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Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension

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dc.contributor Háskóli Íslands
dc.contributor University of Iceland
dc.contributor.author Nilsson, Christina
dc.contributor.author Ólafsdóttir, Ólöf Ásta
dc.contributor.author Lundgren, Ingela
dc.contributor.author Berg, Marie
dc.contributor.author Dellenborg, Lisen
dc.date.accessioned 2020-10-08T14:46:31Z
dc.date.available 2020-10-08T14:46:31Z
dc.date.issued 2019-01-01
dc.identifier.citation Christina Nilsson, Olof Asta Olafsdottir, Ingela Lundgren, Marie Berg & Lisen Dellenborg (2019) Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension, International Journal of Qualitative Studies on Health and Well-being, 14:1, DOI: 10.1080/17482631.2019.1593037
dc.identifier.issn 1748-2631
dc.identifier.uri https://hdl.handle.net/20.500.11815/2103
dc.description Publisher's version (útgefin grein)
dc.description.abstract Purpose: There is a need to deepen knowledge about midwives’ care in obstetric-led labour wards in which midwives are responsible for normal births. This ethnographic study explores the content and meaning of midwives’ care of women in a hospital-based labour ward in Sweden prior to the introduction of a theoretical midwifery model of care. Methods: Data were gathered through participant observation, analysed through interpretation grounded in reflexivity discussions and are presented in the form of ethnographic descriptions. Results: The midwives’ care was provided in a field of tension in which they had to balance contrasting models of care, described in the themes: The birthing rooms and the office—Different rooms of care, Women giving birth or being delivered—Midwives’ expectations and relationships with women, Old and new caring roles of the midwife—Women giving birth in a “new age”, Being and doing—Different approaches to caring, and Holistic and reductionist care—Guided by contrasting models and guidelines. The midwives’ freedom to act as autonomous professionals was hindered by medical and institutional models of care and this led to uncertainty regarding their roles as midwives. Conclusions: Midwives having to balance their activities in a field of tension require midwifery models that can guide their practice.
dc.description.sponsorship We thank the midwives and the women with their partners and birth companions who so generously shared their birth experiences.
dc.format.extent 1593037
dc.language.iso en
dc.publisher Informa UK Limited
dc.relation.ispartofseries International Journal of Qualitative Studies on Health and Well-being;14(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Childbirth
dc.subject Culture
dc.subject Ethnography
dc.subject Experiences
dc.subject Midwifery
dc.subject Models of care
dc.subject Woman-centred
dc.subject Women
dc.subject Work place
dc.subject Fæðing
dc.subject Menning
dc.subject Félagsleg mannfræði
dc.subject Ljósmæður
dc.subject Ljósmóðurfræði
dc.subject Konur
dc.title Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension
dc.type info:eu-repo/semantics/article
dcterms.license This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, reproduction in any medium, provided the original work is properly cited.
dc.description.version Peer Reviewed
dc.identifier.journal International Journal of Qualitative Studies on Health and Well-being
dc.identifier.doi 10.1080/17482631.2019.1593037
dc.relation.url https://www.tandfonline.com/doi/full/10.1080/17482631.2019.1593037
dc.contributor.department Hjúkrunarfræðideild (HÍ)
dc.contributor.department Faculty of Nursing (UI)
dc.contributor.school Heilbrigðisvísindasvið (HÍ)
dc.contributor.school School of Health Sciences (UI)

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