scholarly journals Parent Moral Distress From The Perspectives of Mothers With An Infant Previously Hospitalized in The NICU

2022 ◽  
Author(s):  
Polychronis Voultsos ◽  
Maria Deligianni ◽  
Eftychia Tsamadou
Keyword(s):  
Moral Distress ◽  
Stressful Event ◽  
Structured Interviews ◽  
Related Factors ◽  
Skin Contact ◽  
Moral Residue ◽  
Study Support ◽  
Medical Paternalism ◽  
Skin To Skin

Abstract BackgroundGiven that having an infant in the NICU is a morally stressful event for parents and preterm birth rates are increasing worldwide, parent moral distress is a matter of public health. While moral distress in the clinical context is already a widely explored phenomenon, the parent moral distress still remains a largely under-explored complex phenomenon. Methods This is a prospective qualitative study using semi-structured interviews of seventeen parents (mothers) who previously had an infant in the NICU. The study conducted between February 2021 and August 2021. A thematic analysis of the data was performed. Results While parents with infants in the NICU initially needed for having their decisions respected by physicians, they ultimately shew a tolerant attitude towards benevolent medical paternalism. However, many physician-related factors (i.e. uncertainty, discrepancy of opinion, operational behavior, lack of communicative or empathetic behavior, previous malpractice) facilitate parent moral distress. The important role of the family pediatrician in creating parent moral distress is highlighted. The same holds for family/social environment – related factors. Furthermore, the role of parent’s internal factors (especially spiritual/existential core values or beliefs) as well as the role of NICU environment-related factors (such as the image of a long-suffering infant, preventing mothers from providing their own milk for their infants and having a skin-to-skin contact with them) in creating parent moral distress are highlighted. Moral residue no more than mild was found. Moreover, parent moral schisma is emerged as a conceptually distinct from moral distress phenomenon. Last, the findings of this study confirm the relational account of parental moral distress offered by Mooney-Doyle and Ulrich. ConclusionsWhile many findings of the present study are in line with previous studies, our data analysis revealed findings which are little recognized in the available literature. Parents showed tolerant attitudes towards benevolent medical paternalism. No more than mild moral residue has been found. The most relevant categories of variables associated with parent moral distress were a) physician-related (various factors), b) parent-related, c) parent’s context (family or broader social)-related, and d) NICU environment-related. Furthermore, parent moral distress and parent moral schisma are conceptualized as conceptually distinct albeit strictly related or overlapping phenomena. The findings of this study support the relational account of parent moral distress.

scholarly journals The Role of Skin-to-Skin Contact and Breastfeeding on Atonic Postpartum Hemorrhage

2020 ◽  
Vol 11 (1) ◽  
pp. 1-11
Author(s):  
Wedad M. Almutairi ◽  
Susan M. Ludington ◽  
Mary T. Quinn Griffin ◽  
Christopher J. Burant ◽  
Ahlam E. Al-Zahrani ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Retrospective Chart Review ◽  
Skin Contact ◽  
Labor Duration ◽  
Third Stage Of Labor ◽  
Estimated Blood Loss ◽  
Third Stage ◽  
Skin To Skin ◽  
Increasing Trends

Objectives: were to (a) determine incidence of postpartum hemorrhage (PPH) in all women delivering between 2009 and 2015, and (b) determine the amount of Estimated Blood Loss (EBL) and duration of the third stage of labor in each subgroup for women with or without PPH, and (c) compare EBL and duration of 3rd stage of labor between subgroups in groups of women with or without PPH. Design: A retrospective chart review conducted using codes for atonic PPH. Setting: Records from a University based tertiary setting, 264 charts were reviewed and data from 154 charts were analyzed. One-way ANOVAs followed with post-hocs and a 2-way ANOVA were conducted. Results: PPH rate increased by 47.50% from 2009–2015. For women with PPH, EBL was lower in skin to skin contact (SSC) + Breastfeeding (BF) subgroup. For women without PPH, EBL was lower in SSC only subgroup. Third stage of labor duration was longer in women with PPH. Conclusions: Study confirmed the increasing trends of PPH due to uterine atony and proposed role of SSC and BF in decreasing EBL and shorten the duration of the 3rd stage of labor for PPH women, usefulness of SSC and BF as physiologic practices merit further study.

scholarly journals The role of fathers in the postpartum period: experiences with skin to skin method

2012 ◽  
Vol 25 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Joaquín Jesús Blanca Gutiérrez ◽  
María del Rosario Ábalos Pérez ◽  
Maria Victoria Montes Aguilera ◽  
Soledad González Moreno
Keyword(s):  
Health Professionals ◽  
Qualitative Method ◽  
Simple Technique ◽  
Contact Method ◽  
Skin Contact ◽  
Father’S Role ◽  
Skin To Skin ◽  
Depth Interviews ◽  
Positive Results

