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- Bauer, Georg F., et al.
(författare)
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Future directions for the concept of salutogenesis : A position article
- 2020
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Ingår i: Health Promotion International. - : Oxford University Press. - 0957-4824 .- 1460-2245. ; 35:2, s. 187-195
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Tidskriftsartikel (refereegranskat)abstract
- Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass,San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC)VC that helps to mobilize resources to cope with stressors and manage tension successfully (determiningone's movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensionalSOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about theorigin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in theinternational Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer,New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. Tostrengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal)of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis.During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky'soriginal contribution and then present suggestions for future development. These ideas will help guideGWG-Sal's work to strengthen salutogenesis as a theory base for health promotion.
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| 2. |
- Berg, Marie, 1955, et al.
(författare)
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The use of a salutogenic framework in empirical studies of maternity care
- 2014
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Ingår i: Optimizing childbirth across Europe conference - part of COST Action IS0907: Childbirth Cultures, Concerns & Consequences: Creating a dynamic EU framework for Optimal maternity care. 9-10 April 2014, Brussels.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: There is general agreement that maternity care services should be organized in a way that improves health. In many European settings, this entails changing the lens of maternity care from one focused on risk and the prevention of ill-health to one stressing positive outcomes including strengths and resources. Several frameworks have been proposed for a positive health care approach within the salutogenic framework. The most wellknown, and with a strong evidence base, is Antonovsky´s Sense of Coherence Theory. Aim: To establish if and how a salutogenic theoretical approach has been used in empirical studies of maternity care. Objectives: To identify how salutogenesis has been defined in empirical research around the maternity episode, and how and in what kind of contexts salutogenic theory has been used in empirical research around the maternity episode. To generate discussion about what promotes salutogenic approaches in maternity care provision. method: A systematic literature review, based on a predetermined search strategy. no language restrictions were applied. Included studies were subject to narrative analysis. Ethical approval was not required. Findings: Eight papers met the criteria for inclusion, comprising seven areas in the antenatal, intrapartum and postnatal periods. Of these, two papers employed both a positive health philosophy and explicit use of Antonovsky's Sense of Coherence (SoC) scale. The remaining studies used discrete aspects of a salutogenic approach. Conclusion: These findings demonstrate that, to date, salutogenic framing is rarely used in maternity care research. To guide future policy making and service provision, salutogenic theory could be used to find out what works well in promoting wellbeing for those using maternity care, rather than simply minimizing ill-health and risk. Funding: The study is part of the EU-funded COST Action IS0907
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| 5. |
- Heazell, Alexander E P, et al.
(författare)
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Stillbirths : economic and psychosocial consequences.
- 2016
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Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 387:10018, s. 604-16
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Tidskriftsartikel (refereegranskat)abstract
- Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present findings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the effect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are extensive and are usually met by families alone. This issue is particularly onerous for those with few resources. Negative effects, particularly on parental mental health, might be moderated by empathic attitudes of care providers and tailored interventions. The value of the baby, as well as the associated costs for parents, families, care providers, communities, and society, should be considered to prevent stillbirths and reduce associated morbidity.
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| 7. |
- Magistretti, Claudia Meier, et al.
(författare)
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Best practice in maternity care: a salutogenic approach
- 2014
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Ingår i: Optimising Childbirth Across Europe An interdisciplinary maternity care conference, 9 & 10 of April, 2014 in Vrije University, Etterbeek campus, Brussels, Belgium.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: The current practice to enhance and ensure quality in maternity and early infant care is mainly focused on the avoidance and management of risk. Even though studies have investigated midwives' and other professional's views, revealing several health oriented factors of quality in maternal care. most of these studies lack a theoretical framework underpinning the empirical findings and results often remain limited to the specific settings the studies were conducted in. Aim: The study "best practice in maternity care" takes a systematic theoretical approach rooted in Aaron Antonovsky's theory of salutogenesis. Although Antonovsky's concepts are widely used and empirically underpinned, they have not yet been broadly applied to maternity care and childbirth. no studies have been conducted to describe what a salutogenic midwifery practice could be. We lack evidence of questions as to how health promoting processes come about and how professionals' care can be fostered to strengthen health of mothers in maternity care. The study aims to allow maternity care professionals to express their implicit salutogenic knowledge and their action-oriented implicit frameworks for choices, decisions and conflict management and to validate and make such knowledge accessible to researchers and teachers. methods 27 narrative interviews were conducted with midwives working in pre-, peri- and postnatal care in different settings of selected regions in Austria, Switzerland and the United Kingdom. A hermeneutic analyses following the theory of Antonovsky was conducted. Ethical approval was received by all universities and health authorities concerned. findings and Conclusions: full findings will be presented showing different types of dealing with hospital and other working environments and reveal a definite spectrum of distinct Components of the three parameters of the sense of coherence (understandability, manageability, meaningfulness) in midwifery salutogenic practice. implications for training, research and practice are described in conclusion and projects in midwifery education are presented.
