Department of Nursing and Midwifery, Faculty of Health and Life Sciences, University of the West of England, Glenside Campus, Bristol BS16 1DD, UK.
Midwifery. 2012 Jun;28(3):391-9. doi: 10.1016/j.midw.2011.04.007. Epub 2011 Nov 26.
to ascribe meaning to the everyday experiences of midwives during their first year of practice as they interact with their social environment.
a qualitative, ethnographic study.
a major maternity department located in the West Country, UK.
seven newly qualified midwives working in the chosen setting.
as befits an ethnographic approach, observant participation and interviews in the field were the selected data collection tools. Reflexivity was at the hub of the research process. A field diary was kept in order to ensure that the researcher took into account both her own perceptions and the interactions with participants and significant others. This paper draws on data that illustrates some of the predispositions that may constitute the midwifery habitus.
the main themes that emerged from the data were in relation to the culture of midwifery, fitting into the culture and determining what type of midwife the neophytes wanted to be ('what is a midwife?'). To enhance transparency, the latter theme is focused upon in this paper using a model that is a synthesis of some of the findings and Bourdieu's notion of habitus.
this research provides insight into the professional and cultural experiences of newly qualified midwives, especially how cultural interactions, education and expectations may shape the midwifery habitus. It would seem that midwives who take a critical and reflective approach to practice are key players in the cultural re-creation of midwifery. Accordingly, to enable the aforementioned approach to practice, it is important that reflective and reflexive practices are an integral part of midwifery education. Nevertheless, the implications for practice are not merely one-dimensional. Observations in the field suggest the importance of making the quality of midwives' working lives a priority by facilitating a more supportive working environment. Moreover, midwives should not be marginalised for preferring to work in the community, the birth centre or the high-risk environment. Future planning of the maternity services needs to consider how a 'being with the woman' approach can be facilitated for all women, balancing the virtues of both the medical and midwifery models of care.
赋予助产士在实践的第一年中与社会环境互动时的日常经验以意义。
定性、民族志研究。
英国西南部一个主要的妇产科病房。
在选定环境中工作的 7 名新获得资格的助产士。
适合民族志方法的是，观察性参与和现场访谈是选定的数据收集工具。反思性是研究过程的核心。为了确保研究人员考虑到她自己的看法以及与参与者和重要他人的互动，保留了一份实地日记。本文借鉴的数据说明了可能构成助产士习惯的一些倾向。
数据中出现的主要主题与助产文化有关，适应文化并确定新手希望成为什么样的助产士（“助产士是什么？”）。为了提高透明度，本文重点关注后一个主题，使用的模型是一些发现和布迪厄习惯概念的综合。
这项研究深入了解了新获得资格的助产士的专业和文化经验，特别是文化互动、教育和期望如何塑造助产士的习惯。似乎采取批判性和反思性实践方法的助产士是助产文化重新创造的关键参与者。因此，为了使上述实践方法成为可能，重要的是将反思和反思性实践作为助产教育的一个组成部分。然而，实践的影响并非单一维度。实地观察表明，通过促进更具支持性的工作环境，将助产士的工作生活质量作为优先事项的重要性。此外，不应因偏爱在社区、分娩中心或高风险环境中工作而使助产士边缘化。未来的产妇服务规划需要考虑如何为所有妇女提供“与妇女在一起”的方法，平衡医疗和助产护理模式的优点。
