| Autor: |
Hally McCrea, Maurice Stringer, Marion E. Wright, Tricia Murphy-Black |
| Rok vydání: |
2000 |
| Předmět: |
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| Zdroj: |
Clinical Effectiveness in Nursing. 4:128-137 |
| ISSN: |
1361-9004 |
| DOI: |
10.1054/cein.2000.0121 |
| Popis: |
Objective: to determine whether rules on control of pain relief, held by women prior to labour and midwives (identified from questionnaire data) were reflected in clinical practice. Evidence of a difference between rules verified from questionnaire data and those observed in practice will help to raise midwives’ awareness of the need for a more clinically effective approach to pain relief during labour. Design: This qualitative study is part of a larger investigation on personal control of pain relief during labour. Non-participant observations throughout the first stage of labour were carried out over 15 days. Setting: a large teaching hospital in Northern Ireland. Participants:15 women, nine primigravidae and six multigravidae who were in established labour (2–3 cm cervical dilatation) and eleven midwives. Findings: Most of the rules on personal control in pain relief held by the midwives, and by the women prior to childbirth, were observed to apply in clinical practice during the first stage of labour. Nevertheless, some exceptions occurred and these related to (a) some of the midwives’ rules and (b) inconsistencies between some of the rules held by the women and the midwives. Conclusions: The findings on inconsistencies within professional and between client and professional rule application call for greater partnership between midwives and women to promote clinically effective pain relief during labour. This approach will require midwives to develop skills in several areas of clinical practice and these are discussed in the paper. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect