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- Lundgren, Ingela, 1957, et al.
(författare)
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Evaluation of a midwifery model of woman-centred care during childbirth
- 2016
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Ingår i: NJF (Nordiskt Jordemoderförbund) Congress. Programme and abstracts. Gothenburg, May 12-14, 2016. - 9789163742699
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Based on a synthesis of 12 qualitative studies on women’s and midwives’ experiences of childbearing, a model of woman-centred care has been developed. The model has three central intertwined themes: a reciprocal relationship, a birthing atmosphere, and grounded knowledge; and two overall themes: the cultural context and the balancing act. Aim: To evaluate the use and effects of the model of woman-centred care provided by midwives during childbirth. Methods: A mixed methods, before-after controlled study is currently underway at two units for normal deliveries at Sahlgrenska University Hospital, Sweden, and an ethnographic actions research study is ongoing at the labour ward of Landspitali, University Hospital in Iceland. The intervention in Sweden comprises a one-day (8 hours) education about the model together with regularly scheduled reflection groups for midwives. The effects are studied by evaluating delivery outcomes, mothers’ childbirth experiences and midwives’ work-related experiences. The primary outcomes are augmentation with oxytocin and mothers’ childbirth experiences assessed with the Childbirth Experience Questionnaire (CEQ 2.0). The secondary outcomes are midwives’ experiences, assessed by means of questionnaires, including stress, burn-out, work satisfaction, and sense of coherence before and one year after the intervention. The qualitative part will study if the model is considered applicable by midwives, obstetricians, assistant nurses and managers at delivery wards, and to the content of midwifery care. An ethnographic field study with midwives and a focus-group study with assistant nurses, obstetricians, midwives and managers have been conducted before start and will be performed after the intervention. The ethnographic action research study in Iceland is focusing on midwives’ experiences and the development of guidelines for implementing the model in practice. Results: Preliminary findings from the study will be presented at the conference. Conclusion: A midwifery model of woman-centred care based on previous research is now evaluated in clinical practice.
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| 2. |
- Lundgren, Ingela, 1957, et al.
(författare)
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Evaluation of a midwifery model of woman-centred care during childbirth – a mixed method study
- 2019
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Ingår i: NJF Congress 2019 Reykjavik Conference app.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Midwifery models of woman-centred care have been developed in different cultural context but few have been evaluated. A theoretical Midwifery Model of woman-centred care (MiMo) based on research in Sweden and Iceland was evaluated and assessed with the overall aim to explore the applicability of the model and the impact it has on outcome of childbirth care. Aim: To evaluate the effects and the applicability of a model of woman-centred care provided by midwives during childbirth. Methods: A mixed methods, before-after controlled study at two units for normal deliveries at Sahlgrenska University Hospital, Sweden,. The intervention comprised a one-day (8 hours) education about the model together with regularly scheduled reflection groups for midwives 2015-2016. The effects were studied by evaluating delivery outcomes, and mothers’ childbirth experiences. The primary outcomes were augmentation with oxytocin (n=.1600) and mothers’ childbirth experiences assessed with the Childbirth Experience Questionnaire (CEQ 2.0) (n=800). The applicability was studied by focus group interviews with a total of 43 participants: midwives (n=16), obstetricians (n = 8), assistant nurses (n= 11) and managers (n=8), before and after the intervention. Results: Findings from the study will be presented at the conference. Conclusion: A midwifery model of woman-centred care based on previous research has been evaluated in clinical practice.
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| 3. |
- Lundgren, Ingela, 1957, et al.
