Hospital Sønderjylland, University Hospital of Southern Denmark, Kresten Philipsens Vej 15, 6200 Aabenraa, Denmark; Department of Clinical Research, University of Southern Denmark, Winsløwparken 19, 5000 Odense, Denmark; University College South Denmark, Degnevej 16, 6705 Esbjerg Ø, Denmark.
Centre for Research in Patient Communication, Odense University Hospital, Kløvervænget 12B, 5000 Odense C, Denmark.
Sex Reprod Healthc. 2023 Sep;37:100884. doi: 10.1016/j.srhc.2023.100884. Epub 2023 Jul 3.
A sense of existential vulnerability is embedded in parenthood transition. It is linked to meaning in life, relationship changes, awareness of death, and sometimes a transcendent belief. Nevertheless, in most maternity service guidelines, the existential aspects of life are not an explicit focus. Therefore, this study aimed to explore how health professionals in maternity services experience and understand existential aspects of parenthood transition among new parents.
Data were generated through a user-involving two-phase process inspired by action research consisting of three focus group interviews with health professionals (n = 10) and, subsequently, a theatre workshop for parents, health professionals, and researchers (n = 40). Between the two phases, case narratives were constructed using information from the interviews and, in collaboration with a dramatist, dramatized and then played out at a workshop by professional actors. We used thematic analysis for all data.
We identified five themes in the data material: 1. Death and fragility in maternity care, 2. Existential aspects in camouflage, 3. Existential and spiritual aspects of being professional in maternity care, 4. Talking about existential aspects of care, 5. Equipped for providing existential care?
Existential aspects were often recognized during birth, specially in traumatic situations or discerned in the physical and non-verbal relational energy between the birthing woman and midwife or partner. Less often, existential aspects were recognized during pregnancy and the post-partum period.
存在脆弱感是父母身份转变过程中固有的。它与生活意义、关系变化、对死亡的认识有关，有时还与超越信仰有关。然而，在大多数孕产服务指南中，生命的存在方面并不是明确的关注点。因此，本研究旨在探讨孕产服务中的健康专业人员如何体验和理解新父母的父母身份转变中的存在方面。
数据是通过受行动研究启发的用户参与的两阶段过程生成的，包括三次健康专业人员焦点小组访谈（n=10），随后为父母、健康专业人员和研究人员举办了一场戏剧工作坊（n=40）。在两个阶段之间，使用访谈中的信息构建案例叙述，并与剧作家合作，将其戏剧化，然后由专业演员在工作坊中表演。我们对所有数据都使用了主题分析。
我们在数据资料中确定了五个主题：1. 孕产护理中的死亡和脆弱性，2. 存在方面的伪装，3. 孕产护理中的存在和精神方面，4. 谈论护理的存在方面，5. 有能力提供存在关怀吗？
存在方面通常在分娩时被识别出来，特别是在创伤性情况下，或者在分娩妇女和助产士或伴侣之间的身体和非言语关系能量中被识别出来。在怀孕和产后期间，较少被识别出来。
