scholarly journals Hospital Childbirth: Perspectives of Women and Professionals for a Positive Experience—A Qualitative Study

Author(s):  
Beatriz Pereda-Goikoetxea ◽  
Joseba Xabier Huitzi-Egilegor ◽  
Josune Zubeldia-Etxeberria ◽  
Maria Jose Uranga-Iturrioz ◽  
Maria Isabel Elorza-Puyadena

The perception and interpretation of childbirth are changing as values change. This requires women and professionals to adapt to new circumstances. The objective of this study was to analyze the perspectives of women and professionals on hospital birth and to identify improvement areas in order to achieve a positive perinatal experience. A qualitative prospective study with a phenomenological approach was conducted using semi-structured interviews with women, two and eight months after childbirth, participant observation, and professional focus groups. The analysis of the transcribed texts involved a thematic inductive approach. Four improvement areas emerged from the analysis: (a) strengthening communication and the therapeutic relationship; (b) unifying criteria between hospitals and primary care centers to provide coordinated and coherent information; (c) involvement of the partner in the whole process of pregnancy-childbirth-puerperium; (d) improvement of the spaces used in prenatal care and births. The need for a continuity of care from the beginning of pregnancy to the postpartum period is emphasized, which requires an improvement in information, participation, and the promotion of shared decision-making. To this end, coordinated interdisciplinary work, involvement of the partner and the improvement of the spaces used in prenatal care and births are essential.

1997 ◽  
Vol 60 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Merrill Crabtree ◽  
Michael Lyons

This article reports on a single case study of an occupational therapist working in a plastic surgery unit at an Australian public hospital. A phenomenological approach was used to explore the therapist's clinical reasoning in depth. Data were gathered over a 3–week period through semi-structured interviews with the informant and through participant observation of therapy sessions with patients and associated activities engaged in by the informant. The resulting narrative data were analysed inductively. The focus of this discussion is on the aspects of personal interactions that influence clinical reasoning. The article examines how such constructs as power, responsibility, caring and competence combine to influence clinical reasoning.


2019 ◽  
Vol 1 (4) ◽  
pp. 425-444
Author(s):  
Fatihaturrohmah Fatihaturrohmah ◽  
Ahmad Shofiyuddin Ichsan

This study aims to determine the activities of women's community "Srikandi Lintas Iman" Yogyakarta in muticultural Islamic education study, to know the implications of multicultural Islamic education in the women's community in managing religious diversity in Yogyakarta, and to find out the supporting factors in the movement process in women's community "Srikandi Lintas Iman”. This type of research is field research with a   phenomenological approach. Data sources obtained through structured interviews, passive participant observation and documentation. Then, data analysis uses data analysis according to Cresswell. The results obtained that the women's community movement "Srikandi Lintas Iman" focused on several activities, namely cross-faith discussions, interfaith pilgrimages, and conflict resolution training. The implication is that their members are able to apply the values ​​of multicultural Islamic education, namely inclusive, tolerance, pluralism, justice, and peace. To understand the supporting factors of this women's community, they are solid in carrying out their vision and mission together, leader continues to be active in directing, members come from various backgrounds, and the family system between members is still maintained.


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 ◽  
...  

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.


2012 ◽  
Vol 3 (2) ◽  
pp. 75-80
Author(s):  
Sebastião Junior Henrique Duarte ◽  
Marli Villela Mamede