(författare)
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Evaluation of a model of woman-centred care during childbirth
- 2017
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Ingår i: 31th ICM Triennieal Congress 18-22 June 2017.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Based on a synthesis of 12 qualitative studies on women’s and midwives’ experiences of childbearing, a model of woman-centred care has been developed. The model has three central intertwined themes: a reciprocal relationship, a birthing atmosphere, and grounded knowledge; and two overall themes: the cultural context and the balancing act. Purpose/Objective: To evaluate the use and effects of the model of woman-centred care provided by midwives during childbirth. Method: A mixed methods, before-after controlled study at two units for normal deliveries at Sahlgrenska University Hospital, Sweden, and an ethnographic actions research study at the labour ward of Landspitali, University Hospital in Iceland. The intervention in Sweden comprised a one-day (8 hours) education about the model together with regularly scheduled reflection groups for midwives. The effects are studied by evaluating delivery outcomes, mothers’ childbirth experiences and midwives’ work-related experiences. The primary outcomes are augmentation with oxytocin (n=1600) and mothers’ childbirth experiences assessed with the Childbirth Experience Questionnaire (CEQ 2.0) (n=801). The secondary outcomes are midwives’ experiences, assessed by means of questionnaires, including stress, burn-out, work satisfaction, and sense of coherence before and one year after the intervention (n=120). The qualitative part will study if the model is considered applicable by midwives, obstetricians, assistant nurses and managers at delivery wards, and to the content of midwifery care. An ethnographic field study with midwives and a focus-group study with assistant nurses, obstetricians, midwives and managers have been conducted before start and will be performed after the intervention. The ethnographic action research study in Iceland is focusing on midwives’ experiences and the development of guidelines for implementing the model in practice. The study period was Mars 2015-Mars 2016. Key Findings: Findings from the study will be presented at the conference. Discussion: The findings will present knowledge about the clinical relevans of a theretical midwifery model of woman-centred care. References: Berg M, Olofsdottir O, & Lundgren I. (2012). A midwifery model of woman-centred childbirth care – In Swedish and Icelandic settings. Sexual and Reproductive Healthcare, 3(2), 79-87. Bryar R, & Sinclair M. (2011). Theory for midwifery practice (andra upplagan). NY: Palgrave Macmillan Cohen S, Kamarck T, Mermelstein R. (1983). A global measure of perceived stress. Health Soc Behav, 24, 385-396. Hildingsson I, Westlund K, Wiklund I. (2013). Burnout in Swedish midwives. Sex Reprod Healthcare. 4(3), 87-91. doi: 10.1016/j.srhc.2013.07.001. Epub 2013 Jul 30. Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. (2013). Continuous support for women during childbirth. Cochrane Database Syst Rev. Jul 15;7:CD003766. [Epub ahead of print] Karasek R, Theorell T. (1990). Healthy work: stress, productivity and the reconstruction of working life. New York: Basic Book Inc. Kristensen T, Borritz M, Villadsen E, Christensen, K. (2005). The Copenhagen burnout inventory: A new tool for the assessment of burnout. Work & Stress, 19 (3), 192-207. Morse Jm & Niehaus L (2009). Mixed Method Design: Principles and Procedures. Walnut Creek, CA, USA: Left Coast Press Inc.
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| 4. |
- Nilsson, Christina, et al.
(författare)
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An ethnographic study on midwives´ care of childbearing women at a normal labor ward in Sweden
- 2017
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Ingår i: 31th ICM Triennial Congress 18-22 June 2017.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Woman-centered care is a main target in childbirth care, requiring high quality in midwives professional support. Continuous support to women during childbirth has positive effects on birth outcomes such as increased vaginal births and enhanced satisfaction with birth experience. However, research is needed on the substance of care particularly in the Swedish labor ward settings where midwives often care for more than one woman. This study is part of a research project with the purpose to evaluate and assess a model of woman-centered care provided by midwives for childbearing women in Swedish and Icelandic settings. Purpose/Objective: To explore the meaning and content of midwives´ care of women during childbirth. Method: A study with an ethnographic approach focusing the meaning and content of midwives´ care for women during childbirth. Data was collected in January and February 2015 by one researcher through field studies at one labor ward in Sweden for women with expected normal childbirth. The data contained field notes from participant observations of six midwives during their day and night shifts, three recorded and verbatim transcribed interviews with midwives, and the researcher’s reflection notes. The data analysis is ongoing and will be completed during spring 2016. Key Findings: Key findings from the study will be presented at the conference. Discussion: The study will add new relevant knowledge on the meaning and content of midwives care in Swedish labor wards where midwives often care for several women during one shift. The study findings will be discussed in relation to midwives professional support. Discussion: The study will add new relevant knowledge on the meaning and content of midwives care in Swedish labor wards where midwives often care for several women during one shift. The study findings will be discussed in relation to midwives professional support.
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| 5. |
- Olafsdottir, Olof Asta, et al.
(författare)
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A Guiding Tool for using a Midwifery Model of Woman Centred Childbirth Care : An Ethnographic Action Research in an Icelandic context
- 2017
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Ingår i: 31th ICM Triennial Congress.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Based on a hermeneutic approach and synthesis of 12 qualitative studies on women’s and midwives’ experiences of childbearing, A Midwifery Model (MiMo) of Woman Centred Care was developed in Icelandic and Swedish settings. This study is an Icelandic part of an ongoing study to evalutate it´s use and effects in practice. The model is dynamic and includes three central intertwined themes with sub-themes that involve interactions with the childbearing woman in: a reciprocal relationship; a birthing atmosphere; using grounded knowledge of the midwife. Overall is the context of culture of place of birth and the balancing act of the midwife´s care. Purpose/Objective: The aim was to develop a guiding tool to use when implementing and evaluating woman centred care based on the MiMo model, enhanching physiological birth. Method: Ethnographic rapid action research, on a mixed low- and high risk labour ward, in four reflective group meetings and one focus group. Recent birth stories were told, with reflections of experiences in relation to the guiding tool under development. Data was collected analysed in March and April 2016. Key Findings: The guiding tool is a pocket card with a check list to use when informing, reflecting and rapporting on care. It refers to the first encounter, being present with the woman, giving and receiving information, stengthening and creating a calm, professionally and emotionally safe birth setting, enhanching physiological birth in relation to each woman. Discussion: This guiding tool will be used in further studies when evaluating the use and effect of the MiMo model in midwifery practice and education.
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