scholarly journals Barriers and Facilitators for Exclusive Breastfeeding within the Health System and Public Policies from In-Depth Interviews to Primary Care Midwives in Tenerife (Canary Islands, Spain)

2021 ◽  
Vol 19 (1) ◽  
pp. 128
Author(s):  
Seila Llorente-Pulido ◽  
Estefanía Custodio ◽  
María Rosario López-Giménez ◽  
Laura Otero-García
Keyword(s):  
Primary Care ◽  
Health System ◽  
Canary Islands ◽  
Exclusive Breastfeeding ◽  
Qualitative Methodology ◽  
Healthcare Professionals ◽  
Maternity Leave ◽  
Public Policies ◽  
Depth Interviews

The aim of this study is to describe the perspectives of Primary Care midwives regarding factors that benefit or are detrimental to exclusive breastfeeding (EBF) within the health system and public policies. The study was carried out in Tenerife (Canary Islands, Spain) and is based on qualitative methodology. Twenty in-depth interviews were carried out with midwives who work in Primary Care centres in Tenerife, using a content analysis approach. The transcript data were then encoded following an inductive approach. The factors, according to midwives, that affect EBF, with regard to the healthcare system, are related to training of healthcare professionals in breastfeeding and their support to women during pregnancy, childbirth and postnatal care. Regarding public policies, midwives believe the maternity leave periods in Spain, together with a lack of laws and social policies to protect EBF are detrimental. The findings from our study show that there is a need to boost training and the role of professionals in EBF and, at the same time, promote protective policies that foster equality, favouring, among other issues, the work-life balance.

scholarly journals Barriers and Facilitators for Exclusive Breastfeeding in Women’s Biopsychosocial Spheres According to Primary Care Midwives in Tenerife (Canary Islands, Spain)

2021 ◽  
Vol 18 (7) ◽  
pp. 3819
Author(s):  
Seila Llorente-Pulido ◽  
Estefanía Custodio ◽  
Maria Rosario López-Giménez ◽  
Belén Sanz-Barbero ◽  
Laura Otero-García
Keyword(s):  
Primary Care ◽  
Breast Feeding ◽  
Canary Islands ◽  
Exclusive Breastfeeding ◽  
Qualitative Methodology ◽  
Postnatal Period ◽  
Barriers And Facilitators ◽  
World Health ◽  
Exclusive Breast Feeding ◽  
Early Return

(1) The objective of our study is to determine, from a primary care midwife’s perspective, which biopsychosocial factors can favour or be detrimental to exclusive breast feeding. (2) The study was carried out in Tenerife (Canary Islands, Spain) and is based on qualitative methodology. Twenty in-depth interviews were carried out with midwives working in primary care centres in Tenerife, using a content analysis approach. The transcript data was then encoded following an inductive approach. (3) According to the perceptions of the primary care midwives who were interviewed, the barriers and facilitators that influence exclusive breastfeeding related to the biopsychosocial spheres of women are, at an individual level, the physical and emotional aspects during the postnatal period; at the relationship level, the presence or not of support from the close family and partner; at the community level, the environment and social networks the new mothers may have; and at the work level, characteristics of jobs and early return to work. (4) The findings of our research can help healthcare professionals to approach the promotion and encouragement of exclusive breast feeding at each of the levels studied, with the aim of increasing rates following recommendations issued by The World Health Organization.

scholarly journals El alivio del dolor en el parto. Empoderamiento y vulnerabilidad de las mujeres en la toma de decisiones. Estudio cualitativo.

MUSAS ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Josefina Goberna-Tricas ◽  
Ainoa Biurrun-Garrido
Keyword(s):  
Pain Relief ◽  
Qualitative Methodology ◽  
Healthcare Professionals ◽  
Methodological Approach ◽  
Adult Women ◽  
Birth Plan ◽  
Perceived Pain ◽  
Toma De Decisiones ◽  
Las Mujeres

Introduction In Spain the use of epidurals for pain relief during childbirth is widespread. Currently, we can observe a progressive change in attitude towards a less interventionist care and the use of non-pharmacological methods to reduce pain, unless the woman has left instructions otherwise. Aims To explore the decision-making process concerning pain relief methods in childbirth in order to detect the elements of vulnerability that are present in said process and examine the demands directed towards healthcare professionals. Methodology This study has applied a qualitative methodology with a phenomenological theoretical-methodological approach. The technique used to obtain information was the semistructured individual interview. The study was carried out in Catalonia. The participants were 17 adult women with low-risk pregnancies. Results Three categories have been identified after the analysis: (a) Completion of the birth plan: an approach to the decision; (b) The rationale of the decision: resources and barriers; and (c) The approach to pain in childbirth: elements of vulnerability. Conclusions Women do not always make firm decisions when completing the birth plan; The decisions expressed may be statements of intent. At the time of delivery, the perceived pain can be experienced as a threat that makes them feel vulnerable. The role of midwives and other healthcare professionals is to help work out this sense of vulnerability.

