Setting the stage for health: Salutogenesis in midwifery professional knowledge in three European countries
| Autor: | Bengt Lindström, Katharina Tritten Schwarz, Soo Downe, Marie Berg, Claudia Meier Magistretti |
|---|---|
| Přispěvatelé: | Lucerne University of Applied Sciences and Arts, Switzerland, University of Central Lancashire, UK, Berne University of Applied Sciences, Switzerland |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Postnatal Care
Empirical Study medicine.medical_specialty health promotion sense of coherence B720 03 medical and health sciences 0302 clinical medicine Public Health Midwifery Nursing Tacit knowledge Health care medicine Narrative 030212 general & internal medicine maternity care salutogenesis tacit knowledge lcsh:R5-920 Operationalization 030504 nursing Obstetrics business.industry Health Policy Salutogenesis Issues ethics and legal aspects Maternity care Health promotion Fundamentals and skills lcsh:Medicine (General) 0305 other medical science business Gerontology Mirroring |
| Zdroj: | International Journal of Qualitative Studies on Health and Well-being International Journal of Qualitative Studies on Health & Well-Being, Vol 11, Iss 0, Pp 1-12 (2016) International Journal of Qualitative Studies on Health and Well-being; Vol 11 (2016) |
| ISSN: | 1748-2631 1748-2623 |
| Popis: | There is a lack of systematic evidence concerning health orientation in maternity practice in the current climate of risk avoidance. The midwifery professional project is orientated toward the preservation of normal physiological processes during the maternity episode. This study investigates accounts of midwives who were working in health-orientated birth settings, to examine if and how they frame a health orientation in professional practice. Twenty-seven narrative interviews were conducted with midwives working in pre-, peri-, and postnatal care in different maternity care settings in Switzerland, Austria, and Germany. In-depth and comparative pattern data analyses were conducted. The distinct practice orientation of the participants was revealed in three main concepts, underpinned by a common framework mirroring the three parameters of the Sense of Coherence (comprehensibility, manageability, and meaningfulness) described in Aaron Antonovsky’s salutogenic theory. The midwives’ implicit salutogenic knowledge shaped their reported actions in supporting mothers, fathers, and families to have health-promoting experiences in maternity care. These results suggest that an implicit health orientation in maternity care practice can be prefered through examination of the practice reports of midwives working in settings that have a health-promoting philosophy. Implications for midwifery practice and research are discussed. Consideration is given to the relevance of the results for debates about avoiding overtreatment and for the operationalization of salutogenic theory in health care practice. Key words: Maternity care, salutogenesis, sense of coherence, tacit knowledge, health promotion (Published: 13 December 2016) Citation: Int J Qualitative Stud Health Well-being 2016, 11: 33155 - http://dx.doi.org/10.3402/qhw.v11.33155 Twenty-seven narrative interviews were conducted with midwives working in pre-, peri- and postnatal care in different maternity-care settings in Switzerland, Austria and Germany. In-depth and comparative pattern data analyses were conducted. The distinct practice orientation of the participants was revealed in three main concepts, underpinned by a common framework mirroring the three parameters of the sense of coherence (comprehensibility, manageability, meaningfulness) described in Aaron Antonovsky’s salutogenic theory. The midwives’ implicit salutogenic knowledge shaped their reported actions in supporting mothers, fathers and families to have health-promoting experiences in maternity care. These results suggest that an implicit health orientation in maternity care practice can be surfaced, through examination of the practice reports of midwives working in settings that have a health-promoting philosophy. Implications for midwifery practice and research are discussed. Consideration is given to the relevance of the results for debates about avoiding overtreatment, and for the operationalization of salutogenic theory in health care practice. |
| Databáze: | OpenAIRE |
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