SmithBattle Lee, Punsuwun Sasinun, Phengnum Wisitsri
Trudy Busch Valentine School of Nursing, Saint Louis University, Saint Louis, MO, USA.
West J Nurs Res. 2021 May;43(5):478-488. doi: 10.1177/0193945920943213. Epub 2020 Aug 5.
The sheer volume of qualitative research on teen mothering over three decades has generated numerous scientific reviews. This umbrella review synthesizes the findings of these reviews and describes the utility of this evidence for improving clinical practice and policy. A comprehensive search of six electronic databases performed through October 2019 yielded 17 articles from 15 independent reviews. Data were extracted and key findings were synthesized to yield the following paradox: mothering has the potential for transforming and redirecting teens' lives in positive ways because of, and despite, difficult childhoods, constricted pathways to adulthood, fragile partner relationships, social inequities, and stigma. By bringing visibility to the paradox that teen mothering simultaneously transforms and imperils, this review extends the science on teen mothering and enhances the generalizability and utility of small-scale qualitative studies for reframing practice, policy, and behavioral interventions.
三十多年来,关于青少年母亲育儿的定性研究数量众多,催生了大量科学综述。本综合性综述整合了这些综述的研究结果,并描述了这些证据在改善临床实践和政策方面的作用。截至2019年10月,通过对六个电子数据库进行全面检索,从15项独立综述中获取了17篇文章。提取数据并综合关键研究结果后,得出了以下矛盾现象:尽管青少年母亲经历了艰难的童年、成年之路受限、伴侣关系脆弱、社会不平等以及污名化等问题,但育儿却有可能以积极的方式改变和重塑她们的生活。通过揭示青少年母亲育儿既具有变革性又具有危险性这一矛盾现象,本综述拓展了关于青少年母亲育儿的科学知识,并增强了小规模定性研究在重新构建实践、政策和行为干预方面的普遍性和实用性。