scholarly journals El rol de Emiliano como mediador: prácticas organizativas de los campesinos en los proyectos estatales

2018 ◽  
pp. 157-173
Author(s):  
Jimena Ramos Berrondo
Keyword(s):  
Rural Community ◽  
Qualitative Methodology ◽  
Participant Observation ◽  
Organizational Practices ◽  
North East ◽  
Productive Activities ◽  
State Agents ◽  
State Projects ◽  
Depth Interviews

  El objetivo de este artículo es analizar en qué consiste el rol del dirigente de la Corriente Campesina Nacional (COCAN) como mediador de las estructuras de poder del Estado y los criollos del Impenetrable (una región localizada en la provincia del Chaco, noreste de Argentina) durante el periodo 2012-2015. Se aplica una metodología cualitativa, que consistió en observación participante y entrevistas en profundidad. Se concluye que la COCAN lleva a cabo múltiples prácticas organizativas para resolver las problemáticas de las poblaciones rurales: implementación y gestión de proyectos estatales, negociaciones con autoridades políticas y promoción de actividades culturales y productivas.  Abstract The aim of this article is to analyze the role of the leader of the “Corriente Campesina Nacional” (COCAN) as a mediator between state agents and the “criollo” population in the “Impenetrable” (a region located in Chaco, north east of Argentina) during the period 2012-2015. A qualitative methodology is applied, using participant observation and in-depth interviews. The article concludes that the COCAN uses diverse organizational practices to solve rural community problems: implementation and management of state projects, negotiations with political authorities and promotion of cultural and productive activities.  

The role of compliance for organisational change

2018 ◽  
Vol 31 (2) ◽  
pp. 334-351 ◽  
Author(s):  
Ronald Busse ◽  
Ufuk Doganer
Keyword(s):  
Qualitative Methodology ◽  
Qualitative Content Analysis ◽  
Organisational Change ◽  
Future Research ◽  
Content Type ◽  
Lively Debate ◽  
And Performance ◽  
The Individual ◽  
Depth Interviews

Purpose Fuelled by the latest scandals at Siemens, VW or Walmart, there is a lively debate on the role of compliance and ethics programmes. Unlike large corporations, small and medium-sized enterprises (SMEs) arguably tend to underestimate their significance and lag behind. Hence, the purpose of this paper is to shed light on the process of introducing compliance codes and its effects on employee acceptance and performance. Design/methodology/approach In line with the qualitative methodology, the authors conducted 12 in-depth interviews with German SME employees which the authors evaluated with the qualitative content analysis. Findings As for the major contribution, results indicate the emergence of a lack of understanding, anger, anxiety and operational performance losses – both at the individual and the corporate level – especially when employees feel uninvolved in the initial introduction stadium. Originality/value Practicing managers may benefit from the recommendation to facilitate staff involvement at earlier stages. As for theory advancement, the authors draw on Kotter’s (2007) long surviving “Eight Steps Change Management Model” and find significant support for shifting the spotlight of attention towards the first four phases. The authors discuss the original value of the research, admit limitations and illuminate some promising future research trajectories.

scholarly journals Interfunctional coordination: the role of digitalization

2019 ◽  
Vol 35 (3) ◽  
pp. 404-419 ◽  
Author(s):  
José L. Ruiz-Alba ◽  
Rodrigo Guesalaga ◽  
Raquel Ayestarán ◽  
Javier Morales Mediano
Keyword(s):  
Focus Group ◽  
Design Methodology ◽  
Qualitative Methodology ◽  
Content Type ◽  
Top Executives ◽  
Main Driver ◽  
Negative Side Effects ◽  
Depth Interviews ◽  
Integrated Study

Purpose This paper aims to investigate interfunctional coordination (IC) in a B2B context. More specifically, it explores the role of digitalization as a strategic driver for an effective IC. Design/methodology/approach Following a qualitative methodology, three studies have been integrated: Study 1 (focus group with 5 participants), Study 2 (31 in-depth interviews with top executives) and Study 3 (online focus group with 9 experts). Findings One finding is that digitalization is the main driver for IC and can be considered strategic. Other findings show that digitalization can enhance IC, but it was also found that digitalization can have negative side effects on IC. Originality/value This study contributes to the understanding of the importance of digitalization on IC and also contributes to the conceptualization of IC as a dynamic capability.

