| 1. |
- Eri, Tine, et al.
(author)
-
Models for midwifery care: A mapping review
- 2020
-
In: Eur J Midwifery. - : E.U. European Publishing. - 2585-2906. ; 2020:4
-
Journal article (peer-reviewed)abstract
- Introduction: According to WHO, midwives are found competent to provide evidencebased and normalcy-facilitating maternity care. Models for midwifery care exist, but seem to be lacking explicit epistemological status, mainly focusing on the practical and organizational level of care delivery. To make the values and attitudes of care visible, it is important to implement care models with explicit epistemological status. The aim of this paper is to identify and gain an overview of publications of theoretical models for midwifery care. Methods: A mapping review was conducted with systematic searches in nine databases for studies describing a theoretical model or theory for midwifery care that either did or was intended to impact clinical practice. Eligibility criteria were refined during the selection process. Results: Six models from six papers originating from different parts of the world were included in the study. The included models were developed using different methodologies and had different philosophical underpinnings and complexity gradients. Some characteristics were common, the most distinctive being the emphasis of the midwife–woman relationship, secondly the focus on woman-centeredness, and thirdly the salutogenic focus in care. Conclusions: Overall, scarcity exists regarding theoretical models for midwifery care with explicit epistemological status. Further research is needed in order to develop generic theoretical models with an epistemological status to serve as a knowledge base for midwifery healthcare.
|
|
| 2. |
- Håland, Kristin, 1965, et al.
(author)
-
Fathers’ experiences of being in change during pregnancy and early parenthood in a context of intimate partner violence
- 2016
-
In: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 11
-
Journal article (peer-reviewed)abstract
- Objective: Intimate partner violence (IPV) is a large public health problem with far-reaching consequences for those involved. The aim of this study was to explore fathers’ experiences of change during pregnancy and early parenthood in the context of IPV. Methods: The methodological approach in this interview study was hermeneutics, based on a lifeworld perspective. Ten men, who had subjected their partners to violence during the childbearing period, and had become fathers within the previous 6 years, participated. Results: The analysis revealed four themes: beginning to acknowledge that you are inflicting violence, receiving confirmation that you are more than just a perpetrator of violence, becoming aware of the child, and the desire to receive support in the process of learning how to become a father. Levinas’ concept “the face of the other” is used to interpret the findings. Conclusion: This study contributes to a more nuanced and expanded picture of IPV. It shows that men who inflict violence want to be and learn how to be fathers. We need more knowledge about how to stop violent acts and support these men in the process of fatherhood.
|
|
| 3. |
- Håland, Kristin, 1965, et al.
(author)
-
The meaning of men's experiences of becoming and being fathers, in men who have subjected their partners to violence
- 2014
-
In: Fathering: A Journal of Theory, Research, and Practice about Men as Fathers. - 1537-6680 .- 1933-026X. ; 12:2, s. 178-195
-
Journal article (peer-reviewed)abstract
- A phenomenological hermeneutic approach was used to illuminate the meaning of the lived experience of becoming a father, in men who had subjected their partners to violence. Ten fathers were interviewed. Four themes were developed: being forced to take responsibility; being afraid that the violence will continue in subsequent generations; striving to stay in control; and being a “good enough” father. The transition to becoming a father is a demanding process with ambiguous emotions, and the situation is especially difficult when the men have a history of violent behavior. The men clearly distinguished between the pregnant woman and the unborn child. Although they exercised violence against the women, they wanted to make their children safe, to protect them from violence, and to become good fathers.
|
|
| 4. |
- Smith, Valerie, et al.
(author)
-
Protocol for the development of a salutogenic intrapartum core outcome set (SIPCOS)
- 2017
-
In: BMC Medical Research Methodology. - : Springer Science and Business Media LLC. - 1471-2288. ; 17:61
-
Journal article (peer-reviewed)abstract
- Background: Maternity intrapartum care research and clinical care more often focus on outcomes that minimise or prevent adverse health rather than on what constitutes positive health and wellbeing (salutogenesis). This was highlighted recently in a systematic review of reviews of intrapartum reported outcomes where only 8% of 1648 individual outcomes, from 102 systematic reviews, were agreed as being salutogenically-focused. Added to this is variation in the outcomes measured in individual studies rendering it very difficult for researchers to synthesise, fully, the evidence from studies on a particular topic. One of the suggested ways to address this is to develop and apply an agreed standardised set of outcomes, known as a ‘core outcome set’ (COS). In this paper we present a protocol for the development of a salutogenic intrapartum COS (SIPCOS) for use in maternity care research and a SIPCOS for measuring in daily intrapartum clinical care. Methods: The study proposes three phases in developing the final SIPCOSs. Phase one, which is complete, involved the conduct of a systematic review of reviews to identify a preliminary list of salutogenically-focused outcomes that had previously been reported in systematic reviews of intrapartum interventions. Sixteen unique salutogenically-focused outcome categories were identified. Phase two will involve prioritising these outcomes, from the perspective of key stakeholders (users of maternity services, clinicians and researchers) by asking them to rate the importance of each outcome for inclusion in the SIPCOSs. A final consensus meeting (phase three) will be held, bringing international stakeholders together to review the preliminary SIPCOSs resulting from the survey and to agree and finalise the final SIPCOSs for use in future maternity care research and daily clinical care. Discussion: The expectation in developing the SIPCOSs is that they will be collected and reported in all future studies evaluating intrapartum interventions and measured/recorded in future intrapartum clinical care, as routine, alongside other outcomes also deemed important in the context of the study or clinical scenario. Using the SIPCOSs in this way, will promote and encourage standardised measurements of positive health outcomes in maternity care, into the future.
