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- Håland, Kristin, 1965, et al.
(author)
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The meaning of men's experiences of becoming and being fathers, in men who have subjected their partners to violence
- 2014
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In: Fathering: A Journal of Theory, Research, and Practice about Men as Fathers. - 1537-6680 .- 1933-026X. ; 12:2, s. 178-195
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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.
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| 2. |
- Smith, Valerie, et al.
(author)
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Salutogenically focused outcomes in systematic reviews of intrapartum interventions:A systematic review of systematic reviews
- 2014
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In: Midwifery. - : Elsevier BV. - 0266-6138. ; 30:4
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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.
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| 3. |
- Smith, Valerie, et al.
(author)
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Salutogenically focused outcomes in systematic reviews of intrapartum interventions: A systematic review of systematic reviews
- 2014
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In: Optimising Childbirth Across Europe, 9-10 April 2014. Brussels, Belgium..
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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.
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