| 1. |
- Aagaard Nohr, Ellen, et al.
(författare)
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Evidence-based midwifery
- 2022
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Ingår i: Theories and perspectives for midwifery: a Nordic view. - Lund : Studentlitteratur. - 9789144143194 ; , s. 79-94
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Bokkapitel (refereegranskat)abstract
- In this chapter, the history of evidence-based care and practice and their main principles will be presented, including a special focus on the field of obstetrics and midwifery. We will describe and discuss the main components of evidence-based midwifery and how they have been applied on important topics within maternal and newborn care. Finally, we will discuss the opportunities and challenges that midwives in the Nordic countries face when applying evidence-based care in a clinical setting that is dominated by large obstetric wards.
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| 2. |
- Blix, Ellen, et al.
(författare)
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Midwifery in a Nordic context
- 2022
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Ingår i: Theories and perspectives for midwifery. - Lund : Studentlitteratur. - 9789144143194
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Bokkapitel (refereegranskat)abstract
- In this chapter, we present the Nordic countries and people, and the Nordic welfare model. Maternity care and midwifery within the welfare state model are presented, and challenges in Nordic midwifery are discussed. Organisation of maternity care is in some aspects fairly similar in the Nordic countries but there are differences between and within countries. However, all countries have a long tradition of midwifery care with professional and licensed midwives practising autonomously and being the most central healthcare professional in maternity care.
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| 3. |
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Theories and perspectives for midwifery: a Nordic view
- 2022
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Midwifery has a strong position in the Nordic countries, and a history over several centuries as a profession with a professional responsibility for normal birth. Even if midwifery has a long tradition, the theoretical base needs to be developed for midwives and other professionals in the field. The idea behind this book is to describe and discuss Nordic midwifery related to its own context as well as in an international perspectve. The book is divided into three parts. Part 1 presents midwifery in its Nordic context. Part 2 presents theories, concepts, and perspectives in midwifery, such as evidence-based midwifery, perspectives on childbearing, salutogenesis, normal birth, midwife–woman relationship, woman-centred care, family-centred care, continuity of care, place of birth, and support. The editors of this book have chosen these theories, concepts, and perspectives as they are central to international midwifery and also are used by Nordic researchers. The third part of this book consists of eight chapters presenting examples of theories and concepts developed in the Nordic countries. This part also includes a chapter about continuity of care in a Danish context, the only Nordic country with this care model. The target groups for this book are midwifery students, PhD students, and researchers as well as midwives, obstetricians, nurses, and other health professionals.
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| 4. |
- Blix, Ellen, et al.
(författare)
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Norwegian midwives' perception of the labour admission test
- 2007
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138 .- 1532-3099. ; 23:1, s. 48-58
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Tidskriftsartikel (refereegranskat)abstract
- Objective: to explore what information and knowledge the labour admission test is perceived to provide and what meaning the test carries in the daily work of practising midwives. Design: in-depth interviews transcribed verbatim and analysed using the grounded theory technique. Setting: four different labour wards in Norway. Participants: a theoretical sample of 12 practising midwives. Findings: the core category "experiencing contradictions" was identified during the analyses, indicating that the midwives found conflicting interests within themselves, or between themselves and others when using the labour admission test. They experienced contradictions between professional identity and the increasing use of technology, between feeling safe and feeling unsafe and between having power and being powerless. Key conclusions: the labour admission traces could be difficult to interpret, especially for newly qualified midwives. Some midwives thought that a labour admission trace could protect them in case of litigation. The hierarchy of power in the labour ward influences the use and interpretation of the labour admission test. Some midwives felt their professional identity threatened and that midwives in general are losing their traditional skills because of the increasing use of obstetric technology. Implications for practice: the findings of the present study should be taken into consideration when changing practice to not routinely perform the labour admission test. There is also a need for further research on what effect the increasing use of obstetric technology has on traditional midwifery skills.
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| 5. |
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| 6. |
- Finnbakk, Elisabeth, 1961-, et al.
