Jefford Elaine, Nolan Samantha
University of South Australia, Frome Street, Adelaide 5000, SA, Australia.
Women, Newborn & Children's Health Service, Gold Coast Health, Gold Coast Hospital, 1 Hospital Boulevard, Southport 4215, QLD, Australia.
Nurse Educ Today. 2022 Dec;119:105589. doi: 10.1016/j.nedt.2022.105589. Epub 2022 Oct 7.
Emancipation and self-determination are critical elements of midwifery care and therefore should be explicit in midwifery education. If not, the woman-centred midwife with her trust in women and birth may become a thing of the past, and the patriarchal, technocratic medical model of maternity care, with its trust in machines and misguided interventions will continue to dominate childbearing practices. The optimal time for exposure to feminist principles within the midwifery educational journey, however, is unknown, despite recognition that teaching feminist theory and related concepts positively impacts the way students value women-centredness in midwifery practice.
To understand midwifery student's perspectives of assimilating feminist theory and midwifery philosophy.
A qualitative approach using reflective journals was used to explore student midwives understanding of midwifery as a feminist profession.
One regional Australian University that teaches midwifery at two campuses, one of which straddles a state border.
First session, first-year midwifery students undertaking a unit of study focusing on "what is midwifery" and how at its core, midwifery is a feminist emancipatory political discipline.
Data from weekly reflective journals were analysed to produce themes.
Three themes were identified 'Midwifery: Past and Present', 'What is this 'F' word? - feminism revisited', and 'Midwifery-feminism dyads'. These themes demonstrated transformative learning had occurred as participants appeared to value understanding feminism as the essence of midwifery philosophy early in their midwifery studies.
Students embarking on their journey appear to value assimilation of feminist theory as a core tenet of midwifery philosophy. Feminist principles, particularly the protection of women's rights to informed choice, trusted relationships, dignity, and control throughout their childbearing journey appear to illustrate the emancipatory nature, and importance of, truly 'woman-centred, partnership-based midwifery care'.
Whilst the findings of this study relate to midwifery students, the findings point to a need to explore ways to strengthen midwives' assimilation with feminist theory, and their ability to promote feminism and provide woman-centred, partnership-based approaches.
解放和自决是助产护理的关键要素，因此在助产教育中应明确体现。否则，以女性为中心、信任女性和分娩过程的助产士可能会成为历史，而父权制、技术官僚化的孕产妇护理医学模式，因其对机器的信任和误导性干预，将继续主导生育实践。然而，尽管认识到教授女权主义理论及相关概念会对学生在助产实践中重视以女性为中心的方式产生积极影响，但在助产教育过程中接触女权主义原则的最佳时机尚不清楚。
了解助产专业学生对融合女权主义理论和助产哲学的看法。
采用反思日记的定性方法，以探究助产专业学生对助产作为女权主义职业的理解。
澳大利亚一所地区性大学，在两个校区教授助产专业，其中一个校区跨越州界。
第一学年助产专业学生的第一堂课，这些学生正在学习一门专注于“什么是助产”的课程单元，以及助产在其核心层面如何是一门女权主义解放政治学科。
分析每周反思日记中的数据以生成主题。
确定了三个主题：“助产：过去与现在”“这个‘F’字是什么？——重新审视女权主义”以及“助产 - 女权主义二元组”。这些主题表明发生了变革性学习，因为参与者似乎在助产学习早期就重视将女权主义理解为助产哲学的核心。
刚开始学习助产的学生似乎重视将女权主义理论融入助产哲学的核心原则。女权主义原则，特别是在整个生育过程中保护女性知情选择、信任关系、尊严和控制权的权利，似乎体现了真正“以女性为中心、基于伙伴关系的助产护理”的解放性质及其重要性。
虽然本研究结果与助产专业学生相关，但结果表明有必要探索加强助产士与女权主义理论融合的方法，以及他们推广女权主义并提供以女性为中心、基于伙伴关系方法的能力。
