sector employees examined the impact of different types of affirmative action policies (AAPs) on (counter)stereotypical perceptions of women in decision-making positions. Study 1 (N = 178) revealed that participants – especially women – perceived women in decision-making positions as more masculine (i.e., agentic) than feminine (i.e., communal). Study 2 (N = 239) showed that different types of AA had different effects on the attribution of gender stereotypes to AAP beneficiaries: Women benefiting from a quota policy were perceived as being more communal than agentic, while those benefiting from weak preferential treatment were perceived as being more agentic than communal. Furthermore, we examined how the belief that AAPs threaten men’s access to decision-making positions influenced the attribution of these traits to AAP beneficiaries. The results showed that men who reported high levels of perceived threat, as compared to men who reported low levels of perceived threat, attributed more communal than agentic traits to the beneficiaries of quotas. These findings suggest that AAPs may have created a backlash against its beneficiaries by emphasizing gender-stereotypical or counterstereotypical traits. Thus, the framing of AAPs, for instance, as a matter of enhancing organizational performance, in the process of policy making and implementation, may be a crucial tool to countering potential backlash.

Sign in / Sign up

Export Citation Format

Share Document