OBJECTIVE: This study aimed at investigating the significance of the skin-to-skin contact method with fathers, looking at their own experiences with their newborns. METHODS: The information was collected through in-depth interviews with 14 fathers who had used the skin-to-skin contact method with their newborns, after a cesarean delivery. The technique utilized for data analysis was the qualitative method of content analysis. RESULTS: Four principal themes emerged from the data: the preparation for the skin-to-skin method, the experiences of the fathers, the father's role, and effects of the method on the baby. CONCLUSIONS: The investigations performed highlighted the importance of the involvement of health professionals in the use of this method, which leads to a series of positive results for the organization related to satisfaction. We conclude that the skin-to-skin method is a simple technique, recommended for positive results for fathers and their babies.

scholarly journals Acquiring embodied and institutionalized cultural capital

Kinesiology ◽  
2021 ◽  
Vol 53 (2) ◽  
pp. 226-235
Author(s):  
Jožef Križaj ◽  
Mojca Doupona
Keyword(s):  
Career Development ◽  
Cultural Capital ◽  
Significant Influence ◽  
Sociocultural Factors ◽  
Football Players ◽  
Structured Interviews ◽  
National Team ◽  
Socialization Processes ◽  
Study Support

The main objective of this study was to determine whether sociocultural factors influence the career development of Slovenian national team football players. In this interview-based research, we consider Bourdieu’s theory of embodied and institutionalized cultural capital to find possible influencing sociocultural factors on the career development. Semi-structured interviews were conducted with eight Slovenian elite football players. The content of the interviews was organized based on the chronological events in each player’s life using seven open-ended questions. We analysed careers from the very beginning (initiation), across the development and mastery period to the career peak of the Slovenian football players in terms of the migration abroad. The results of this study support previous studies on the career development of football players. The work shows the important role of primary and secondary socialization processes, which exert a significant influence on career development among Slovenian football players.

scholarly journals SKIN-TO-SKIN CONTACT AND BREASTFEEDING AT CHILDBIRTH: WOMEN’S DESIRES, EXPECTATIONS, AND EXPERIENCES

2022 ◽  
Vol 40 ◽  
Author(s):  
Alice Parentes da Silva Santos ◽  
Zeni Carvalho Lamy ◽  
Maria Eduarda Koser ◽  
Clarice Maria Ribeiro de Paula Gomes ◽  
Beatriz Matos Costa ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Participant Observation ◽  
Prenatal Period ◽  
Structured Interviews ◽  
Main Obstacle ◽  
Northeast Region ◽  
Skin Contact ◽  
Participation Of Women ◽  
Skin To Skin ◽  
Routine Procedures

ABSTRACT Objective: To analyze women’s desires, expectations and experiences regarding skin-to-skin contact and breastfeeding in the first hour of life of their newborns. Methods: Qualitative research carried out in a teaching hospital in the Northeast Region of Brazil. The patients were followed longitudinally during prenatal care, at birth and during the puerperium. The participants were pregnant women during normal risk prenatal care, aged over 18 years old. Structured and semi-structured interviews were carried out in the prenatal period, participant observation at the time of delivery and new interviews in the puerperium. Content analysis was applied in the thematic modality. Results: 18 women between 21 and 38 years old were enrolled in the research. Women expressed the desire for skin-to-skin contact and breastfeeding as immediate practices right after delivery and birth. However, many women did not believe it was possible, and the performance of routine procedures was considered the main obstacle. These expectations that skin-to-skin contact and early breastfeeding would not be carried out were confirmed in the experiences immediately after birth. Conclusions: The expectations and experiences brought by these women suggest a flaw that starts in prenatal care and implies difficulties in implementing the studied practices. Thus, the empowerment and participation of women can become an important tool in the humanization of birth.

scholarly journals Secondary Traumatic Stress in Iranian Midwives: Stimuli Factors, Outcomes and Risk Management

2021 ◽  
Author(s):  
Maryam Hajiesmaello ◽  
Sepideh Hajian ◽  
Hedyeh Riazi ◽  
Hamid Alavi Majd ◽  
Roya Yavarian⁵
Keyword(s):  
Risk Management ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Structured Interviews ◽  
Related Factors ◽  
Physical Trauma ◽  
Proactive Approach ◽  
Distribution Of Power ◽  
Depth Interviews

Abstract Background: The present qualitative study was conducted to explain the experiences of secondary traumatic stress (STS) and its related factors in midwives working in maternity wards.Methods: Data were collected using semi-structured interviews with 11 midwives working in the maternity wards of hospitals in Urmia, Iran, through in-depth interviews with open-ended questions. Data were analyzed using the conventional content analysis approach.Results:The results of data analysis led to the extraction of three themes, seven main categories, and 18 subcategories. The first theme was “STS stimuli,” with the two categories of “Discriminatory approach to midwifery” and “The nature of the midwifery profession”. The second theme was “Traumatic outcomes”, which included the subcategories of “Psychological-emotional trauma”, “physical trauma” and “social trauma”. The third theme was “Risk management”, which had the two subcategories of “Reactive approach” and “Proactive approach”.Conclusions:The results showed that, in addition to the traumatic nature of events that midwives experience during work as the secondhand victims, factors such as governance-organizational structure, unbalanced distribution of power, and poor supportive laws undermine their professional role and provide conditions conducive to STS. Therefore, avoiding traumatic situations and scientific and skill self-empowerment were the most important strategies adopted by the midwives in this study to prevent risky situations and cope with the consequences of STS. The participation of midwifery stakeholders in policy-making and adopting supportive legislation in redefining the position and role of midwives can play a major role in reducing STS and sustaining their role and position in maternal care.

