African American Women Describe Support Processes During High-Risk Pregnancy and Postpartum

Autor: Sherrilyn Coffman, Marilyn A. Ray
Rok vydání: 2002
Předmět:
Zdroj: Journal of Obstetric, Gynecologic & Neonatal Nursing. 31:536-544
ISSN: 0884-2175
DOI: 10.1111/j.1552-6909.2002.tb00078.x
Popis: Objective To explore social support processes in low-income African American women during high-risk pregnancy and postpartum. Design A qualitative grounded theory approach. Interview was the primary data collection technique and was combined with observation, medical chart review, and literature review. Setting A high-risk pregnancy clinic and participants' homes. Participants Ten pregnant women, 3 social network members, and 11 health care providers. Four of the women at high risk tell their in-depth stories in this article: Yolanda, coping with gestational diabetes; Frances, participating in drug rehabilitation; Trista, waiting to deliver a fetus with severe congenital anomalies; and Beatrice, HIV positive and carrying her seventh child. Results The substantive theory of support developed in the study was termed mutual intentionality. Narratives illustrate the mutual roles that women at high risk and support givers played in the helping process. Support themes included being there, caring, respecting, sharing information, knowing, believing in, and doing for the other. Conclusion The theorsy of mutual intentionality suggests that social support is a process or transaction involving intentionality. For support to happen, the therapeutic relationship must be valued as a mutual re-source.
Databáze: OpenAIRE