O estudo teve como objetivo caracterizar as ações desenvolvidas pelos profissionais de enfermagem na assistência pré-natal no município de Cuiabá-MT. Foram realizadas observação não participante e entrevistas semi-estruturadas com 182 profissionais da equipe de enfermagem. A análise foi baseada nos documentos da Confederação Internacional de Parteiras e do Ministério da Saúde do Brasil. Identificou-se que a pré-consulta é feita pelo nível médio e as consultas de pré-natal pelos enfermeiros. As ações mais frequentes foram verificação da pressão arterial, do peso e anamnese, respectivamente em (100%). Menos frequentes: inspeção das mucosas (28,3%) e ausculta-cardiopulmonar (9,4%). As competências essenciais no pré-natal foram desenvolvidas pela equipe de enfermagem, porém muitas delas apresentaram baixa frequência ou deixaram de ser realizadas em todas as consultas.Descritores: Equipe de Enfermagem, Cuidado Pré-natal, Saúde da Mulher, Competência Profissional, Instituições de Saúde.Study of essential competences in prenatal attention: actions of the nursing team in Cuiaba The study aimed to characterize the actions developed by professionals in prenatal care in the city of Cuiabá-MT. Were performed non-participant observation and semi-structured interviews with 182 professional nursing staff. The analysis was based on documents of the International Confederation of Midwives and the Ministry of Health of Brazil. It was identified that the pre-appointment is made by high school and pre-natal consultations by nurses. The actions were more frequent checking of blood pressure, weight and medical history, respectively (100%). Less common: inspection of the mucosa (28.3%) and auscultation-cardiopulmonary (9.4%). Core competencies in prenatal care were developed by the nursing staff, but many of them showed low frequency or were not accomplished in all queries.Descriptors: Nursing Team, Prenatal Care, Women's Health, Professional Competence, Health Facilities.Estudio de las competencias essenciales en la atención prenatal: acciones del equipo de enfermeria en CuiabaEl estudio tuvo como objetivo caracterizar las acciones desarrolladas por profesionales en la atención prenatal en la ciudad de Cuiabá-MT. Se realizou la observación no participante y entrevistas semi-estructuradas con 182 profesionales de enfermería. El análisis se basó en los documentos de la Confederación Internacional de Matronas y el Ministerio de Salud de Brasil. Se identificó que la pre-designación se hace por los secundaristas y las consultas prenatales por las enfermeras. Las acciones más frecuente fueron la presión arterial, peso e anamnesis, respectivamente (100%). Menos comunes: inspección de las mucosas (28,3%) y la auscultación cardiopulmonar-(9,4%). Las competencias básicas en la atención prenatal fueron desarrollados por el personal de enfermería, pero muchos de ellos mostraron baja frecuencia o no se realizo en todas las consultas.Descriptores: Grupo de Enfermería, Atención Prenatal, Salud de la Mujer, Competencia Profesional, Istituciones de Salud.


2021 ◽  
Vol 25 (1) ◽  
pp. 108-121
Author(s):  
Joanna Malita-Król

Numerous contemporary Pagan groups conduct their ritual ceremonies outside, communing with nature. This essay describes research conducted in a small, eclectic group following the Wiccan wheel of the year in Warsaw, Poland. It focuses on the places used by the group, applying Edward Casey’s phenomenological approach to understand an encountered place, and examines what constitutes a good ritual place according to the group members. The initial supposition was that technical aspects would prevail: privacy, accessibility, and proximity of the four elements. However, the participant observation and semi-structured interviews proved that choosing the right place was primarily based on the experience and interpretation of the feeling evoked by the place: namely, whether the atmosphere was right and the entities dwelling there were seen as welcoming or not.


2020 ◽  
Author(s):  
Sandra Célia Coelho Gomes da Silva

This work is the result of the doctoral thesis entitled Pilgrimage of Bom Jesus da Lapa: Social Reproduction of the Family and Female Gender Identity, specifically the second chapter that talks about women in the Pilgrimage of Bom Jesus da Lapa, emphasizing gender relations, analyzing the location of the pilgrimage as a social reproduction of the patriarchal family and female gender identity. The research scenario is the Bom Jesus da Lapa Pilgrimage, which has been held for 329 years, in that city, located in the West part of Bahia. The research participants are pilgrim women who are in the age group between 50 and 70 years old and have participated, for more than five consecutive years in the Bom Jesus da Lapa Pilgrimage, belonging to five Brazilian states (Bahia, Minas Gerais, São Paulo, Espírito Santo and Goiás) that register a higher frequency of attendance at this religious event. We used bibliographic, qualitative, field and documentary research and data collection as our methodology; we applied participant observation and semi-structured interviews as a technique. We concluded that the Bom Jesus da Lapa Pilgrimage is a location for family social reproduction and the female gender identity, observing a contrast in the resignification of the role and in the profile of the pilgrim women from Bom Jesus da Lapa, alternating between permanence and the transformation of gender identity coming from patriarchy.


Author(s):  
Amanda Cabral ◽  
Carolin Lusby ◽  
Ricardo Uvinha

Sports Tourism as a segment is growing exponentially in Brazil. The sports mega-events that occurred in the period from 2007 to 2016 helped strengthen this sector significantly. This article examined tourism mobility during the Summer Olympic Games Rio 2016, hosted by the city of Rio de Janeiro, Brazil. This study expands the understanding of the relationship between tourism and city infrastructure, therefore being relevant to academics, professionals of the area and to the whole society due to its multidisciplinary field. The existence of a relationship between means of transportation and the Olympic regions as well as tourist attractions for a possible legacy was observed. Data were collected from official sources, field research and through participant-observation and semi structured interviews. Data were coded and analyzed. The results indicate that the city was overall successful in its execution of sufficient mobility. New means of transportation were added and others updated. BRT's (Bus Rapid Transit) were the main use of mass transport to Olympic sites. However, a lack of public transport access was observed for the touristic sites.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Carol Y. Franco ◽  
Angela E. Lee-Winn ◽  
Sara Brandspigel ◽  
Musheng L. Alishahi ◽  
Ashley Brooks-Russell

Abstract Background Syringe services programs provide sterile injection supplies and a range of health services (e.g., HIV and HEP-C testing, overdose prevention education, provision of naloxone) to a hard-to-reach population, including people who use drugs, aiming to prevent the transmission of infectious diseases. Methods We performed a qualitative needs assessment of existing syringe services programs in the state of Colorado in 2018–2019 to describe—their activities, needs, and barriers. Using a phenomenological approach, we performed semi-structured interviews with key program staff of syringe services programs (n = 11). All interviews were digitally recorded, transcribed, and validated. A data-driven iterative approach was used by researchers to develop a coding scheme to organize the data into major themes found across interviews. Memos were written to synthesize main themes. Results Nearly all the syringe program staff discussed their relationships with law enforcement at length. All syringe program staff viewed having a positive relationship with law enforcement as critical to the success of their program. Main factors that influence the quality of relationships between syringe services programs and law enforcement included: (1) alignment in agency culture, (2) support from law enforcement leadership, (3) police officers’ participation and compliance with the Law Enforcement Assisted Diversion (LEAD) program, which provides intensive case management for low-level drug offenders, and (4) implementation of the “Needle-Stick Prevention Law” and Drug Paraphernalia Law Exemption. All syringe program staff expressed a strong desire to have positive relationships with law enforcement and described how a collaborative working relationship was critical to the success of their programs. Conclusions Our findings reveal effective strategies to foster relationships between syringe services programs and law enforcement as well as key barriers to address. The need exists for both syringe services programs and law enforcement to devote time and resources to build a strong, positive partnership. Having such positive relationships with law enforcement has positive implications for syringe services program clients, including law enforcement being less likely to ticket persons for having used syringes, and encourage people who use drugs to seek services from syringe services programs, which can then lead them to other resources, such as housing, wound care, and substance use treatment programs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cinzia Albanesi ◽  
Carlo Tomasetto ◽  
Veronica Guardabassi

Abstract Purpose Intimate Partner Violence (IPV) is one of the most common forms of domestic violence, with profound implication for women's physical and psychological health. In this text we adopted the Empowerment Process Model (EPM) by Cattaneo and Goodman (Psychol Violence 5(1):84–94) to analyse interventions provided to victims of IPV by a Support Centre for Women (SCW) in Italy, and understand its contribution to women’s empowerment. Method We conducted semi-structured interviews with ten women who had been enrolled in a program for IPV survivors at a SCW in the past three years. The interviews focused on the programs’ aims, actions undertaken to reach them, and the impact on the women’s lives, and were analysed using an interpretative phenomenological approach. Results Results showed that the interventions provided by the SWC were adapted according to women's needs. In the early phases, women’s primary aim was ending violence, and the intervention by the SCW was deemed as helpful to the extent it provided psychological support, protection and safe housing. Women’s aims subsequently moved to self-actualisation and economic and personal independence which required professional training, internships, and social support. Although satisfying the majority of the women’s expectations, other important needs (e.g., economic support or legal services) were poorly addressed, and cooperation with other services (e.g., police or social services) was sometimes deemed as critical. Conclusions By evaluating a program offered by a SCW to IPV survivors through the lens of the EPM model, we found that women deemed the program as effective when both individual resources and empowerment processes were promoted. Strengths, limitations and implications are discussed.


2021 ◽  
pp. 002076402199118
Author(s):  
Marziyeh Khoshgoftar ◽  
Anahita Khodabakhshi-Koolaee ◽  
Mohammad Reza Sheikhi

Background and Aim: The mother as the first caregiver plays a significant role in the formation of the child’s behavior, growth, and communication. The present study aimed to analyze the early mother-child relationship in schizophrenic patients. Materials and Methods: This qualitative study employed a descriptive phenomenological approach. The participants were male patients with schizophrenia who were hospitalized in Qazvin Bahman Psychiatric Hospital from March to September 2020 with an age range of over 18 years. Given the objective of the study, the data were collected using semi-structured interviews. The participants were selected using purposive sampling and the sampling procedure continued until data saturation as the point when no new information is observed in the data. Accordingly, the data were saturated after interviewing 15 participants. The data were analyzed using Colaizzi’s seven-step method. Results: The analysis of the data revealed four main themes including ambivalent attachment to the mother, feelings of constant fear and worry, a sense of constant care for the mother, and a cold and emotionless relationship with the child. Conclusion: The present study suggested that schizophrenia is a disorder that affects the mother-child relationship, and does the term “schizophrenic mothers” need to be reconsidered? However, the result of this research has been done according to the nature and cultural context of Iranian society.


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