|
|
| 5. |
- Smith, Valerie, et al.
(author)
-
Salutogenically focused outcomes in systematic reviews of intrapartum interventions:A systematic review of systematic reviews
- 2014
-
In: Midwifery. - : Elsevier BV. - 0266-6138. ; 30:4
-
Research review (peer-reviewed)abstract
- Introduction: research on intrapartum interventions in maternity care has focused traditionally on the identification of risk factors' and on the reduction of adverse outcomes with less attention given to the measurement off actors that contribute to well-being and positive health outcomes.We conducted a systematic review of reviews to determine the type and number of salutogenically-focused reported outcomes in current maternity care intrapartum intervention-based research.For the conduct of this review,we interpreted salutogenic outcomes as tho se relating to optimum and/or positive maternal and neonatal health and well-being. Objectives: to identify salutogenically-focused outcomes reported in systematic reviews of randomised trials of intrapartum interventions. Review methods: we searched Issue 9(September 2011 of the Cochrane Database of Systematic Reviews for allreviews of intrapartum interventions published by the Cochrane Pregnancy and Childbirth Group using the group filter “hm-preg”. Systematic reviews of randomised trials ofi ntrapartum interventions were eligible for inclusion.We excluded protocols for systematic reviews and systematic reviews that had been withdrawn. Outcome data were extracted independently from each included review by at least two review authors.Unique lists of salutogenically and non-salutogenically focused outcomes wereestablished. Results: 16 salutogenically-focused outcome categories were identified in 102 included reviews. Maternal satisfaction and breastfeeding were reported most frequently. 49non-salutogenically-focusedoutcome categories were identified in the102 included reviews. Measures of neonatal morbidity were reported most frequently. Conclusion: there is an absence of salutogenically focused outcomes reported in intrapartum intervention- based research. We recommend the development of a core outcome dataset of salutogenically-focused outcomes for intrapartumresearch.
|
|
| 6. |
- Smith, Valerie, et al.
(author)
-
Salutogenically focused outcomes in systematic reviews of intrapartum interventions: A systematic review of systematic reviews
- 2014
-
In: Optimising Childbirth Across Europe, 9-10 April 2014. Brussels, Belgium..
-
Conference paper (other academic/artistic)abstract
- Introduction: Salutogenesis explores health systematically in terms of movement along the health continuum, thereby eliminating a distinct dichotomy of being in a state of health or being in a state of disease. Currently there is little understanding of what constitutes salutogenically focused outcomes in maternity care. In evaluating current maternity care intrapartum intervention-based research, a systematic review of reviews, to determine the type and number of salutogenically-focused reported outcomes, was performed. Aim: To present the findings of this systematic review of systematic reviews. Methodology: Systematic reviews of randomsied trials of intrapartum interventions were eligible for inclusion. Protocols for systematic reviews and systematic reviews that had been withdrawn were excluded. Issue 9, 2011 of the Cochrane Database of Systematic Reviews was searched for all reviews published by the Cochrane Pregnancy and Childbirth Group using the group filter “hm-preg”. At least two review authors independently reviewed each review for inclusion and extracted the data using a purposively designed data extraction form. Any disagreements were resolved through within pair discussions or deferral to the team for consensus. Unique lists of salutogenically-focused and non-salutogenically-focused outcome categories were identified. Ethical approval: Not applicable. Findings: A total of 102 reviews were included. 135 salutogenically-focused outcomes were identified and collapsed into 16 outcome categories. Examples include maternal satisfaction, spontaneous vaginal birth, maternal parenting confidence and breastfeeding. 1632 non-salutogenically-focused outcomes, collapsed into 49 outcome categories, were identified. Examples include preterm birth, instrumental birth and neonatal death. Conclusion: The findings of this review support the hypothesis that the effectiveness of intrapartum interventions is measured against adverse outcomes rather than increases in measures of health and wellbeing. Given the relative absence of salutogenically-focused reported outcomes identified in this systematic review of reviews, the development of a core dataset of salutogenic outcomes for reporting in maternity care research, is recommended.
|
|
