Background The birth plan is a tool that allows the self-learning and thoughtful analysis of the women during the birthing process, facilitating their making of decisions and participation, in agreement with the bioethical principles of autonomy and no malfeasance. Goal: To understand the perception and satisfaction of women who presented a birth plan. Methodology: Qualitative, descriptive, observational, retrospective and cross-sectional study. The population of the study was composed of 21 women who presented a birth plan regulated in a Hospital ever since the recording of the presentation of the birth plan was started (2011) until 2015. Place: Cartagena (Murcia, Spain). Techniques/methods: Semistructured interview. Results-Discussion: Most women considered the plan as a useful self-learning tool on the meaning of the birthing process, as it favored the communication between the expectant mothers/health professionals. Our informants sought information related to the birthing process from informal sources; most perceived a level of respect of their wishes during the process of giving birth. The use of the birth plan did not imply the perception of loss of the degree of control during the birth, although attention to the written document could be improved. Conclusions The use of the birth plan is a very satisfactory and useful experience for their involvement in their self-care, although in some cases, the births did not proceed according to their plans. Nevertheless, the prevalence of the principle of Non-Malfeasance over Autonomy was evidenced.
A holistic intervention is needed for individuals who suffer from autism spectrum disorders. Our objective was to work with these individuals in a multidisciplinary manner through the use of animal-assisted therapy, finding improvements in the experimental group as compared with the control group in the different evaluated areas.
Objectives: to determine how the immigration phenomenon influences the response to informal
care in the domestic level through the caregiver activity, and to analyze the
cultural dialogue established in the residential area of Murcia (Spain). Method: This is an ethnographic study, conducted in 26 informal immigrant caregivers. As
data collection instruments, semi-structured interviews and participant
observation were employed. MAXQDA-2 assisted content analysis was also applied.
Results: the immigrant caregiver is the main consumer of traditional medicines, extending
these health practices to her home group. A cultural dialogue is established on
informal care, characterized by interculturalism and mutual adaptation. Conclusions: cultural hybridization was identified for informal caregivers, immigrants and
cultural integration: new health care practices and cultural behaviors in informal
systems. There is a transformation in the roles of family members attended in
domestic environments, increasing quality of life and self care. They represent an
alternative to medicalization, promoting self-management of health.
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