(författare)
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Top-level managers' and politicians' worries about future care for older people with complex and acute illnesses : a Nordic study
- 2012
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Ingår i: International Journal of Older People Nursing. - West Sussex, United Kingdom : Wiley-Blackwell Publishing Inc.. - 1748-3735 .- 1748-3743. ; 7:2, s. 163-72
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Tidskriftsartikel (refereegranskat)abstract
- Background: The growing aging population, with its associated complex needs and illnesses, will in the future become an even more important challenge for the Nordic countries.Aim: The aim of the study was to describe and explore the perceptions and views of top-level managers and politicians in regard to an optimal future care for older people during the next decade.Design: The study has a qualitative, descriptive design.Methods: Top-level managers (n = 11) and politicians (n = 8) were interviewed in Sweden, Finland, Denmark and Norway in 2009. The data material was analysed through manifest and latent content analyses.Results: Future care should substantially focus on the individual needs and dignity of older people. The respondents also recommended a preventive perspective on future care. They anticipate that older people's needs will be complex, requiring nursing competence on an advanced level within home care and nursing homes, and point to the importance of leadership abilities and workplace image. Limited resources and the use of health technology will be dominant issues, entailing the need for open-mindedness to reorganise future care. The latent theme expressed was 'A creative willingness to act - but with an underlying worry about the future'.Conclusions: The findings reveal a multifaceted scenario of optimal future care; older people will have significant, acute and complex needs but resources will be limited. In the near future, medical treatment and nursing care for older people at advanced and specialised levels within primary health care will be needed.Implications for practice: To meet demands, a clear need exists for the advanced clinical competence of nurses. There is also a clear need to reorganise health care services for older people, develop the leadership abilities of nurse managers and make workplaces more attractive.
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| 7. |
- Halfdansdottir, Berglind, et al.
(författare)
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The association between waterbirth and perineal injury or other adverse outcomes among low-risk women with physiological birth : Results from the Nordic Home Birth Cohort Study
- 2024
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Ingår i: Women and Birth. - 1871-5192 .- 1878-1799. ; 37:4
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Tidskriftsartikel (refereegranskat)abstract
- PROBLEM/BACKGROUND: Immersion in water has known benefits, such as reducing pain and shortening the duration of labour. The relationship between waterbirth and perineal injury remains unclear.AIM: To compare the incidence of perineal injury in waterbirth and birth on land among low-risk women. Secondary outcomes were postpartum haemorrhage and 5-minute Apgar scores <7.METHODS: Prospective cohort study of 2875 low-risk women who planned a home birth in Denmark, Iceland, Norway, and Sweden in 2008-2013 and had a spontaneous vaginal birth without intervention. Descriptive statistics and logistic regression were performed.FINDINGS: A total of 942 women had a waterbirth, and 1933 gave birth on land. The groups differed in their various background variables. Multiparous women had moderately lower rates of intact perineum (59.3% vs. 63.9%) and primiparous women had lower rates of episiotomies (1.1% vs. 4.8%) in waterbirth than in birth on land. No statistically significant differences were detected in adjusted regression analysis on intact perineum in waterbirth (primiparous women's aOR = 1.03, CI 0.68-1.58; multiparous women's aOR = 0.84, CI 0.67-1.05). The rates of sphincter injuries (0.9% vs. 0.6%) were low in both groups. No significant differences were detected in secondary outcomes.DISCUSSION: The decreased incidence of intact perineum among multiparous women was modest and inconclusive, and the prevalence of sphincter injury was low.CONCLUSION: Low-risk women contemplating waterbirth should be advised to weigh the risks and benefits detected in this study against previously established benefits of waterbirth and should make an informed choice based on their values.
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| 8. |
- Henriksen, Lena, et al.
(författare)
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Norwegian women's motivations and preparations for freebirth - A qualitative study
- 2020
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Ingår i: Sexual and Reproductive Healthcare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 25
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Tidskriftsartikel (refereegranskat)abstract
- © 2020 Elsevier B.V. Aim: This study was aimed at describing Norwegian women's motivations and preparations for freebirth. Methods: This qualitative study involved 12 individual interviews conducted face to face or via Skype with women from different parts of Norway. The material was analysed using qualitative content analysis inspired by Graneheim and Lundman. Results: Three categories describing the women's motivations and preparations for freebirth were identified. Unsatisfied with the care offered today described how the women thought that hospitals did not support normal birth and made an inadequate homebirth offer. The category earlier uncomplicated and traumatic births influence freebirth choices described two different dimensions of motivations for freebirth. Trust in one's own knowledge and capacity referred to how women viewed birth as a natural process, their faith in themselves, how this view and faith influenced their preparation and how they gained knowledge about the birth process to prepare. An overall theme emerged: deep trust in birth as a natural process and the women's own capacity to give birth embedded in distrust of the maternity care system. Conclusion: This study showed that motivations for freebirth were embedded in overall dissatisfaction with today's maternity care, the inadequate homebirth offer and deep trust in the women's own capacity to give birth.
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