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助产士在分娩过程中护理的生活体验——一项现象学研究。

Midwives' lived experience of caring during childbirth--a phenomenological study.

作者信息

Thelin Ida Lyckestam, Lundgren Ingela, Hermansson Evelyn

机构信息

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, SE-431 30 Mölndal,, Sweden; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE-405 30 Gothenburg, Sweden.

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE-405 30 Gothenburg, Sweden.

出版信息

Sex Reprod Healthc. 2014 Oct;5(3):113-8. doi: 10.1016/j.srhc.2014.06.008. Epub 2014 Jun 27.

DOI:10.1016/j.srhc.2014.06.008
PMID:25200971
Abstract

OBJECTIVE

The aim of this study was to obtain a deeper understanding of midwives' lived experience of caring during childbirth in a Swedish context.

METHODS

Ten midwives were recruited from one university hospital with two separate delivery units in western Sweden. Data were collected by both written narratives and interviews. With an inductive approach using a descriptive phenomenological method, the answers to the question: "Can you describe a situation in which you felt that your caring was of importance for the woman and her partner?" were analysed.

RESULTS

A general structure of the phenomenon of caring in midwifery during childbirth, including five key constituents: sharing the responsibility, being intentionally and authentically present, creating an atmosphere of calm serenity in a mutual relationship, possessing the embodied knowledge, and balancing on the borders in transition to parenthood.

CONCLUSIONS

This study emphasises how the midwives shared the responsibility and their possessed embodied knowledge of childbirth and how new unique knowledge was constructed together with the woman, child and her partner. The study has the potential to increase knowledge and understanding of midwives' lived experience of caring during childbirth and therefore has implications for practice, education, and research.

摘要

目的

本研究旨在更深入地了解瑞典背景下助产士在分娩过程中护理的生活经历。

方法

从瑞典西部一家拥有两个独立分娩单元的大学医院招募了10名助产士。通过书面叙述和访谈收集数据。采用描述性现象学方法的归纳法,分析了对“你能描述一种你觉得你的护理对产妇及其伴侣很重要的情况吗?”这个问题的回答。

结果

分娩过程中助产士护理现象的总体结构,包括五个关键要素:分担责任、有意且真实地在场、在相互关系中营造平静安宁的氛围、拥有具体知识以及在向为人父母的过渡边界上保持平衡。

结论

本研究强调了助产士如何分担责任以及他们所拥有的分娩具体知识,以及如何与产妇、婴儿及其伴侣共同构建新的独特知识。该研究有可能增加对助产士在分娩过程中护理生活经历的认识和理解,因此对实践、教育和研究具有启示意义。

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