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| 8. |
- Magistretti, Claudia Meier, et al.
(författare)
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Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries.
- 2016
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Ingår i: International journal of qualitative studies on health and well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- There is a lack of systematic evidence concerning health orientation in maternity practice in the current climate of risk avoidance. The midwifery professional project is orientated toward the preservation of normal physiological processes during the maternity episode. This study investigates accounts of midwives who were working in health-orientated birth settings, to examine if and how they frame a health orientation in professional practice. Twenty-seven narrative interviews were conducted with midwives working in pre-, peri-, and postnatal care in different maternity care settings in Switzerland, Austria, and Germany. In-depth and comparative pattern data analyses were conducted. The distinct practice orientation of the participants was revealed in three main concepts, underpinned by a common framework mirroring the three parameters of the Sense of Coherence (comprehensibility, manageability, and meaningfulness) described in Aaron Antonovsky’s salutogenic theory. The midwives’ implicit salutogenic knowledge shaped their reported actions in supporting mothers, fathers, and families to have health-promoting experiences in maternity care. These results suggest that an implicit health orientation in maternity care practice can be prefered through examination of the practice reports of midwives working in settings that have a health-promoting philosophy. Implications for midwifery practice and research are discussed. Consideration is given to the relevance of the results for debates about avoiding overtreatment and for the operationalization of salutogenic theory in health care practice.
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| 9. |
- Nyman, Viola, 1961, et al.
(författare)
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Insider Action research as an approach and a method – Exploring institutional encounters from within a birthing context
- 2016
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Ingår i: Action Research. - : SAGE Publications. - 1476-7503 .- 1741-2617. ; 14:2, s. 217-233
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this paper was to describe the first person perspective of being a peer midwife and a novice researcher initiating collaborative AR in her own organization to develop knowledge about the first encounters between the labouring woman and her care-givers in a hospital birthing context. It was motivated by the author’s longstanding professional clinical experience of observing and hearing parents’ stories of vulnerability and fear of childbirth, and how staff’s attitudes affected the childbirth experience negatively. Data were collected between 2010 and 2013 and included the researcher’s log with reflections from clinical work, as well as interviews, participant observation, and research group communications. A reflective interpretative lifeworld research approach was used to analyze the data. The experience of being a novice insider action researcher (IARr) consisted of three thematic meanings: “the struggle to initiate a clinical insider action research project,” “standing alone at the messy front line,” and “being a catalytic counterbalance to the prevailing medico technical focus.” The comprehensive understanding was “learning how to clinically reflect on and to voice the tacit components of care.” The strategy used in undertaking this study was influenced by the philosophies of both midwifery care and AR.
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| 10. |
- Nyman, Viola, 1961, et al.
(författare)
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Midwives´ experiences of action research and the nature of the first encounter on a hospital based labour ward in Sweden
- 2014
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Ingår i: Optimizing childbirth across Europe - an intedisciplinary maternity care conference. 9-10 April 2014, Brussels. Part of COST Action IS0907: Childbirth Cultures, Concerns & Consequences: Creating a dynamic EU framework for Optimal maternity care..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: An Action research study was undertaken with midwives based on one Swedish labour ward, to improve the quality of the first encounter with women and their partners. Aim of presentation: To describe 1) the Ar process 2) midwives' responses to a changed approach in the initial labour ward encounter. Research methodology: An insider action research design included several planning meetings with the midwives, agreeing on change, implementing the changes together, and evaluating the effects. To meet the woman's and partner's need for support even in the first encounter the ambition was to stay with the woman and partner while the fetal heart monitoring was running. The researcher kept a research journal documenting thoughts, reactions, reflections and the development of the Ar process. Thirty seven out of 57 midwives working on the labour ward were interviewed about their experiences. Interviews were tape recorded, transcribed and analysed using interpretive description. Ethical approval Ethical approval was received Study findings: The Ar started 2010. Initially, midwives found it most difficult to change their routine of starting the fetal heart monitoring when women first arrived in labour, and then leaving to read the woman's medical record and notes. Through the debates in the Ar meetings, more midwives moved towards spending time in the room with the woman and partner, talking with them, thereby creating meaningful relationships from the outset. The midwives' reflexive responses in the interviews illuminate their initial reluctance to respond to the Ar process, but also, the value of reflecting beyond routines to build a lingering presence in the first labour encounter. Conclusions: Examination of the three years of insider Ar process through qualitatively analyse clinical documents, the researcher's journal including notes of observations and interviews revealed the complexity and the difficulty of providing time to manage reflection in a large organization. To a greater or lesser extent, midwives had integrated relatively impersonal system-wide technocratic norms of childbirth into their belief systems and behaviors. The Ar study design enabled midwives reflect on routines and start the transformation of tacit use-inaction to reflection-in-action.
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