scholarly journals Midwives’ and mothers’ perspectives on skin-to-skin care of premature and low-birthweight infants in Puntland, Somalia

2021 ◽  
Author(s):  
Fatumo Osman ◽  
Mohamed Said Egal ◽  
Ahmed Ali Abdi ◽  
Anisa Abdikarim Mohamud ◽  
Kerstin Erlandsson
Keyword(s):  
Low Birthweight ◽  
Qualitative Content Analysis ◽  
Family Members ◽  
Thermal Control ◽  
Skin Care ◽  
Care Model ◽  
Structured Interviews ◽  
Her Family ◽  
Skin Contact ◽  
Skin To Skin

Background: More than 2.5 million children die yearly due to prematurity and low birthweight. Skin-to-skin care provides a thermal-control environment that offers protection from infection and eases breast milk feeding to the advantage of the new-born. Aim: This study aimed to explore barriers and facilitating factors for introducing skin-to-skin care of premature and low-birthweight infants based on input from mothers and midwives in Puntland, Somalia. Methods: Qualitative semi-structured interviews with four mothers and four midwives were analysed using qualitative content analysis. Results: The findings are presented in four categories: enabled by support and hands-on information to the mother and her family; aided by collaboration with the mother’s family to overcome the mother’s resistance; impeded by limited time, lack of resources and unavailable guidelines; and hindered by traditional and social beliefs. Both mothers and midwives emphasised the importance of information and education concerning skin-to-skin care of premature and low-birthweight infants. Family members and midwives facilitated skin-to-skin contact as the care model. The degree to which the midwives provided information to the mothers and their family members depended on how the two latter groups received and acted on such information and education. Lack of motivation by mothers, their families or midwives were barriers to skin-to-skin contact as a care model. Conclusion: Standardised guidelines, preferably culturally tailored for low socioeconomic groups, for midwives’ use when informing mothers and families on skin-to-skin contact as a care model for premature and low-birthweight infants would empower women, families and midwives to facilitate the practice in Puntland, Somalia.

scholarly journals Literature Review: Physiological Management for Preventing Postpartum Hemorrhage

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 658
Author(s):  
Wedad M. Almutairi
Keyword(s):  
Literature Review ◽  
Postpartum Hemorrhage ◽  
Cost Effective ◽  
Google Scholar ◽  
The Third ◽  
Skin Contact ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Skin To Skin

The aim of this paper was to summarize the existing literature regarding postpartum hemorrhage (PPH) and its physiological management (i.e., skin-to-skin contact and breastfeeding). The background surrounding PPH and the role of skin-to-skin contact (SSC) and breastfeeding (BF) in PPH are identified, and these interventions are supported as a crucial means of preventing or minimizing the incidence of PPH. Despite its importance, to the best of my knowledge, an evaluation of this relationship has not yet been undertaken. The narrative literature review approach was used to summarize topic related researches. The search included three databases: CINAHL, PubMed, and Google Scholar. All articles related to the role of SSC and BF in PPH were chosen from the different databases. The findings demonstrate that SSC and BF are cost-effective methods that could be considered practices for the prevention of PPH. Immediate Skin-to-skin contact (SSC) and breastfeeding (BF) are central mediators of the psychophysiological process during the first hour after delivery (the third and fourth stages of labor).

Tertiary English-majored Students’ Perceptions toward the Role of Pronunciation in English Language Learning and their Practicing Strategies

2020 ◽  
Vol 6 (2) ◽  
pp. 264-279
Keyword(s):  
Language Learning ◽  
English Language ◽  
Vital Role ◽  
English Language Learning ◽  
Structured Interviews ◽  
Efl Learners ◽  
The University

Accurate pronunciation has a vital role in English language learning as it can help learners to avoid misunderstanding in communication. However, EFL learners in many contexts, especially at the University of Phan Thiet, still encounter many difficulties in pronouncing English correctly. Therefore, this study endeavors to explore English-majored students’ perceptions towards the role of pronunciation in English language learning and examine their pronunciation practicing strategies (PPS). It involved 155 English-majored students at the University of Phan Thiet who answered closed-ended questionnaires and 18 English-majored students who participated in semi-structured interviews. The findings revealed that students strongly believed in the important role of pronunciation in English language learning; however, they sometimes employed PPS for their pronunciation improvement. Furthermore, the results showed that participants tended to use naturalistic practicing strategies and formal practicing strategies with sounds, but they overlooked strategies such as asking for help and cooperating with peers. Such findings could contribute further to the understanding of how students perceive the role of pronunciation and their PPS use in the research’s context and other similar ones. Received 10th June 2019; Revised 12th March 2020; Accepted 12th April 2020

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