Men’s perception of post-marriage body image: Pakistan milieu

2019 ◽  
pp. 1354067X1989493
Author(s):  
Subaita Zubair ◽  
Urwah Ali
Keyword(s):  
Body Image ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Thematic Analysis ◽  
Qualitative Methodology ◽  
Group Discussion ◽  
Late Adolescents ◽  
Anthropological Study ◽  
Depth Interviews

The present psychological anthropological study tends to explore the perception of single men and their understanding of cultural role regarding post-marriage body between both genders. A qualitative methodology of in-depth interviews and one focus group discussion were employed. The sample included late adolescents (aged 18–24) and early adults (24–34) from Islamabad and Rawalpindi (Pakistan). Purposive sampling was applied and thematic analysis was used as a qualitative paradigm. The number of respondents comprised of 17 males of which each 7 were gym-goers. Results highlighted that Pakistani culture has its biased and paradoxical ways when it comes to expectations genders face with regard to body after marriage. Overall, males have an upper hand when it comes to body image both pre and post marriage. With the female body, men associate modesty and role of spouse and with their own body its supremacy. Expectations are not much held for men with regard to body image, but if they are looking after their body, it is all out of their own will, needs, reason and to some extent on spouse demand.

scholarly journals The role of social media in primary care

2021 ◽  
Vol 16 (2) ◽  
pp. 14-18
Author(s):  
Aneesa Abdul Rashid ◽  
Ahmed Kamarulzaman ◽  
Sakinah Sulong ◽  
Suhazeli Abdullah
Keyword(s):  
Primary Care ◽  
Social Media ◽  
Healthcare Professionals ◽  
Daily Life ◽  
First Line ◽  
The Public ◽  
Business Meetings ◽  
New Information ◽  
Primary Care Doctors

Online activities have become the norm. From searching for new information to conducting business meetings, social media’s role in daily life continues to grow in prominence. It is estimated that the majority of the population uses social media, and users include doctors and other healthcare professionals. It is critical for primary care doctors to note how social media can substantially influence one’s healthcare behaviour and decision making. Because primary care doctors are usually the first line of contact for patients, they are the most easily accessible and most instrumental in using social media to steer the public toward proper information on healthcare.

scholarly journals Assessment of Men's Role on Mother Care when Pregnant, Birth and Breastfeeding

2018 ◽  
Vol 2 (11) ◽  
pp. 1126-1134
Author(s):  
Mariana Ngundju Awang
Keyword(s):  
Qualitative Research ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Exclusive Breastfeeding ◽  
Male Role ◽  
Male Participation ◽  
The Past ◽  
Depth Interviews ◽  
Role Of Men

Background: The maternal mortality rate (MMR) in East Sumba is one of the highest in the province of East Nusa Tenggara (NTT) for the past five years (2011-2015). Maternal mortality in East Sumba District is 76.7% occurred during childbirth and 23.3% during pregnancy. The Sumba tribe is based on patriaki culture which prioritizes men as the masters. Male participation is very small, but their control of women in deciding for women to use contraceptives or not very dominant. Methods: The type of research used was qualitative research by means of in-depth interviews and FGDs on 20 respondents. Results: Men were very instrumental in helping their wives from becoming pregnant, giving birth and breastfeeding according to cultural figures, customs, husbands and wives. Conclusion: The role of men when pregnant wives prepare themselves as prospective fathers by following the development of pregnancy and supporting the preparation of childbirth, when the wife gives birth to accompany the wife before and during childbirth by giving motivation to face the pain, struggle to give birth to the baby, and when breastfeeding wife Supports the success of breastfeeding, especially exclusive breastfeeding Keywords: Male role, East Sumba culture, Traditional figure, Religious figure

scholarly journals The cutting edge in the blunt space: an anthropological construct of auxiliary nurse midwives’ social world in the community

2013 ◽  
Vol 1 (1) ◽  
pp. 10
Author(s):  
Avanish Kumar ◽  
Meerambika Mahapatro
Keyword(s):  
Health System ◽  
Uttar Pradesh ◽  
Health Providers ◽  
Public Health Services ◽  
Auxiliary Nurse ◽  
Nurse Midwives ◽  
Depth Interviews ◽  
Child Health Programme ◽  
Health Programme

Auxiliary nurse midwives (ANMs) are the most peripheral health providers and manage the rural health sub-centre in a community. They mediate directly between the community and the health system for the management of Maternal and Child Health Programme in India. The purpose of this study was to find out the role of cultural factors, such as ANMs’ caste, age, marital status, being non-resident in the working village and other social factors regarding their acceptance in the community. The study is exploratory and qualitative. The area of study was a multi-caste remote village, Mavaibhachan, in Kanpur Dehat district of Uttar Pradesh, India. Data were collected through in-depth interviews and fieldwork notes taken during and immediately after the interviews with ANMs, and thematically analyzed. Our results show that if ANMs belong to a different caste group, do not live in the working village and are relatively younger, they are socially insecure and stressed and the community hardly accepts them. Despite direct interface with the community, their social status and lowest position in the health system is reflected in acceptability and recognition. The position of ANMs needs to be strengthened, within society and the health system. In order to make public health services effective and efficient the health system has to reduce stratification based on role and status.

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